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

PEMBlog

JULY 14, 2023

The foot X-Ray taken of the foot of the patient with the foot problem The Diagnosis She has a fracture at the base of the 5th metatarsal (Jones fracture). I like to think of these injuries as the scaphoid fracture of the foot, as this location of the metatarsal in particular has relatively poor blood supply. J Pediatr Orthop.

Fractures 98

Fractures Pediatrics 98

Pediatric Emergency Playbook

SEPTEMBER 1, 2020

Tuft Fracture Yeh PC et al. Pediatric Hand Fractures. Seymour Fracture Nellans et al. Pediatric Hand Injuires. Pediatric Hand Fractures. Mallet Fracture Adolescent with mallet finger and Kirschner wire fixation. Pediatric Hand Injuires. Pediatric Hand Injuires. J Pediatr Orthop.

Fractures 52

Fractures Pediatrics Emergency Department 52

Pediatric EM Morsels

MARCH 31, 2023

Let’s recall one important morsel that deserves a Rebake – Pseudosubluxation of the pediatric cervical spine : Pseudosubluxation: Basics Refers to the normal mobility of the cervical vertebrae, IN FLEXION , which may look to be pathologic but is not. Pediatric spinal injuries- current concepts. PMID: 841068. 2023.102122.

Fractures 130

Fractures Dislocations Pediatrics Radiology 130

Pediatric EM Morsels

MAY 24, 2024

One of the most difficult and most satisfying parts of pediatric emergency medicine is using one’s history, exam and clinical tools to make an informed decision and spare children from unnecessary pain , uncomfortable exams, painful procedures and medical imaging. Low Risk Inta-Adbominal Trauma: Pediatric Trauma is Dangerous!

Pediatrics 164

Pediatrics Blood Transfusions EMS Fractures 164

Pediatric EM Morsels

MAY 12, 2023

They have thinner bones of the skull which makes them more prone to skull fractures. of these had a CT performed 1 (0.2%) had a clinically important TBI (ciTBI) 10 (5.1%) had any TBI on CT 9 (4.6%) had skull fractures Remember to always watch out for NAT ! PECARN is highly sensitive for identifying those with clinically important TBI.

Head Injuries 130

Head Injuries Fractures Pediatrics EMS 130

ALiEM

JUNE 10, 2024

Similarly, the Pediatric Emergency Care Applied Research Network (PECARN) has developed robust tools for assessing blunt head trauma in children. However, until now, there has been a gap in guidance for clinicians managing pediatric patients at risk for cervical spine injuries. Case Scenario: What would you do? High Risk (>12.1%

Pediatrics 126

Pediatrics Emergency Department Research Fractures 126

Emergency Medicine Cases

FEBRUARY 12, 2019

On this EM Quick Hits podcast we have Emily Austin on organophosphate poisoning, Arun Sayal on malrotation of metacarpal fractures, Andrew Petrosoniak on pitfalls in abdominal stab wound management, Anand Swaminathan on tranexamic acid for non-massive hemoptysis, and Natalie May on pediatric IV cannulation tips and tricks.

Poisoning 52

Poisoning Fractures Pediatrics EMS 52

Pediatric Emergency Playbook

NOVEMBER 1, 2016

Elbow Interpretation Roadmap: CRITOE More pragmatic and utilitarian than a prosaic mnemonic, CRITOE helps us to remember the order of ossification of the pediatric elbow. Secondary ossification centers then develop around the ends of our long bones, and make interpretation of films in the context of suspected injury difficult.

Pediatrics 52

Pediatrics Fractures Dislocations Radiology 52

Emergency Medicine Cases

OCTOBER 9, 2018

Arun Sayal, an emergency physician who runs a weekly minor fracture clinic at NYGH discusses his approach to pediatric elbow injuries, the importance of good lateral images, common and uncommon missed elbow injuries and clinically important epicondylar fractures that can mimic normal ossification centers and more.

Pediatrics 52

Pediatrics Fractures EMS 52

Ultrasound Gel

APRIL 15, 2019

Fractures of the distal radius are pretty common among people who choose not to break their fall with their face. Ultrasound is great for finding fractures, but what about being able to guide the reduction? link] Fractures of the distal radius are pretty common among people who choose not to break their fall with their face.

Fractures 52

Fractures Ultrasounds Emergency Department Pediatrics 52

The Skeptics' Guide to EM

MAY 7, 2017

Point-of-care ultrasound for non-angulated distal forearm fractures in children: test performance characteristics and patient-centered outcomes. Point-of-care ultrasound for non-angulated distal forearm fractures in children: test performance characteristics and patient-centered outcomes. Acad Emerg Med May 2017.

Fractures 40

Fractures Pediatrics Ultrasounds Academics 40

EB Medicine

NOVEMBER 3, 2022

In this episode, Sam Ashoo, MD, interviews Ami Shah, MD, MPH, and Don Walker, MD, about eye injuries in the pediatric population. Why ocular injuries? Orbital fractures: What should we be looking for? Orbital fractures: What should we be looking for? Why did you pick this topic? Why is it different in children?

Pediatrics 52

Pediatrics Fractures EMS Outcomes 52

EMDocs

JUNE 24, 2023

2: Can We Predict Occult Scaphoid Fracture on Exam? Spoon Feed In a meta-analysis of 1,685 patients with suspected scaphoid fracture after negative plain radiographs, no clinical feature adequately rules out occult fracture. Source Which clinical features best predict occult scaphoid fractures? Ann Fam Med. Emerg Med J.

Dehydration 95

Dehydration Fractures CDC Pediatrics 95

PEMBlog

OCTOBER 11, 2023

However, in pediatric patients whose pelvic bones are not fully developed, the bladder is more prone to injury. While approximately 80% of patients with bladder rupture have pelvic fractures, bladder ruptures are found in less than 10% of patients with pelvic fractures. 2014 Aug;192(2):327-35. doi: 10.1016/j.juro.2014.05.004.

Fractures 98

Fractures Pediatrics 98

EB Medicine

NOVEMBER 1, 2021

and get 20% of all orders at [link] Emergency Department Management of Rib Fractures Author: Patrick Maher, MD Episode Outline: Why rib fractures? and get 20% of all orders at [link] Department Management of Rib FracturesAuthor: Patrick Maher, MDEpisode Outline:* Why rib fractures?* It is in Beta and your feedback is welcome.

Fractures 52

Fractures Documentation/Coding Operations Emergency Department 52

JournalFeed

FEBRUARY 13, 2021

We cover a review of syncope scores, use of CTA for GI bleeding, the new ACEP community acquired pneumonia policy, immobilization of pediatric torus fractures of the radius, and the effectiveness of magnesium for migraine headache. It’s the JournalFeed Podcast for the week of Feb 8-12, 2021.

Fractures 52

Fractures Pediatrics 52

Emergency Medicine Cases

OCTOBER 8, 2019

The post EM Quick Hits 9 Burn Blister Debridement, ECG Cases, Compartment Syndrome, Pediatric Asthma, Spinal Trauma, Motivational Interviewing P2 appeared first on Emergency Medicine Cases.

Burns 52

Burns Pediatrics EMS EKG/ECG 52

Pediatric Education

APRIL 7, 2024

The mother was counseled about how to manage the lip laceration, and was relieved to hear that a nasal fracture was very unlikely in his case. Discussion Facial trauma is common and accounts for about 11% of all pediatric emergency room visits. Fractures in children could cause problems with ability to breath and altered growth.

Fractures 40

Fractures Head Injuries Pediatrics Wellness 40

EMDocs

MARCH 2, 2024

A 3 cm scalp laceration is noted, and a CT scan of the head shows a linear nondepressed skull fracture in the area of the laceration without evidence of intracranial hemorrhage. This is considered an open fracture. Patients with open skull fractures should be evaluated by neurosurgery and admitted for observation.

EMS 119

EMS Fractures Seizures Head Injuries 119

Emergency Medicine Cases

MAY 5, 2020

The post EM Quick Hits 18 Conservative Management Pneumothorax, Microdosing Buprenorphine, Practical Use of CRITOE, Canadian TIA Score, Pediatric Surviving Sepsis Guidelines, Safety of Peripheral Vasopressors appeared first on Emergency Medicine Cases.

Sepsis 52

Sepsis Pediatrics EMS Fractures 52

Life in the Fast Lane

DECEMBER 10, 2023

Michael Gibbs MD Pediatric Ortho Cases 007 December 2022; Elbow injuries. Pediatric Orthopedic case interpretation with Haley Dusek, Danielle Sutton, and Virginia Casey

Pediatrics 52

Pediatrics Dislocations Radiology Radiology 52

JournalFeed

JANUARY 30, 2021

We cover Project COVERED, interval likelihood ratios for pediatric UA, sepsis workup for infant otitis media, ARREST RCT - ECMO+CPR, and the best immobilization for dancer’s fractures. It’s the JournalFeed Podcast for the week of Jan 25-29, 2021.

Pediatrics 52

Pediatrics CPR Sepsis Fractures 52

EM Guide Wire

MAY 19, 2019

PEDIATRICS. Pediatrics in Review. PEDIATRICS. Pediatric Clinics of North America. Delayed Identification of Pediatric Abuse-Related Fractures. PEDIATRICS. PEDIATRICS. PEDIATRICS. European Journal of Pediatrics. Christian CW. The Evaluation of Suspected Child Abuse.

Pediatrics 40

Pediatrics Soft Tissue Injuries Fractures Emergency Nursing 40

JournalFeed

MARCH 28, 2020

We cover cast vs walking boot for Achilles tendon rupture; treating toddler's fracture - boot, cast, or nothing; digital distractors for painful pediatric procedures; WEST’s c-spine clearance algorithm; and RAFF2 - drug-shock or just shock a-fib. Here is the JournalFeed Podcast for the week of March 23-27, 2020.

Shock 52

Shock Fractures Pediatrics 52

Don't Forget the Bubbles

JUNE 30, 2023

She has a right parietal-occipital region haematoma, and you think you might be able to feel a step – you’re pretty convinced she has a palpable skull fracture. Tranexamic acid administration to pediatric trauma patients in a combat setting: the pediatric trauma and tranexamic acid study (PED-TRAX). Pediatr Crit Care Med.

Head Injuries 145

Head Injuries Seizures Pediatrics Outcomes 145

Northwestern EM Blog

DECEMBER 20, 2021

Written by: Tommy Ng, MD (NUEM ‘24) Edited by: Patricia Bigach, MD (NUEM ‘22) Expert review by : Terese Whipple, MD '20 So your kid won’t walk One of the most common complaints in a pediatric Emergency Department is a child refusing or inability to ambulate. Curr Opin Pediatr. Hip Pain in Pediatrics. BMC Musculoskelet Disord.

Pediatrics 52

Pediatrics Ultrasounds Emergency Department Radiology 52

The Skeptics' Guide to EM

JULY 17, 2018

Validation of the Pediatric NEXUS II Head Computed Tomography Decision Instrument for Selective Imaging of Pediatric Patients with Blunt Head Trauma. Validation of the Pediatric NEXUS II Head Computed Tomography Decision Instrument for Selective Imaging of Pediatric Patients with Blunt Head Trauma.

Pediatrics 52

Pediatrics Head Injuries Academics Emergency Department 52

Taming the SRU

JANUARY 24, 2024

Orthopedic Injuries Quick Hits Upper Extremity Injuries Galeazzi Fracture How? fracture of distal 1/3 of radial shaft w/ distal radioulnar joint injury Management? reduction, elbow cast, +/- ORIF Monteggia Fracture How? fracture of proximal 1/3 of ulna w/ radial head dislocation Management? FOOSH What? FOOSH What?

Fractures 89

Fractures Leadership Dislocations Resuscitation 89

Emergency Medicine Cases

JULY 13, 2021

The post EM Quick Hits 30 Scaphoid Fracture, Therapeutic Hypothermia, HEADS-ED, Pelvic Trauma, Kratom, Femoral Lines appeared first on Emergency Medicine Cases.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Fractures EMS Pediatrics 52

All Ohio EM

JANUARY 14, 2019

What about in a pediatric patient? Your main clientele is just starting to wake up and your coffee is running out when you get an EMS encode for a pediatric patient found ejected from high speed, head-on MVC. Without palpating, you can already tell that the patient will have many facial fractures. Like, a real one? ETA 5 mins.

Pediatrics 52

Pediatrics EMS Fractures Ultrasounds 52

Don't Forget the Bubbles

NOVEMBER 13, 2023

Should we use ultrasound to diagnose distal forearm fractures in children and adolescents? Distal forearm fractures are common in children and adolescents, but the best method for diagnosing them is still debatable. Ultrasonography or Radiography for Suspected Pediatric Distal Forearm Fractures. N Engl J Med.

Fractures 64

Fractures Ultrasounds Emergency Department Pediatrics 64

Don't Forget the Bubbles

MAY 17, 2023

’, ‘ Who can best score postoperative pain: parents or the children? ’, ‘ Is functional constipation associated with hypohydration? ’, ‘ Who is best at assessing foreign body aspiration on chest X-ray: pediatric pulmonologists, pediatric residents, or radiologists? ’ Eur J Pediatr. Eur J Pediatr. Eur J Pediatr.

Pediatrics 72

Pediatrics X-Ray Interpretation Sepsis Fractures 72

Pediatric EM Morsels

JULY 7, 2023

Evaluating the limping child , though, requires us to ponder not only the common (ex, Toddler’s Fracture ), but also to be vigilant for the severe (ex, Septic Arthritis ). The post Proximal Tibiofibular Joint Dislocation in Children appeared first on Pediatric EM Morsels. Emerg Med J. 2006 May;23(5):e33. doi: 10.1136/emj.2005.032144.

Dislocations 143

Dislocations Fractures Pediatrics EMS 143

EMDocs

AUGUST 12, 2023

The value of ultrasound for detecting hand fractures: A meta-analysis. Open Fracture. The athlete’s hand: ligament and tendon injury. Semin Musculoskelet Radiol. 2012;16(4):338-349. doi:10.1055/s-0032-1327007 Zhao W, Wang G, Chen B, et al. Medicine (Baltimore). 2019;98(44):e17823. doi:10.1097/MD.0000000000017823 doi:10.1002/bjs.1800640605

EMS 89

EMS Fractures Operations Ultrasounds 89

Don't Forget the Bubbles

NOVEMBER 29, 2023

Ben has a possible skull fracture and has been intubated, but his oxygen requirement is minimal. Pediatric Endotracheal Intubations for Airway Management in the Emergency Department. Pediatric Emergency Care 28(11): p 1129-1131, November 2012. | A 12-year-old male is being transported by ambulance after a road traffic accident.

Airway Management 135

Airway Management Emergency Department Resuscitation Psychiatric 135

JournalFeed

JULY 25, 2020

We cover norepinephrine and the immune response, ondansetron and pediatric bouncebacks, scaphoid fractures, geriatric rib fractures, and pediatric bradycardia with poor perfusion vs PEA. Here is the JournalFeed Podcast for the week of July 20-24, 2020.

Fractures 52

Fractures Pediatrics 52