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Trauma season is at hand and like all other pediatric emergency departments in the country, we find our ED breaking ( pun intended ) at the seams with orthopedic injuries. Pediatric patients have unique bony anatomy and physiology compared to the skeletally mature. J Pediatr Orthop. Pediatr Emerg Care. Pediatrics.
Well keep it short, while you keep that EM brain sharp. This is thought to be secondary to increased microtrauma for boys 1 In pediatric patients long bones (femur, tibia) are more commonly infected nearing 75% of the time. Pediatric osteomyelitis treatment algorithm. She has full range of motion of all other joints. CRP >1.0
Well keep it short, while you keep that EM brain sharp. A 73-year-old female is brought in by EMS for abdominal pain, vomiting, and weakness for two days. Pediatric Emergency Care 34(9):p e159-e160, September 2018. | link] The post EM@3AM: Stercoral Colitis appeared first on emDOCs.net - Emergency Medicine Education.
Any time I give a pediatric talk, I mention it. This one applies to anyone who takes care of children, and is particularly important to EMS / prehospital providers and emergency physicians. And another law to end the first week! On occasion, medics are called to a home to treat a child in extremis, or occasionally in arrest.
On this month's EM Quick Hits podcast: Anand Swaminathan on update to ED management of postpartum hemorrhage, Nour Khatib on serotonin syndrome and its mimics, Katie Lin on an approach to recognition and management of severe TBI and brain herniation syndromes, Hans Rosenberg on the ED management of ulcerative colitis, Heather Cary on pediatric c-spine (..)
Predisposing conditions ( Down Syndrome , Klippel-Fleil, achondroplasia, etc.) — OR 1.5 – 15 Torticollis — OR 1.8 – 64 The sensitivity of C-Spine plain films in pediatric patients is good (85-95% in multiple studies), but keep in mind that nothing is 100%. Pediatr Emerg Care. High Risk (12.8% When in doubt, MRI. 2018;34(10):677-686.
Paraphimosis , phimosis , and priapism can be painful pediatric penile problems that need prompt perusal and procedures to prevent problems with peeing. Now let’s consider another penile and skin problem that is quite common – Pediatric Balanitis and Balanoposthitis. Int J Dermatol. 2009;48(2):121-124. doi:10.1111/j.1365-4632.2009.03966.x
To celebrate the end of trauma season ( is it ever really over? ), we here at the Ped EM Morsels Bakery have cooked up a morsel to remind you that pediatric trauma can be even more difficult than you think. Unfortunately, there are numerous other pitfalls that can be encountered during the management of pediatric trauma patients.
Bob Luten, a PEM physician in Jacksonville, FL , designed the Broselow-Luten color-coded length-based system to help estimate a child’s weight, and thereby offload the cognitive burden of medication dosing and choice of equipment sizes in pediatric resuscitations. DeBoer 2020] Now seen as industry standard in pediatric emergency care.
Tabitha Cheng is a Southern California native and board-certified emergency medicine physician and completed an EMS fellowship as well. The learning didnt end because she then completed another fellowship in pediatric emergency medicine at Harbor UCLA. Case: An 8-year-old girl is brought in by EMS after a car accident.
The post Mycoplasma Pneumonia in Children appeared first on PediatricEM Morsels. Mycoplasma Pneumoniae Infection in Children. UpToDate , 1 Nov. 2024, www.uptodate.com/contents/mycoplasma-pneumoniae-infection-in-children.
In this episode: recognition, risk stratification, decision tools, indications for lumbar puncture in the febrile pediatric patient, tips and trick on performing LPs in children, and ED management of pediatric meningitis. and many more.
National Assessment of Pediatric Readiness of US Emergency Departments during the Covid-19 Pandemic. July 2023 Date: Dec 11, 2023 Guest Skeptic: Dr. Rachel Hatcliffe is a pediatric emergency medicine attending at Children’s National Hospital in Washington, DC. She is the co-Principal Investigator for the EMS for Children Data Center.
Regional implementation of a pediatric cardiology chest pain guideline using SCAMPs methodology. Pediatrics. Management of pediatric chest pain using a standardized assessment and management plan. Pediatrics. Musculoskeletal causes of pediatric chest pain. Pediatr Clin North Am. Pediatr Clin North Am.
Certainly, the care of pediatric patients is known for its “ Seasonality. Pediatr Emerg Care. The post Summer Penile Syndrome appeared first on PediatricEM Morsels. Chance encounters with life’s hazards seem to increase in the Summer time (ex, Trampolines , Snakes , Lawn Mowers , Water , and Heat ).
Since tonsillectomy is one of the most common pediatric surgeries in the US (~500,000 per year) and the rate of post-tonsillectomy hemorrhage is about 1-5% , it is a good idea that we all are familiar with how to manage this issue! Detecting coagulopathy in pediatric patients with post-tonsillectomy hemorrhage. 2021 Aug;147:110807.
We’ll keep it short, while you keep that EM brain sharp. CT scans are typically not recommended in pediatric patients, but can be useful in adults with concern for tracheal stenosis or recurrent tracheitis, however airway stabilization takes precedence. [2][3] Hospital Pediatrics. Pediatric Pulmonology. Published 2023.
Pediatrics. Pediatr Rev (2022) 43 (7): 371–383. link] The post Rebaked: Inborn Errors of Metabolism presenting in the ED appeared first on PediatricEM Morsels. Incidence of inborn errors of metabolism in British Columbia, 1969–1996. 2000; 105:e 10. Inborn Errors of Metabolism: Becoming Ready for Rare. Samantha A.
We had just received a young child from EMS who was post-ictal with decreased mentation. Orso 2020] One pediatric study in this systematic review, and the intubated patients had worse outcome than non-intubated Early airway protection = lower rates of complications (in TRAUMA), but this is not always true with medical patients.
The post EM Quick Hits 50 Normal Unenhanced CT Renal Colic DDx, Perichondritis, Magnesium in Pediatric Asthma, Steroids for Pneumonia, OMI Cath Lab Activation appeared first on Emergency Medicine Cases.
For non-complicated malaria use oral Co ART em. Acute Kidney Injury Is Common in Pediatric Severe Malaria and Is Associated with Increased Mortality. PMID: 31109328 Forgie EME, Brooks HM, Barton M, Hawkes M. Pediatric Malaria: Global and North American Perspectives. Pediatr Clin N Am 69 (2022) 47–64. vivax or P.
Pediatric trauma is a high acuity but low frequency event (2). There is a well-documented correlation amongst EMS and adult ED physicians who provide less pediatric care to […] The post Pediatric Traumatic Cardiac Arrest appeared first on EMOttawa Blog.
Being comfortable evaluating and managing pediatric seizures also requires a lot of humility. World J Pediatr. The post Gelastic Seizures: No Laughing Matter appeared first on PediatricEM Morsels. Vitamin B6 Deficiency ). Guo ZH, Zhang JG, Shao XQ, Hu WH, Sang L, Zheng Z, Zhang C, Wang X, Li CD, Mo JJ, Zhang K.
Cerebral edema is the most feared emergent complication of pediatric diabetic ketoacidosis. Pediatr Diabetes. Population-based study of incidence and risk factors for cerebral edema in pediatric diabetic ketoacidosis. The Pediatric Emergency Medicine Collaborative Research Commitee. Pediatr Rev. Pediatrics.
We’ll keep it short, while you keep that EM brain sharp. An Pediatr (Engl Ed). 2019 The post EM@3AM: Pneumocephalus appeared first on emDOCs.net - Emergency Medicine Education. A 58-year-old female with a history of diabetes, hypertension, and chronic back pain presents to the ED with severe headache and nausea.
This course teaches practical, effective skills and strategies for adult and pediatric intubation that promote patient safety and increase provider confidence. CEU Pre-Hospital *Military Discounts Available* View Course Dates The post Levitan/Rezaie Practical Airway Course appeared first on REBEL EM - Emergency Medicine Blog.
Eur J Pediatr. link] PMID: 36553274 The post Congenital Pulmonary Airway Malformation (CPAM) appeared first on PediatricEM Morsels. Leblanc C, Baron M, Desselas, E, Phan, MH, Rybak A, Thouvenin G, Lauby C, Irtan S. Congential pulmonary airway malformations: state-of-the-art review for pediatrician’s use. Dec: 9 (12): 1830.
If you have ever talked with a pediatric emergency medicine physician about some basic tenets of their practice, one of them will inevitably be, “ Never trust a neonate. ” The first few months of life outside the womb can elucidate a myriad of problems that were previously hidden during the prenatal state. The Journal of Pediatrics.
We’ll keep it short, while you keep that EM brain sharp. In: Textbook of Pediatric Emergency Procedures, 2nd edition, King C, Henretig FM (Eds), Lippincott, Williams & Wilkins, Philadelphia, PA 2008. doi:[link] The post EM@3AM: Auricular Hematoma appeared first on emDOCs.net - Emergency Medicine Education. 2014;13(1):22-26.
Evaluation of unintentional injury and trauma is one of the hallmarks of the EM and PEM physician. Low Risk Inta-Adbominal Trauma: Pediatric Trauma is Dangerous! Low Risk Inta-Adbominal Trauma: Just Light ‘Em Up? As it turns out, the donut of truth can be the donut of danger for our pediatric population. JAMA Pediatr.
We’ll keep it short, while you keep that EM brain sharp. A 3-year-old male with no past medical history presents to the ED with one week of daily fevers >102°F associated with four days of rash on the trunk.
We’ll keep it short, while you keep that EM brain sharp. PDQ Pediatric Treatment Editorial Board. The post EM@3AM: Traumatic Iritis appeared first on emDOCs.net - Emergency Medicine Education. Merck Manuals Professional Edition , Merck Manuals, 12 Nov. query=Traumatic+Iritis+and+Chemical+Iritis. 2021 Oct 7. McGraw Hill, 2020.
That being said, despite working in two very busy community hospitals with a high percentage of pediatrics visits, c-spine injuries are just not an issue I struggle with. As with everything that comes out of the PECARN group, this is a huge study, and is therefore one that everyone needs to know about.
Difficult vs. Severe Asthma: Definition and Limits of Asthma Control in the Pediatric Population. Front Pediatr. The post ReBaked Morsel on Asthma Control – The 2020 NIH Asthma Management Guidelines appeared first on PediatricEM Morsels. 2018 Jun 19;6:170. doi: 10.3389/fped.2018.00170. 2018.00170. Clin Med Res.
University of Maryland Department of Emergency Med
NOVEMBER 14, 2023
This is a retrospective review of pediatric patients with mental health presentations to EMS in Australia. For children 12 or o. Click to view the rest
2024 Date: May 29, 2024 Guest Skeptic: Dr. Caleb Ward is a pediatric emergency medicine attending and Associate Professor of Pediatrics and Emergency Medicine at Children’s National Hospital and The George Washington School of Medicine and Health Sciences in Washington, DC. EMS placed him in a C-collar and brought him to you.
We’ll keep it short, while you keep that EM brain sharp. The Pediatric Infectious Disease Journal. Pediatrics. 2009-1709 The post EM@3AM: Periorbital Cellulitis appeared first on emDOCs.net - Emergency Medicine Education. Parents report the swelling has progressively worsened and is greater in the upper eyelid.
Oka, 2023) A systematic review linked SMA syndrome to the immediate post-operative period after surgery for scoliosis in pediatric patients, and found the mean days to onset of symptoms was 9. There is a co-occurrence with Nutcracker syndrome in the pediatric populations due to anatomic location. Record, 2015). England, 2021).
Some topics come up over and over again, and it may seem somewhat repetitive or wasteful to spend so much time on them, but seeing as so many people are still using outpatient IV antibiotics despite overwhelming evidence that oral antibiotics are just as good, if not better, I will continue to cover papers as […] The post Oral antibiotics are (..)
The post Return to Learn / Return to Sport after Concussion appeared first on PediatricEM Morsels. Br J Sports Med. 2023 Jun;57(11):695-711. doi: 10.1136/bjsports-2023-106898. PMID: 37316210.
We’ll keep it short, while you keep that EM brain sharp. Available from: [link] yousef, CC BY-SA 4.0 <[link] via Wikimedia Commons The post EM@3AM: Oculomotor Nerve Palsy appeared first on emDOCs.net - Emergency Medicine Education. Updated 2022 Jul 4]. In: StatPearls [Internet].
Today we are talking about a rare disease called FPIES (food protein induced enterocolitis syndrome) and how you might encounter these patients in the Pediatric Emergency Department. Food protein-induced enterocolitis syndrome in a tertiary pediatric center: safety of guideline-conforming food challenges.
The post EM Quick Hits 43 Pediatric Cannabis Poisoning, Esophageal Perforation, Brugada, Career Transitions in EM appeared first on Emergency Medicine Cases.
We’ll keep it short, while you keep that EM brain sharp. 3 While strokes in pediatric patients are more rare, posterior circulation strokes make up 30-40% of all childhood strokes. 29.8.1550 The post EM@3AM: Cerebellar Stroke appeared first on emDOCs.net - Emergency Medicine Education. 1998; 29(8):1550-1555. 10.1161/01.str.29.8.1550
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