Pediatric EM Morsels

JANUARY 19, 2024

If a non-penicillin agent is used, close serum and CSF monitoring needed, along with discussion with an expert (like an infectious disease specialist) If IV Penicillin G is not available due to shortage, Procaine Penicillin G IM (50,000 Units/kg/dose to max of 2.4

Infectious Diseases 271

Infectious Diseases CDC Pediatrics Fractures 271

Taming the SRU

AUGUST 6, 2023

Kletsel Pustular psoriasis Psoriasis is characterized by discrete plaques of erythema, scales, and fissures of the extremities It is associated with significant morbidity & treatment consists of topical steroids, along with referral to establish with dermatology Use caution with systemic steroids as they can potentially worsen flares While rare, (..)

Infectious Diseases 86

Infectious Diseases Pediatrics Fractures Wellness 86

EMDocs

MAY 29, 2023

Available from: [link] (11) Berbari EF, Kanj SS, Kowalski TJ, Darouiche RO, Widmer AF, Schmitt SK, Hendershot EF, Holtom PD, Huddleston PM 3rd, Petermann GW, Osmon DR, Infectious Diseases Society of America. Identifying serious causes of back pain: cancer, infection, fracture. The Open Infectious Disease Journal.

Infectious Diseases 57

Infectious Diseases Emergency Department EMS Hospitals 57

Pediatric EM Morsels

SEPTEMBER 1, 2023

For a 16-year-old girl who presents to the ED with a forearm fracture, asking confidentially about the home environment can help us differentiate an accidental vs. assault If we don’t ask, we won’t know Education Bullying is a known risk factor for suicide [Borowsky 2013] A child NOT enrolled in school is another red flag for human trafficking.

Pediatrics 164

Pediatrics Emergency Department Fractures EMS 164

Mind The Bleep

JANUARY 24, 2025

Upper limb fractures and dislocations can lead to associated arterial and nerve damage. First aid such as irrigation, tourniquet use, reduction and splinting of fractures/dislocations. Fracture reduction and immobilisation : Fracture and/or dislocation reduction can restore alignment and vascular supply as well as reduce pain.

Dislocations 52

Dislocations Fractures Soft Tissue Injuries Infectious Diseases 52

PEMBlog

DECEMBER 4, 2024

And the mechanical complications can include rib fractures, subconjunctival hemorrhage, and even rectal prolapse due to intense coughing and valsalva. So respiratory complications include apnea, secondary bacterial pneumonia, and pulmonary hypertension. Children encephalopathy, often due to hypoxia.

Pediatrics 52

Pediatrics PPE Wellness Infectious Diseases 52

Mind The Bleep

SEPTEMBER 17, 2024

Feel: Palpate the area of the bite to feel for areas of tenderness as this could indicate a fracture or infection. There should be a minimum of 2 views in the plain film, or 3 in the hands if there is a suspicion of a fracture. Comorbidities Diabetes and immunosuppression increase infection risk and severity 11. Regular medications.

Fractures 52

Fractures Infectious Diseases Documentation/Coding Hospitals 52

Don't Forget the Bubbles

SEPTEMBER 23, 2024

Kidney transplant recipients have a higher risk of fractures. Kidney transplant recipients are at higher risk of rickets and fractures. (13) Incidence and predictors of fractures in children after solid organ transplantation: a 5‐year prospective, population‐based study. Any history of injury? Helenius, I., Salminen, S.,

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52