Pediatric EM Morsels

SEPTEMBER 22, 2023

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.

Shock 304

Shock Pediatrics Hyperthermia / Hypothermia Dislocations 304

Pediatric EM Morsels

OCTOBER 27, 2023

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.

Pediatrics 271

Pediatrics Resuscitation Documentation/Coding Wellness 271

The Skeptics' Guide to EM

FEBRUARY 1, 2025

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.

Pediatrics 77

Pediatrics EMS Emergency Department Research 77

Pediatric EM Morsels

DECEMBER 20, 2024

The post Mycoplasma Pneumonia in Children appeared first on Pediatric EM Morsels. Mycoplasma Pneumoniae Infection in Children. UpToDate , 1 Nov. 2024, www.uptodate.com/contents/mycoplasma-pneumoniae-infection-in-children.

CDC 164

CDC Seizures Pediatrics EMS 164

Emergency Medicine Cases

JULY 8, 2024

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.

Pediatrics 109

Pediatrics EMS Wellness Seizures 109

The Skeptics' Guide to EM

JANUARY 6, 2024

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.

Emergency Department 136

Emergency Department Pediatrics Anaphylaxis Leadership 136

Pediatric EM Morsels

MAY 10, 2024

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.

EKG/ECG 271

EKG/ECG Pediatrics Ultrasounds Seizures 271

Pediatric EM Morsels

SEPTEMBER 8, 2023

Certainly, the care of pediatric patients is known for its “ Seasonality. Pediatr Emerg Care. The post Summer Penile Syndrome appeared first on Pediatric EM Morsels. Chance encounters with life’s hazards seem to increase in the Summer time (ex, Trampolines , Snakes , Lawn Mowers , Water , and Heat ).

Poisoning 278

Poisoning Pediatrics EMS 278

Pediatric EM Morsels

JULY 19, 2024

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.

Airway Management 290

Airway Management Pediatrics Wellness Operations 290

EMDocs

OCTOBER 19, 2024

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.

EMS 108

EMS Pediatrics Sepsis Airway Management 108

Pediatric EM Morsels

MARCH 29, 2024

Pediatrics. Pediatr Rev (2022) 43 (7): 371–383. link] The post Rebaked: Inborn Errors of Metabolism presenting in the ED appeared first on Pediatric EM 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.

Dehydration 297

Dehydration Pediatrics Sepsis EMS 297

Pediatric EM Morsels

JULY 21, 2023

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.

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

Emergency Medicine Cases

JULY 18, 2023

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.

Pediatrics 93

Pediatrics EMS EKG/ECG 93

Pediatric EM Morsels

NOVEMBER 3, 2023

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.

Seizures 281

Seizures Pediatrics CDC Infectious Diseases 281

EM Ottawa

DECEMBER 28, 2023

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.

Pediatrics 83

Pediatrics Documentation/Coding EMS Wellness 83

Pediatric EM Morsels

MARCH 15, 2024

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 Pediatric EM 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.

Seizures 260

Seizures Pediatrics Psychiatric Emergency Department 260

Pediatric EM Morsels

JULY 28, 2023

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.

Fluid Resuscitation 246

Fluid Resuscitation Pediatrics Resuscitation Research 246

EMDocs

MARCH 2, 2024

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.

EMS 119

EMS Fractures Seizures Head Injuries 119

RebelEM

NOVEMBER 18, 2024

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.

Airway Management 71

Airway Management Military Patient Safety Pediatrics 71

Pediatric EM Morsels

JUNE 30, 2023

Eur J Pediatr. link] PMID: 36553274 The post Congenital Pulmonary Airway Malformation (CPAM) appeared first on Pediatric EM 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.

Ultrasounds 284

Ultrasounds Pediatrics Operations EMS 284

Pediatric EM Morsels

JANUARY 19, 2024

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.

Infectious Diseases 271

Infectious Diseases CDC Pediatrics Fractures 271

EMDocs

APRIL 13, 2024

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.

EMS 102

EMS Emergency Department Pediatrics Wellness 102

Pediatric EM Morsels

MAY 24, 2024

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.

Pediatrics 164

Pediatrics Blood Transfusions EMS Fractures 164

EMDocs

JULY 1, 2023

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.

EMS 87

EMS Infectious Diseases Pediatrics Research 87

EMDocs

JUNE 8, 2024

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.

EMS 97

EMS Allergic Reactions Poisoning Emergency Department 97

First 10 EM

OCTOBER 28, 2024

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.

Pediatrics 108

Pediatrics Hospitals EMS 108

Pediatric EM Morsels

JUNE 7, 2024

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 Pediatric EM Morsels. 2018 Jun 19;6:170. doi: 10.3389/fped.2018.00170. 2018.00170. Clin Med Res.

Pediatrics 208

Pediatrics Emergency Department Wellness EMS 208

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

Pediatrics 59

Pediatrics EMS 59

The Skeptics' Guide to EM

JUNE 1, 2024

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.

Pediatrics 87

Pediatrics EMS Emergency Department Research 87

EMDocs

JUNE 17, 2023

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.

EMS 93

EMS Infectious Diseases Pediatrics Emergency Department 93

Pediatric EM Morsels

AUGUST 4, 2023

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).

Pediatrics 246

Pediatrics Burns Operations Ultrasounds 246

First 10 EM

SEPTEMBER 30, 2024

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 (..)

Pediatrics 110

Pediatrics EMS 110

Pediatric EM Morsels

AUGUST 23, 2024

The post Return to Learn / Return to Sport after Concussion appeared first on Pediatric EM Morsels. Br J Sports Med. 2023 Jun;57(11):695-711. doi: 10.1136/bjsports-2023-106898. PMID: 37316210.

Seizures 281

Seizures Pediatrics Academics Emergency Department 281

EMDocs

DECEMBER 2, 2023

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].

EMS 89

EMS Operations Pediatrics Emergency Department 89

Pediatric EM Morsels

JUNE 2, 2023

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.

Dehydration 193

Dehydration Shock Pediatrics Emergency Department 193

Emergency Medicine Cases

OCTOBER 11, 2022

The post EM Quick Hits 43 Pediatric Cannabis Poisoning, Esophageal Perforation, Brugada, Career Transitions in EM appeared first on Emergency Medicine Cases.

Poisoning 52

Poisoning EMS Pediatrics Wellness 52

EMDocs

JUNE 3, 2023

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

Stroke 95

Stroke EMS Pediatrics EKG/ECG 95