The Skeptics' Guide to EM

JUNE 17, 2023

Intranasal fentanyl and discharge from the emergency department among children with sickle cell disease and vaso-occlusive pain: A multicenter pediatric emergency medicine perspective. She is a Professor of Pediatrics and Interim Chief of the Section of Pediatric Emergency Medicine at the Medical College of Wisconsin.

Emergency Department 73

Emergency Department Pediatrics Administration Head Injuries 73

Emergency Medicine Cases

AUGUST 24, 2021

Just as pediatric patients are not small adults, geriatric patients are not just old adults. In this Part 1 of our 2-part EM Cases podcast series on Geriatric Trauma, Dr. Barbara Haas, Dr. Camilla Wong and Dr. Bourke Tillman answer questions such as: why are older patients under-triaged to trauma centers and how does that affect outcomes?

Resuscitation 52

Resuscitation Head Injuries Airway Management Shock 52

RebelEM

AUGUST 24, 2023

Background: Sports-related concussions are among the most common injuries in children and adolescents, affecting millions of youth athletes annually. Historical practice recommends rest to prevent adverse outcomes; however, evidence suggests strict rest is harmful. Pediatrics. 2023 May 1;151(5):e2022059592. PMID: 37073681.

Pediatrics 98

Pediatrics Outcomes Research Hospitals 98

Don't Forget the Bubbles

JUNE 30, 2023

Whilst you were busy managing head injuries and drownings, Ranulf had been out with a group of boys from school this evening. The primary outcome measure was chest drain failure, i.e., retained haemothorax requiring a secondary interventional procedure. J Pediatr Surg. Pediatr Surg Int. 2022 Dec;57(12):986-993.

Resuscitation 139

Resuscitation Operations Sepsis Pediatrics 139

Pediatric Emergency Playbook

JANUARY 1, 2016

Abusive head injury is the most common cause of death from child abuse. Up to 30% of infants with abusive head injury may be misdiagnosed on initial presentation. Pediatr Diabetes. Factors associated with adverse outcomes in children with diabetic ketoacidosis-related cerebral edema. Pediatrics in Review.

Head Injuries 40

Head Injuries Pediatrics Shock Sepsis 40

Dr. Smith's ECG Blog

JULY 22, 2012

A 6 yo girl had significant trauma from an MVC, with head injury (initial GCS 10, but no intracranial bleeding) and mild orthopedic injuries. Inpatient stay : She quickly awoke and was observed for a couple days, treated for minor orthopedic injuries, and recovered well from the head injury.

Head Injuries 52

Head Injuries EKG/ECG Outcomes Ultrasounds 52

ACEP Now

AUGUST 25, 2023

The Pediatric Pain Management Standard 1 for children was published this year to provide guidance to health organizations on how to deliver equitable and quality pain management across hospital settings. IN fentanyl has been safely used to treat pain in pediatric patients. It offers a way to deliver analgesia without IV access.3,

Administration 97

Administration Pediatrics Emergency Department Outcomes 97

PHEM Cast

MARCH 3, 2019

Long-term pain prevalence and health-related quality of life outcomes for patients enrolled in a ketamine versus morphine for prehospital traumatic pain randomised controlled trial. Trench entrapment: is ketamine safe to use for sedation in head injury? Emergency Medicine Journal. 2014 Dec;31(12):1029. 2014 Oct;31(10):840–3.

Emergency Department 52

Emergency Department Head Injuries Pediatrics Hospitals 52

Taming the SRU

JUNE 6, 2023

then need further evaluation Usually with CTA imaging If normal physical exam & ABI>0.9,

Documentation/Coding 64

Documentation/Coding Seizures Psychiatric Wellness 64