PEMBlog

JANUARY 21, 2025

The concurrent circulation of influenza, respiratory syncytial virus (RSV), COVID-19, and norovirus during peak viral seasons presents a diagnostic challenge in pediatric emergency settings. nausea, vomiting) occur more frequently in pediatric populations. References Boktor SW, Hafner JW.

Rapid Diagnostic Testing 52

Rapid Diagnostic Testing Pediatrics Dehydration Outcomes 52

Pediatric EM Morsels

MARCH 29, 2024

Pediatrics. Pediatr Rev (2022) 43 (7): 371–383. link] The post Rebaked: Inborn Errors of Metabolism presenting in the ED appeared first on Pediatric EM Morsels. Then please put IEM on your differential for critically ill newborns and infants Kids should be Sweet! 2000; 105:e 10. Samantha A. Schrier Vergano.

Dehydration 297

Dehydration Pediatrics Sepsis EMS 297

ACEP Now

NOVEMBER 7, 2024

Elizabeth Wharff was the director of emergency psychiatry at Boston’s Children’s Hospital in the late 1990s when she became concerned about what was, then, a new problem. They would be the least difficult and disruptive, the least strain on the hospital staff,” Dr. Wharff explained.

Psychiatric 59

Psychiatric Pediatrics Hospitals Emergency Department 59

PEMBlog

MARCH 4, 2025

In this episode we dive into the resurgence of Mycoplasma pneumoniae an atypical bacterial cause of community-acquired pneumonia thats making waves in pediatric emergency medicine. Pediatr Emerg Care. Plus, well discuss whether M. pneumoniae even needs to be treated in the first place! Plus, well discuss whether M. UpToDate , 1 Nov.

Pediatrics 94

Pediatrics Military CDC Seizures 94

Emergency Live

JANUARY 18, 2024

New Hope for Young Patients Thanks to CAR-T Therapy at the Bambino Gesù Children’s Hospital in Rome A Breakthrough in Gene Therapy Innovation in gene therapy has reached a new milestone with the application of CAR-T therapy to children suffering from autoimmune diseases at the Bambino Gesù Children’s Hospital in Rome.

Pediatrics 98

Pediatrics Hospitals 98

RebelEM

NOVEMBER 18, 2024

This course teaches practical, effective skills and strategies for adult and pediatric intubation that promote patient safety and increase provider confidence. CEU Pre-Hospital *Military Discounts Available* View Course Dates The post Levitan/Rezaie Practical Airway Course appeared first on REBEL EM - Emergency Medicine Blog.

Airway Management 71

Airway Management Military Patient Safety Pediatrics 71

Taming the SRU

DECEMBER 17, 2024

compared the effects of these two among the acute gastroenteritis children and reported that the use of ORT was associated with shorter hospital stay and increased patient satisfaction. demonstrated that use of ORT was characterized by shorter stays at the hospital. AtherlyJohn et al. A systematic review by Freedman et al.

Dehydration 85

Dehydration Fluid Resuscitation Resuscitation Administration 85

The Skeptics' Guide to EM

JUNE 1, 2024

2024 Date: May 29, 2024 Guest Skeptic: Dr. Caleb Ward is a pediatric emergency medicine attending and Associate Professor of Pediatrics and Emergency Medicine at Children’s National Hospital and The George Washington School of Medicine and Health Sciences in Washington, DC. Cochrane Database Syst Rev.

Pediatrics 88

Pediatrics EMS Emergency Department Research 88

Pediatric EM Morsels

JUNE 2, 2023

Today we are talking about a rare disease called FPIES (food protein induced enterocolitis syndrome) and how you might encounter these patients in the Pediatric Emergency Department. Food protein-induced enterocolitis syndrome in a tertiary pediatric center: safety of guideline-conforming food challenges.

Dehydration 193

Dehydration Shock Pediatrics Emergency Department 193

EB Medicine

OCTOBER 21, 2024

In this episode, Sam Ashoo, MD and T.R.

Pediatrics 59

Pediatrics Elder Abuse Risk Management Emergency Department 59

Pediatric EM Morsels

MARCH 1, 2024

Wojsyk-Banaszak, 2018 ) Mainstay of initial therapeutic management is: ( Wojsyk-Banaszak, 2018 ; Fernando, 2022 ) Prolonged course of IV antibiotics Chest physiotherapy Patients managed with medical strategies (compared to surgical) had lower complication rates and shorter hospitalizations. Pediatr Pulmonol. Pediatr Emerg Care.

Ultrasounds 173

Ultrasounds Pediatrics Operations Hospitals 173

The Skeptics' Guide to EM

FEBRUARY 25, 2023

Sodium bicarbonate use during pediatric cardiopulmonary resuscitation: a secondary analysis of the icu-resuscitation project trial. Pediatric Crit Care Med. 2022 Date: February 15, 2023 Guest Skeptic: Dr. Carlie Myers is Pediatric Critical Care Attending at Cincinnati Children’s Hospital Medical Center.

Pediatrics 52

Pediatrics Hospitals CPR Resuscitation 52

ACEP Now

JANUARY 5, 2025

Dr. Helman is an emergency physician at North York General Hospital in Toronto. Int J Pediatr Otorhinolaryngol. Anesthetic management of the pediatric bleeding tonsil. Special thanks to Dr. Kevin Wasko, guest expert on the EM Cases podcast on this topic, who inspired this column. 2012;344:e3054. Arora R, Saraiya S, Niu X, et al.

Airway Management 98

Airway Management Operations Resuscitation Pediatrics 98

NRC Health

MAY 22, 2024

So that’s just what Dayton Children’s Hospital leaders accomplished in their perioperative environments, by developing sensory-friendly environments to aid in individualizing their patient experience for children. The post Personalizing the pediatric perioperative patient experience appeared first on NRC Health.

Pediatrics 59

Pediatrics Hospitals 59

The Skeptics' Guide to EM

JANUARY 20, 2024

JAMA Pediatr. JAMA Pediatr. Aug 2023 Date: October 30, 2023 Guest Skeptic: Dr. Ellie Hill is a pediatric emergency medicine physician at Children’s National Hospital in Washington, DC and Assistant Professor of Pediatrics and Emergency Medicine at George Washington University School of Medicine and Health Sciences.

Pediatrics 75

Pediatrics Anaphylaxis Emergency Department Outcomes 75

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

PEMBlog

SEPTEMBER 20, 2023

The Choosing Wisely Pediatric Emergency Medicine Recommendations The Choosing Wisely Campaign Toolkit Expert Contributors Kelly Levasseur, DO Children’s Hospital of Michigan Detroit, MI, USA docklevasseur@gmail.com Jennifer Thull-Freedman, MD Alberta Children’s Hospital Calgary, Alberta, Canada Jennifer.Thull-Freedman@albertahealthservices.ca

Pediatrics 123

Pediatrics Emergency Department Hospitals Ultrasounds 123

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. Laryngoscope.

Pediatrics 69

Pediatrics Radiology Radiology Head Injuries 69

Emergency Medicine Cases

AUGUST 13, 2019

Eric Russell, Assistant Professor of Pediatrics at the Baylor College of Medicine, Pediatric Emergency Medicine attending physician at the Texas Children's Hospital, and editor at the Human Diagnosis Project. They discuss a challenging case of a pediatric patient who presents with what at first appears to be bronchiolitis.

Pediatrics 52

Pediatrics EMS Hospitals Resuscitation 52

Pediatric EM Morsels

AUGUST 18, 2023

Jackson 2016) A systematic review of safety data for over 16000 pediatric patients did show MAEs were the most frequently reported event. 451 pediatric patients were included. Etminan 2019) In Belgium between 2010 – 2013, of the 262 children treated with fluroquinolones while hospitalized, only 17% were used for labelled indications.

Pediatrics 130

Pediatrics Infectious Diseases Seizures Hospitals 130

Sensible Medicine

NOVEMBER 10, 2023

Specifically, the COVID19 shot was added to pediatric schedule, as if it is a necessary vaccine, but it is not. Finally, 3 doses were approved based on Ab titers, but randomized trials have never shown improvements in severe disease or hospitalization. In order to regain trust, the CDC needs to be reorganized.

CDC 145

CDC Pediatrics Poisoning Hospitals 145

Don't Forget the Bubbles

JANUARY 31, 2024

As a Trauma Unit within the Thames Valley Trauma Network, Wexham Park Hospital hosts trainees from across the spectrum of acute specialties. Two really important patient groups were excluded – those who were admitted to hospital and families who were not fluent in English. Academic Pediatrics 2024 24 1 51-58 What’s it about?

Hospitals 72

Hospitals Ultrasounds Emergency Department Pediatrics 72

Don't Forget the Bubbles

MARCH 4, 2024

We have teamed up with the team from the Emergency Department at Bristol Royal Hospital, who have used this as a springboard for their journal club. (It’s The hospital is the Paediatric Major Trauma Centre for the South-West. International Consensus Criteria for Pediatric Sepsis and Septic Shock. doi:10.1001/jama.2024.0179

Hospitals 78

Hospitals Sepsis Fractures Emergency Department 78

The Trauma Pro

OCTOBER 4, 2024

A pediatric multi-center study of study on adherence to activity restrictions was published last year. Ten Level I pediatric trauma centers in the US tabulated their experience with solid organ injuries over 3.75 And the more people I poll on what they do, the more and very different answers I get. Until now. years from 2013 to 2016.

Pediatrics 113

Pediatrics Operations Outcomes Emergency Department 113

PulmCCM

APRIL 14, 2025

Dr. Rivers and his center, Henry Ford Hospital, had financial relationships with Edwards Lifesciences, makers of the invasive catheter used in Rivers’s trial to measure continuous central venous oxygenation saturation. To avoid financial penalties, hospitals have had to report their compliance with the bundle elements of I.V.

Sepsis 59

Sepsis Infectious Diseases Administration Shock 59

Emergency Medicine Cases

APRIL 9, 2019

Olivia Ostrow, Pediatric Emergency Physician at Hospital for Sick Children, Assistant professor at the University of Toronto and a Medical Safety Leader with an academic focus in quality improvement, discusses a case that exemplifies how indiscriminate work up of pediatric UTI can lead to over-testing, over-treating and even worse outcomes.

Pediatrics 52

Pediatrics Academics EMS Outcomes 52

ACEP Now

MARCH 10, 2025

At your monthly meeting with the chief medical officer (CMO) and chief nursing officer (CNO), they inform you of the hospitals plan to start a Sexual Assault Nurse Examiner (SANE) Program. 1 There are many program models including ED-based, non-ED hospital-based, hospital, and community-based programs. You accept the position.

Sexual Assault 52

Sexual Assault Forensics Leadership Pediatrics 52

PEMBlog

JUNE 27, 2023

In this episode, Dr. Ben Grebber, a pediatric resident at Boston Children’s Hospital/Tufts Children’s Hospital, discusses Bee Stings and Spider Bites. Pediatrics in review, 20(5), 147-151. Pediatrics in Review, 41(7), 348-356. It is summertime, so the bees and bugs are out! Hymenoptera Stings.

Urgent Care 98

Urgent Care Pediatrics Emergency Department Hospitals 98

Broome Docs

NOVEMBER 17, 2024

Early intramuscular adrenaline administration is associated with improved survival from out-of-hospital cardiac arrest. Antibiotic prophylaxis in pediatric dog bite injuries: Infection rates and prescribing practices. Palatinus HN, Johnson MA, Wang HE, Hoareau GL, Youngquist ST. Resuscitation. 2024 Aug;201:110266. 2024.110266.

Resuscitation 61

Resuscitation Administration Radiology Radiology 61

EB Medicine

OCTOBER 2, 2022

In this episode, Sam Ashoo, MD interviews Rawad Rayes, MD and Eva Tovar Hirashima, MD, MPH – two of the authors of the August 2022 PEMP article on Pediatric Firearm Injuries to the Extremity: Management in the Emergency Department. Episode Outline: How common are pediatric firearm injuries?

Pediatrics 52

Pediatrics Emergency Department Resuscitation Hospitals 52

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

SEPTEMBER 9, 2023

Ultrasonography or radiography for suspected pediatric distal forearm fractures. Ultrasonography or radiography for suspected pediatric distal forearm fractures. Casey currently splits his time between Broome, a small rural hospital in the remote Kimberley region of Western Australia, and a large tertiary ED in sunny Perth.

Fractures 139

Fractures Ultrasounds Pediatrics Outcomes 139

Pediatric Emergency Playbook

AUGUST 1, 2017

Pediatr Rev. Intestinal Malrotation – Not Just the Pediatric Surgeon’s Problem. Pediatr Surg Int. Eur J Pediatr Surg 2016; 26:192. Pediatrics 1977; 60:457. J Pediatr Gastroenterol Nutr 2008; 46:13. J Pediatr 2005; 146:787. Pediatr Surg Int 2003; 19:439. Pediatr Surg Int 2003; 19:247.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 52

Don't Forget the Bubbles

AUGUST 19, 2024

References Children’s Health Queensland Hospital and Health Service. link] The Royal Children’s Hospital Melbourne. Primary osteomyelitis of the sternum in the pediatric age group: report of a new case and comprehensive analysis of seventy-four cases. Pediatr Infect Dis J. Arch Argent Pediatr. J Pediatr Orthop.

Infectious Diseases 104

Infectious Diseases Pediatrics Emergency Department Hospitals 104

Don't Forget the Bubbles

AUGUST 30, 2023

A Quality Improvement initiative to decrease chest x-ray utilization for asthma and bronchiolitis in a Pediatric Emergency Department. Pediatrics July 2020; 146 (1_MeetingAbstract): 206–209. A Single-Institution Experience in the Use of Chest Radiographs for Hospitalized Children Labeled as Asthma Exacerbation. JAMA Pediatr.

Emergency Department 131

Emergency Department Pediatrics Infectious Diseases Research 131

The Skeptics' Guide to EM

APRIL 17, 2021

Date: April 16th, 2021 Guest Skeptic: Dr. Anthony Crocco is the Deputy Chief – McMaster Department of Pediatrics, Acting Head of Pediatric Cardiology, and creator of Sketchy EBM. You give her an initial Pediatric Respiratory Assessment Measure ( PRAM ) score of 8 – and consider her to be having a “severe” exacerbation.

Pediatrics 52

Pediatrics PPE Emergency Department Hospitals 52

PEMBlog

JUNE 7, 2023

After listening to this episode you will be able to: Identify unique aspects of the pre-hospital environment that impact assessment and treatment of agitated children Describe the role of EMS personnel and EMS director in the care of agitated children.

Pediatrics 123

Pediatrics Psychiatric Emergency Department EMS 123