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

The Skeptics' Guide to EM

NOVEMBER 9, 2019

Chip is the CEO of an ultrasound education company called Practical POCUS which is based in the United States but is expanding into an international market. This has included performing lumbar punctures, diagnosing acute abdominal aneurysms, acute heart failure, pediatric fractures, retinal detachments and endotracheal tube placement.

Ultrasounds 52

Ultrasounds Fractures Pediatrics Radiology 52

Pediatric EM Morsels

JUNE 16, 2023

Arch Orthop Trauma Surg 2013;133(5):635-640.23443527 The post Morel-Lavallée Lesion in Children appeared first on Pediatric EM Morsels. Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment. Shen 2013, Nickerson 2014, Scolaro 2016 ] Singh et al proposed an algorithm to guide treatment.

Soft Tissue Injuries 154

Soft Tissue Injuries Dehydration Fractures Operations 154

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

Taming the SRU

FEBRUARY 23, 2024

Clinical pathologic case presentation - r1 diagnostics/therapeutics: Lumbar punctures - AIRWAY GROUND ROUNDS- r4 capstone - r3 taming the sru - ultrasound grand rounds Clinical pathologic case presentation WITH Drs. If assessing for SAH, xanthochromia may not appear until 12 hours after onset, though may appear after 2-4 hours.

Pediatrics 75

Pediatrics Ultrasounds Fractures Wellness 75

The Skeptics' Guide to EM

MARCH 15, 2019

You have a colleague in the room who is proficient at ultrasound and asks if there is a role for bedside ultrasound in this situation. SGEM#197 : Die Trying – Intubation of In-Hospital Cardiac Arrests * SGEM#186 : Apneic and the O, O, O2 for Rapid Sequence Intubations * SGEM#75 : Video Killed Direct Laryngoscopy?

Ultrasounds 52

Ultrasounds Fractures EMS Hospitals 52

Taming the SRU

FEBRUARY 24, 2024

Providers should use ultrasound as early as possible to evaluate for cardiac dysfunction, pulmonary edema, and fluid status. They tend to be hypertensive, tachycardic, tachypneic, and hypoxic. Do not always appear volume overloaded on exam. Early recognition and prompt treatment is key.

Leadership 94

Leadership EMS Pediatrics Stroke 94

EM Curious

JULY 24, 2015

One of our beloved colleagues from the community has recently declared to us his love of ultrasound guided nerve blocks--a skill that is established in the anesthesia world but is quickly gaining traction in our realm. Ultrasound-Guided Three-In-One Nerve Block for Femur Fractures. Pediatric Emergency Care,30(4), 227–229.

Fractures 52

Fractures Ultrasounds Emergency Department Dislocations 52

Don't Forget the Bubbles

DECEMBER 25, 2023

In the BUCKLED trial that looked at whether ultrasound was non-inferior to X-ray in diagnosing forearm fractures, the primary outcome was physical function of the affected arm at four weeks. Ultrasonography or radiography for suspected pediatric distal forearm fractures. JAMA Pediatr. We love POOs. N Engl J Med.

Research 83

Research Outcomes Fractures Pediatrics 83

Taming the SRU

OCTOBER 16, 2024

Ultrasound can be used to support the diagnosis by identifying anechoic or hypoechoic fluid within the flexor tendon sheath. Patients are unable to actively flex their DIP and x-ray imaging often will reveal and avulsion fracture. X-ray imaging should be obtained to evaluate for avulsion fracture.

Airway Management 74

Airway Management Fractures CDC Pediatrics 74

Taming the SRU

SEPTEMBER 15, 2023

ultrasound grand rounds: bedside dvt studies - family presence in the ed/icu - r1 clinical knowledge: aicd - r3 small groups: difficult airway management Ultrasound grand rounds: DVT studies WITH Dr. minges Why should we perform bedside DVT studies in the ED? ETT onto a fiberoptic scope.

CPR 90

CPR Burns Airway Management Wellness 90

Taming the SRU

MARCH 17, 2023

mepivacaine (1-3 h) 1% lidocaine +/- epi (2-3h) 0.25% bupivacaine (2-3 h) 0.25-0.5% mg/kg IV Versed: 0.2 mg/kg IM, 0.2 mg/kg IN (may repeat to max of 0.4 mg/kg IN), 0.2

Seizures 40

Seizures Fractures Burns Pediatrics 40

Broome Docs

APRIL 6, 2023

Clinical risk factors for testicular torsion and a warning against falsely reassuring ultrasound scans: a 10-year single-centre experience. Immobilisation of torus fractures of the wrist in children (FORCE): a randomised controlled equivalence trial in the UK. Epinephrine metered-dose inhaler for pediatric croup. Emerg Med J.

Sepsis 52

Sepsis Ultrasounds Hospitals Fractures 52

Pediatric Emergency Playbook

MARCH 1, 2016

He sustained a femur fracture, splenic laceration, and blunt head trauma – the so-called Waddell’s triad. Pediatric Massive Transfusion 40 mL/kg of blood products given at any time within the first 24 hours. Rib fractures on CXR predict pulmonary contusions. Semin Pediatr Surg. J Pediatr Surg. J Pediatr Surg.

Resuscitation 40

Resuscitation Pediatrics Hyperthermia / Hypothermia Operations 40

Don't Forget the Bubbles

SEPTEMBER 5, 2024

Comparing the performance of pediatric weight estimation methods. A recent systematic review found that children with obesity at school entry are more likely to experience back pain, slipped capital femoral epiphysis or fractures during childhood. Front Pediatr. Shieh A, Rogers AJ, Chen CM, Ramgopal S. Am J Emerg Med.

Ultrasounds 52

Ultrasounds Research Emergency Department Outcomes 52

Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

In fact, one of my surgeon grandfather's ortho buddies (perhaps with the help of some lunchtime martinis) took a look at the x-rays of my Boxer's Fracture and snapped it back into place without any analgesia or procedural sedation, casted me, and sent me home. EM makes a strong push into bedside use of ultrasound sonography.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

Taming the SRU

AUGUST 30, 2023

Notably, lung ultrasound for the diagnosis of bacterial CAP demonstrated exceptional stand-alone diagnostic accuracy in 33 studies including 4,901 adults and children in the emergency department, with a pooled sensitivity of 92% and specificity of 90%. Identifying serious causes of back pain: cancer, infection, fracture.

Infectious Diseases 89

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 89

EB Medicine

NOVEMBER 1, 2018

Jeff: Real quick – in case you missed it – ultrasound sneaks in again. Jeff: If not already done, an ultrasound should be obtained as well and a two week follow up ultrasound will be needed. Cerebral salt wasting syndrome, peripheral nerve lesions, spinal cord fracture, and cerebral hemorrhages have all been described.

Emergency Department 40

Emergency Department Burns EKG/ECG Shock 40

Don't Forget the Bubbles

MARCH 4, 2024

International Consensus Criteria for Pediatric Sepsis and Septic Shock. Reviewed by: Kieran McDonnell Article 4: Diagnosing Paediatric Distal Forearm Fractures with Ultrasound Snelling PJ, Jones P, Bade D, Bindra R, Davison M, Gillespie A, et al. Clinici a ns underwent a training program in POCUS for distal forearm fractures.

Hospitals 78

Hospitals Sepsis Fractures Emergency Department 78

Pediatric Emergency Playbook

JANUARY 1, 2017

The guiding principles in pediatric pain assessment and management are: know the child; know the family; and know the physiology. As the pendulum on pain management swings one way or the other, do not let your pediatric patient get knocked by the wayside. Not only is this the safest of all techniques, but often the most effective.

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

Don't Forget the Bubbles

JUNE 21, 2023

Problems due to obstructed delivery such as shoulder dystocia, associated fractures of the collar bone and femur, among others, and brachial plexus injury. Ultrasound Obstet Gynecol 2019;54:308-18. Ultrasound Obstet Gynecol 2021;58:264-77. Eur J Pediatr 2016;175:1047-57. Choi SKY et al. Cochrane Neonatal Group.

Ultrasounds 119

Ultrasounds Outcomes Fractures Pediatrics 119

EMDocs

OCTOBER 7, 2023

Clinical spectrum of rhabdomyolysis presented to pediatric emergency department. BMC Pediatr. The incidence of a similar condition, traumatic rhabdomyolysis, is estimated to be around 0.074%. The incidence of a similar condition, traumatic rhabdomyolysis, is estimated to be around 0.074%. Clin Biochem. 2017;50(12):656-662. 2013;13:134.

EMS 92

EMS Fluid Resuscitation Fractures Resuscitation 92

Don't Forget the Bubbles

MAY 8, 2024

An interesting study (JAMA Pediatrics) shows the benefits of newborn screening for spinal muscular atrophy (SMA), as initiating disease-modifying therapy earlier improves clinical outcomes. Pediatr Nephrol. Eur J Pediatr. Long COVID in pediatrics-epidemiology, diagnosis, and management. Eur J Pediatr. JAMA Pediatr.

Pediatrics 69

Pediatrics Emergency Department Outcomes Research 69

EMDocs

JUNE 21, 2023

Labs do not play a significant role Imaging X-ray : Start with plain films to look for fracture near laceration, intra-articular free air, radiopaque foreign body. In pediatrics- consult orthopedics. The role of computed tomography in the assessment of open periarticular fractures associated with deep knee wounds.

Soft Tissue Injuries 88

Soft Tissue Injuries Fractures Dislocations Radiology 88

Don't Forget the Bubbles

JULY 17, 2023

Reviews and opinion articles Point-of-care ultrasound in pediatric nephrology. Pediatr Nephrol. JAMA Pediatr. Original clinical studies Distribution and pattern of hand fractures in children and adolescents. Eur J Pediatr. Pediatr Infect Dis J. Pediatr Infect Dis J. Eur J Pediatr.

Pediatrics 98

Pediatrics Emergency Department Outcomes Fractures 98

EMDocs

NOVEMBER 4, 2024

Costochondritis, rib fractures, and pericarditis are common causes of chest pain that can be treated with multimodal regimens. 7 Rib and Sternal Fractures: Rib fractures are often caused by blunt chest trauma. Up to two-thirds of rib fractures are missed on initial chest radiographs. Most cases abate by one year.

Emergency Department 105

Emergency Department Fractures Burns EMS 105

EMDocs

SEPTEMBER 9, 2023

The value of ultrasound for detecting hand fractures: A meta-analysis. Current concepts in the evaluation and treatment of mallet finger injury. Plast Reconstr Surg. 2013;132(4):560e-566e. doi:10.1097/PRS.0b013e3182a0148c 0b013e3182a0148c Zhao W, Wang G, Chen B, et al. Medicine (Baltimore). 2019;98(44):e17823. doi:10.1097/MD.0000000000017823

EMS 97

EMS Fractures Soft Tissue Injuries Ultrasounds 97

Taming the SRU

AUGUST 25, 2023

doxycycline Consider a splint/cast window to allow direct monitoring mainly used for fracture blisters and/or open wounds yet takes away from the strength of the splint/cast Case #3 43yo with FOOSH injury and closed wrist deformity, yet no x-ray machine is available to you Least likely injuries to need an x-ray in a resource-limiting setting?

Seizures 75

Seizures Fractures EKG/ECG Resuscitation 75

Don't Forget the Bubbles

OCTOBER 4, 2023

In this issue of the Archives , we read a large retrospective study about gastric acid suppression in infancy and the increased risk of fractures. The intriguing finding of this study was the fact that non-fracture injuries increased, which could suggest that another factor (the temperament of the child rather than gastrin or VitB metabolism?)

Pediatrics 111

Pediatrics Fractures Outcomes Research 111

Taming the SRU

OCTOBER 28, 2024

In adult emergency room visits, its incidence is around 1 in 25,000 (0.00004%) and is slightly higher in pediatric emergency room visits at rates of around 0.3-5% Potential causes include: -Trauma: Blunt or penetrating thoracic injuries, rib fractures, esophageal rupture (Boerhaave syndrome). Pediatr Emerg Care. Reha J, Davis P.

COPD 79

COPD Pediatrics Emergency Department Ultrasounds 79

Don't Forget the Bubbles

SEPTEMBER 23, 2024

Kidney transplant recipients have a higher risk of fractures. An ultrasound scan of the graft is usually sufficient to rule out these complications. Kidney transplant recipients are at higher risk of rickets and fractures. (13) BK virus infection, replication, and diseases in pediatric kidney transplantation. Peruzzi, L.,

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52