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Rebaked Morsel: Pediatric Buckle and Greenstick Forearm Fractures

Pediatric EM Morsels

Trauma season is at hand and like all other pediatric emergency departments in the country, we find our ED breaking ( pun intended ) at the seams with orthopedic injuries. Pediatric patients have unique bony anatomy and physiology compared to the skeletally mature. J Pediatr Orthop. Pediatr Emerg Care. Pediatrics.

Fractures 290
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Use Of A Solid Organ Injury Protocol For Pediatrics

The Trauma Pro

The American Pediatric Surgical Association (APSA) published a practice guideline way back in 2000 that outlined a consistent way to care for children with solid organ injuries. Unfortunately, they were very conservative, recommending days of bedrest, extended NPO status, very frequent blood draws, and a lengthy hospital stay.

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Why Thermal Printing is Preferred by Pediatric Hospitals

PDC Healthcare

In pediatric hospitals, ensuring the safety and proper identification of young patients is paramount, with pediatric-sized wristbands being a critical tool in achieving this.

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The PECARN c-spine rule could cause a lot of harm

First 10 EM

That being said, despite working in two very busy community hospitals with a high percentage of pediatrics visits, c-spine injuries are just not an issue I struggle with. As with everything that comes out of the PECARN group, this is a huge study, and is therefore one that everyone needs to know about.

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Post-Tonsillectomy Hemorrhage: ReBaked Morsel

Pediatric EM Morsels

Since tonsillectomy is one of the most common pediatric surgeries in the US (~500,000 per year) and the rate of post-tonsillectomy hemorrhage is about 1-5% , it is a good idea that we all are familiar with how to manage this issue! Even those that are no longer bleeding on arrival, will often require observation in the hospital.

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SGEM #425: Are You Ready for This? Pediatric Readiness of Emergency Departments

The Skeptics' Guide to EM

National Assessment of Pediatric Readiness of US Emergency Departments during the Covid-19 Pandemic. July 2023 Date: Dec 11, 2023 Guest Skeptic: Dr. Rachel Hatcliffe is a pediatric emergency medicine attending at Children’s National Hospital in Washington, DC. Reference: Remick KE, et al. JAMA Netw Open. JAMA Netw Open.

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Imported Malaria

Pediatric EM Morsels

This allowed US hospitals to stock the drug to ensure quick treatment of suspected severe cases, rather than having to ship it from the CDC under the prior expanded-access protocol (Thomas 2023). Acute Kidney Injury Is Common in Pediatric Severe Malaria and Is Associated with Increased Mortality. June 28, 2023. J Travel Med.

Seizures 281