The Skeptics' Guide to EM

FEBRUARY 3, 2024

Systematic Review of CT Angiography in Guiding Management in Pediatric Oropharyngeal Trauma. March 2023 Date: January 30, 2024 Guest Skeptic: Dr. Alexandra (Ali) Espinel is an Associate professor of pediatrics and otolaryngology at Children’s National Hospital and George Washington University. Laryngoscope. Reference: Curry SD, et al.

Pediatrics 66

Pediatrics Radiology Radiology Head Injuries 66

Pediatric EM Morsels

JUNE 9, 2023

Maybe injuries to the spleen or kidney come to mind. Perhaps thoughts of pelvic injuries or severe head injury dominate our considerations. Acute Esophageal Variceal Bleeding: Basics Pediatric liver disease may be due to numerous causes. Beyond Varices: Complications of Cirrhotic Portal Hypertension in Pediatrics.

Pediatrics 152

Pediatrics Head Injuries Airway Management Administration 152

Emergency Medicine Cases

MARCH 7, 2017

In anticipation of the upcoming EM Cases main episode on Pediatric Polytrauma Dr. Suzanne Beno, Co-director of the Trauma Program at the Hospital for Sick Children in Toronto, tells her Best Case Ever of a child who suffers a severe traumatic head injury with signs of raised intracranial pressure and cerebral herniation.

Pediatrics 52

Pediatrics Head Injuries EMS Hospitals 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

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. When can anticoagulation medications be safely resumed after an older person has sustained a minor head injury? What is the utility of the Shock Index in older patients? and many more.

Resuscitation 52

Resuscitation Head Injuries Airway Management Shock 52

Emergency Medicine Cases

MAY 9, 2017

Management of the pediatric trauma patient is challenging regardless of where you work. How do you clear the pediatric c-spine? Are atropine and fentanyl recommended as pre-induction agents in the pediatric trauma patient? Is tranexamic acid recommended in early pediatric trauma like it is in adults? and many more.

Pediatrics 52

Pediatrics EMS Hospitals Head Injuries 52

Taming the SRU

FEBRUARY 5, 2024

Several definitions have been set forth for this common injury, with perhaps the most well accepted definition being introduced by the Centers for Disease Control and World Health Organization. For pediatric patients, we recommend using the PECARN Pediatric Head Injury Algorithm. JAMA Pediatr.

Head Injuries 59

Head Injuries Emergency Department Seizures Pediatrics 59

Don't Forget the Bubbles

NOVEMBER 11, 2024

One-liner… Traumatic brain injury (TBI) is a leading cause of mortality and morbidity in paediatric populations, and fever is associated with worse outcomes. A 12-year-old boy presents with a significant head injury following a road traffic accident. Pediatr Crit Care Med. At the scene, his lowest GCS was 5 (E1V2M2).

Hyperthermia / Hypothermia 72

Hyperthermia / Hypothermia Outcomes Pediatrics Resuscitation 72

Emergency Medicine Cases

NOVEMBER 5, 2019

The post EM Quick Hits 10 – TXA CRASH-3, CJEM Cellulitis, Double Defib, Serratus Anterior Block, PARC score, Toxic Shock Syndrome appeared first on Emergency Medicine Cases.

Shock 52

Shock EMS Head Injuries Pediatrics 52

Pediatric Education

APRIL 7, 2024

The mother was given head injury instructions and asked to monitor for any additional problems that arose for his nose or mouth too. Discussion Facial trauma is common and accounts for about 11% of all pediatric emergency room visits. Pediatric Nasal and Septal Fractures. playing, sports, car accidents, etc.).

Fractures 40

Fractures Head Injuries Pediatrics Wellness 40

The Skeptics' Guide to EM

MAY 22, 2021

One of the issues that comes up with minor head injuries is do we need to get advanced imaging. We looked at the Canadian CT Head Rule (CCHR) published by Dr. Ian Stiell in the Lancet 2001 on SGEM#106. The SGEM has also covered the issue of getting CT scans in pediatric patients with minor head injuries.

Head Injuries 52

Head Injuries Research Emergency Department Pediatrics 52

Don't Forget the Bubbles

AUGUST 12, 2024

It occurs when a mechanical force to the head injures the brain. This can be from the brain hitting the skull, shear forces from sudden acceleration and deceleration, or direct injury at the point of impact. The severity of head injuries can be classified according to the GCS. Pediatr Crit Care Med. J Neurotrauma.

Seizures 75

Seizures Pediatrics Emergency Department Ambulance Services 75

EB Medicine

SEPTEMBER 20, 2019

Kirelik is the Medical Director of the Rocky Mountain Pediatric OrthoONE Center for Concussion and is an attending pediatric emergency medicine physician at the Rocky Mountain Hospital for Children in Denver, Colorado. The Canadian CT Head Rule for patients with minor head injury. 2009;374(9696):1160-1170.

Emergency Department 40

Emergency Department Head Injuries Pediatrics Hospitals 40

EMDocs

JULY 11, 2023

Pediatric patients: Post circumcision bleed, head bleeds, bruises. PECARN Pediatric Head Injury/Trauma Algorithm, Canadian CT Head Injury Rule, Ottawa Knee and Ankle Rules) do not apply to those with hemophilia and should not guide management. Mild hemophilia can be undiagnosed for years. Kitchens CS.

Head Injuries 62

Head Injuries Pediatrics Dislocations CDC 62

EMDocs

MARCH 2, 2024

4] Epidemiology: Pneumocephalus is seen in almost all post-craniotomy cases, whereas the incidence of pneumocephalus seen in trauma involving head injury varies between 3.9% There is no evidence that steroids (D) are beneficial in head injury.  An Pediatr (Engl Ed). 2019 Int J Crit Illn Inj Sci. 2017

EMS 114

EMS Fractures Seizures Head Injuries 114

ACEP Now

JULY 6, 2023

Added benefit would accrue when a pediatric patient avoids CT images, thereby decreasing the potential risk for a subsequent cancer. Pediatric Emergency Care Applied Research Network head injury clinical prediction rules are reliable in practice. Risk of brain tumor induction from pediatric head CT procedures.

Head Injuries 52

Head Injuries Emergency Department Research Pediatrics 52

The Skeptics' Guide to EM

MARCH 12, 2022

JAMA Pediatrics 2021 Guest Skeptic: Dr. Catherine Varner is an Assistant Professor and Clinician Investigator in the Department of Family and Community Medicine at the University of Toronto. Background: Concussions or mild traumatic brain injury (mTBI) are commonly diagnosed in the Emergency Department (ED).

Emergency Department 40

Emergency Department Head Injuries Pediatrics Research 40

RebelEM

AUGUST 24, 2023

Pediatrics. Pediatrics. Pediatrics. Relative rest (activities of daily living and reduced screen time) is indicated for the first 12-48 hours, followed by light-intensity physical activity (walking or stationary cycling while avoiding the risk of contact, collision, or fall) as tolerated. 2023 May 1;151(5):e2022059592.

Pediatrics 98

Pediatrics Outcomes Research Hospitals 98

EM Curious

APRIL 29, 2015

WHEN KIDS FALL OUT PEDIATRIC SYNCOPE [PODCAST]: An in depth look into pediatric syncope, delving into etiologies of sudden cardiac death in children and who should get further work up. Listen to the two part podcast featuring Dr. Andy Sloas & pediatric cardiology expert Dr. Buck Kyle @ PEM ED. Read on here @ ALiEM.

Head Injuries 52

Head Injuries EMS Pediatrics CPR 52

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. Pediatrics in Review. Pediatr Diabetes. Louwers et al. Radiographics. 2006; 26(5):1485-500. 2006 Apr;7(2):75-80.

Head Injuries 40

Head Injuries Pediatrics Shock Sepsis 40

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. Balanced hemostatic resuscitation for bleeding pediatric trauma patients: A nationwide quantitative analysis of outcomes. J Pediatr Surg. Pediatr Surg Int. 2022 Dec;57(12):986-993.

Resuscitation 139

Resuscitation Operations Sepsis Pediatrics 139

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

Emergency Medicine Cases

JUNE 13, 2017

The post Episode 97 EM Literature Review 2016 from EMU & Whistler Conferences appeared first on Emergency Medicine Cases.

EMS 52

EMS Head Injuries Pediatrics Sepsis 52

PHEM Cast

MARCH 3, 2019

Trench entrapment: is ketamine safe to use for sedation in head injury? ketamine for sedation of pediatric patients receiving emergency department orthopedic procedures. Emerg Med J. 2004 May 1;21(3):275–80. Ketamine in prehospital care. Emerg Med J. 2004 May 1;21(3):351–4. Gunning M, Perkins Z, Quinn T. Emerg Med J. versus i.m.

Emergency Department 52

Emergency Department Head Injuries Pediatrics Hospitals 52

Taming the SRU

JUNE 6, 2023

mg/kg of IBW Seek to match a patient's minute ventilation with TV and RR after intubation Intentionally match patient's intrinsic RR noted prior to intubation Note that healthy lungs can handle 8 mL/kg, based on IBW, if that is useful for compensation Secure your ETT Thomas Tube Holder is a new ETT holder on Air Care for ETT down to size 6.5

Documentation/Coding 64

Documentation/Coding Seizures Psychiatric Wellness 64