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

Chest CT Demonstrates parenchymal disease better Allows for operative planning (if needed) Lung Abscess in Children: Management Rarity of the condition affects what is known (no randomized control trials on therapeutic options). Pediatr Pulmonol. Pediatric Lung Abscess: Immediate Diagnosis by Point-of-Care Ultrasound.

Ultrasounds 173

Ultrasounds Pediatrics Operations Hospitals 173

The Trauma Pro

JULY 16, 2024

Every trauma center is required to have two specific committees: a multidisciplinary trauma performance improvement committee (PI) and a trauma operations committee (ops). In my next post, I’ll cover this same topic for your trauma operations committee. However, a common question is, “How often do my committees need to meet?”

Operations 147

Operations Documentation/Coding Pediatrics 147

EMDocs

DECEMBER 6, 2024

Ferrous sulfate tablets are radiopaque and can be visualized on radiographs, however not all preparations are radiopaque (pediatric chewable and liquid preparations). 5 Orogastric lavage may also be considered for GI decontamination but likely to be limited by location, size of tablets, and operator familiarity. 2 L/hr in adults.

Poisoning 94

Poisoning Fluid Resuscitation Seizures Resuscitation 94

American Medical Compliance

NOVEMBER 29, 2024

This tech-driven approach empowers providers to master CGM technology with confidence and efficiency. Real-World Applications of CGM Training Pediatric Diabetes Care Children with diabetes face unique challenges, and CGM provides a safe, effective way to manage their glucose levels.

Outcomes 105

Outcomes Wellness Operations Pediatrics 105

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

Pediatric EM Morsels

APRIL 28, 2023

Pediatric x-rays are challenging. We have previously discussed how the surrounding ligaments and tendon are often stronger than the weakest part of the child’s bone necessitating our vigilance when addressing the pediatric extremity complaint (ex, Ankle Pain , Elbow Injury , Supracondylar Fractures ).

Fractures 130

Fractures Pediatrics Operations Wellness 130

RebelEM

NOVEMBER 6, 2024

Medial epicondyle fractures in the pediatric population. J Emerg Med. 2018 Jun;54(6):849-854. doi: 10.1016/j.jemermed.2018.02.011. 2018.02.011. Epub 2018 Apr 19. PMID: 29681420 Gottschalk HP, Eisner E, Hosalkar HS. J Am Acad Orthop Surg. 2012 Apr;20(4):223-32. Doi: 10.5435/JAAOS-20-04-223. PMID: 22474092 Hankin FM.

Dislocations 107

Dislocations Fractures Soft Tissue Injuries Outcomes 107

The Skeptics' Guide to EM

DECEMBER 14, 2024

Development and Validation of the Phoenix Criteria for Pediatric Sepsis and Septic Shock. Background: Pediatric sepsis is a major global health concern, causing an estimated 3.3 The 2005 International Pediatric Sepsis Consensus Conference (IPSCC) criteria were established based on expert consensus and used for diagnosis.

Sepsis 101

Sepsis Shock Pediatrics Hospitals 101

EMDocs

JANUARY 11, 2025

Operative management is necessary for signs of peritonitis, evidence of perforation, extensive bowel involvement >40cm, or after failed medical management. 2-4, 6, 8, 9, 12, 13, 14 Operative intervention typically consists of emergency laparotomy with bowel resection, colostomy formation, and Hartmann pouch creation.

EMS 94

EMS Sepsis Shock Fluid Resuscitation 94

EMDocs

SEPTEMBER 4, 2024

The emDOCs.net team is very happy to collaborate with PECARN STELAR (Seattle, Dallas/Texas, and Los Angeles) Node and the Emergency Medical Services for Children Innovation and Improvement Center (EIIC) in presenting high-yield pediatric topics that highlight evidence based medicine with solid research. Discuss as often as possible.

Pediatrics 97

Pediatrics Outcomes Operations Hospitals 97

Northwestern EM Blog

DECEMBER 20, 2021

Written by: Tommy Ng, MD (NUEM ‘24) Edited by: Patricia Bigach, MD (NUEM ‘22) Expert review by : Terese Whipple, MD '20 So your kid won’t walk One of the most common complaints in a pediatric Emergency Department is a child refusing or inability to ambulate. Management is orthopedic consultation for operative stabilization [12].

Pediatrics 52

Pediatrics Ultrasounds Emergency Department Radiology 52

Don't Forget the Bubbles

JUNE 30, 2023

These procedures require an experienced operator. A joint statement released by the American College of Surgeons/American College of Emergency Physicians recommends that zone 1 REBOA should only be performed if the anticipated time to start the operation is less than 15 minutes. These procedures require an experienced operator.

Resuscitation 139

Resuscitation Operations Sepsis Pediatrics 139

Don't Forget the Bubbles

JUNE 26, 2023

Whilst waiting for an operation, they need to be managed medically. The underlying heart defect determines the precise operation performed – you might have heard of the Norwood procedure , an example used for HLHS specifically. Six hours post-operatively, they become more mottled, with weak pulses – signs of poor systemic perfusion.

Operations 128

Operations Research Hyperthermia / Hypothermia Hospitals 128

Don't Forget the Bubbles

JANUARY 17, 2024

The liquids were chosen to “approximate a pediatric digestive environment.” They passed away a few days after a second operation. BMC Pediatrics , 20 , pp.1-5. J Pediatr Surg Case Rep. Orbeez: the magic water absorbing bead—risk of pediatric bowel obstruction? Pediatric Emergency Care , 31 (6), pp.416-418.

Pediatrics 111

Pediatrics Poisoning Ultrasounds Dehydration 111

The Skeptics' Guide to EM

SEPTEMBER 2, 2023

The SQuID protocol (subcutaneous insulin in diabetic ketoacidosis): Impacts on ED operational metrics. The SQuID protocol (subcutaneous insulin in diabetic ketoacidosis): Impacts on ED operational metrics. Date: August 30, 2023 Reference: Griffey et al. AEM August 2023 Guest Skeptic: Dr. Suchismita Datta.

Diabetic Emergencies 102

Diabetic Emergencies Operations Hospitals Research 102

Don't Forget the Bubbles

NOVEMBER 22, 2023

They concluded that propofol is safe, particularly in short-term sedation, but should be used with caution outside of the operating room, given some of the potentially severe adverse events (including PRIS) seen. Is propofol a friend or a foe of the pediatric intensivist? British journal of anaesthesia. 2019;122(4):448-59.

Pediatrics 126

Pediatrics EKG/ECG Research Operations 126

Don't Forget the Bubbles

NOVEMBER 29, 2023

Awake fiberoptic intubation where the patient consents, co-operative AND the airway is prepared with local anaesthesia. Pediatric Endotracheal Intubations for Airway Management in the Emergency Department. Pediatric Emergency Care 28(11): p 1129-1131, November 2012. | When there is an immediate threat to life (e.g.,

Airway Management 135

Airway Management Emergency Department Resuscitation Psychiatric 135

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

Taming the SRU

MAY 11, 2024

Validity Evidence for a Team-Leading Assessment Tool in Pediatric Emergency Resuscitation Using Video Review (Hartwell et al.) Assessed and provided feedback of pediatric resuscitations based on video review. Developed a tool to help with assessing resident-delivered lectures. Approach - how do we teach learners?

Administration 92

Administration Resuscitation Fluid Resuscitation Research 92

Don't Forget the Bubbles

OCTOBER 11, 2023

She spent around five days as an inpatient post-operatively. Journal of pediatric gastroenterology and nutrition. Increase in pediatric magnet-related foreign bodies requiring emergency care. One magnet was found in the jejunum, and the other was in the ileum. They were stuck to each other with bowel wall in between.

Pediatrics 116

Pediatrics Operations Radiology Radiology 116

The Trauma Pro

MAY 26, 2023

Possible interventions were none, operation, angioembolization, or blood transfusion. This is most significant when treating pediatric patients. The retrospectively reviewed patients with liver or spleen injury over five years. They examined how often serial hemoglobin determinations influenced management during the study period.

Blood Transfusions 100

Blood Transfusions Operations Pediatrics Hospitals 100

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.

Soft Tissue Injuries 154

Soft Tissue Injuries Dehydration Fractures Operations 154

JournalFeed

APRIL 15, 2023

Ketamine ICP Safety Spoon Feed This retrospective study of thirty-three pediatric patients with severe traumatic brain injury (sTBI) demonstrated no increase in intracranial pressure (ICP) after administration of ketamine.

Academics 52

Academics Pediatrics Operations Emergency Department 52

EMDocs

DECEMBER 2, 2023

He has no known medical history and has never been to the doctor.

EMS 86

EMS Operations Pediatrics Emergency Department 86

ALiEM

MAY 13, 2024

Read this tutorial on the use of point of care ultrasonography (POCUS) for pediatric soft tissue ultrasonography. Take the ALiEMU PEM POCUS: Soft Tissue Quiz Case Goals List the indications of performing a pediatric soft tissue point-of-care ultrasound (POCUS). Pediatric Soft Tissue POCUS Ultrasound Technique Figure 1.

Ultrasounds 64

Ultrasounds Pediatrics Emergency Department Wellness 64

ACEP Now

NOVEMBER 14, 2023

In 1901, UVA opened its first hospital with 25 beds and three operating rooms. The emergency department (ED) at UVA was rebuilt in 2019 and the department had not fully optimized its operations when COVID-19 hit. While most academic EDs have lost pediatric volume, the UVA ED continues to see almost 20 percent pediatric patients.

Academics 52

Academics Emergency Department Leadership Operations 52

Pediatric Education

JULY 14, 2024

The patient had no post-operative complications. Treatment is excision with or without pre-operative radiological imaging depending on patient age and location. Cranial Erosion Associated With Non-Midline Dermoid Cysts in the Pediatric Population. A metaanalysis found a rate of 19.9% Frontal or Anterior Fontanelle 38 14, 36.8%

Radiology 52

Radiology Radiology Pediatrics Operations 52

Don't Forget the Bubbles

JUNE 19, 2024

Children in the validation cohort were admitted to the intensive care unit or operating room less frequently than those in the derivation cohort. They recruited 22,430 children with suspected or known blunt trauma (11,857 children in the derivation cohort and 10,573 in the validation cohort).

CPR 124

CPR Research Documentation/Coding Outcomes 124

SheMD

NOVEMBER 27, 2023

I was working 3 days/week in a pediatric clinic in an urban area in New York City. I had worked so hard and put in so many years that I had to go back—that pediatrics was a career, a calling. I introduce myself to a female neighbor who I had never met and we started chatting.

Pediatrics 98

Pediatrics Research Operations 98

AED Leader

MAY 3, 2024

AEDs are designed to be user-friendly and can be operated by anyone, even without medical training. Selecting an AED that is user-friendly, easy to operate, and easily transported to different areas within the church premises is crucial. Having pediatric pads available in churches where children are present is recommended.

CPR 52

CPR Operations Shock Pediatrics 52

Don't Forget the Bubbles

APRIL 22, 2024

Occasionally, lacrimal probing does not work, and an operation is needed. Acute dacryocystitis in pediatric patients and frequency of nasolacrimal duct patency. Management of pediatric acute dacryocystitis. This might be balloon dacryoplasty, stenting, or dacryocystorhinostomy (DCR). 2021 Jan 2;40(1):18-23. Isaza G, Arora S.

Infectious Diseases 85

Infectious Diseases Sepsis Pediatrics Operations 85

EB Medicine

NOVEMBER 1, 2021

Anatomy Fig 1 Pre-hospital ED evaluation History Physical Exam Imaging Nexus Chest Decision Instrument in Blunt Trauma ACR criteria for imaging CT vs xray Ultrasound Treatment Meds Binders Kinesiotaping – Fig 4 Respiratory support Operative fixation Special Populations Elderly Cancer patients Pediatrics Disposition Battle Score Rib Score FVC EMplify (..)

Fractures 52

Fractures Documentation/Coding Operations Emergency Department 52

The Skeptics' Guide to EM

DECEMBER 3, 2022

Pediatrics 2022 Guest Skeptic: Dr. Angelica DesPain is an Assistant Professor of Pediatrics and a pediatric emergency medicine physician at the Baylor College of Medicine Children’s Hospital of San Antonio in San Antonio, TX. Date: November 16th, 2022 Reference: Lipsett SC, Monuteaux MC, Shanahan KH, et al.

Pediatrics 40

Pediatrics Operations Ultrasounds Emergency Department 40

EMDocs

AUGUST 12, 2023

Management consists of intravenous antibiotics , and hand surgery should be consulted to consider operative debridement. Inoculation usually occurs by penetrating injury , which seeds the tendon sheath. Unrecognized or persistent infection can lead to necrosis of the tendon. There are no extensor tendon sheaths (A) in the hand.

EMS 89

EMS Fractures Operations Ultrasounds 89

ACEP Now

JANUARY 5, 2025

In a prospective study comparing clinician gestalt against systemic inflammatory response syndrome, Sequential Organ Failure Assessment (SOFA), quick SOFA, Modified Early Warning Score (MEWS), and a logistic regression machine learning model using Least Absolute Shrinkage and Selection Operator (LASSO), the obvious winner was the clinician.

Sepsis 40

Sepsis Research Airway Management Stroke 40

AED Leader

SEPTEMBER 24, 2024

Various AED models exist, including those designed for home use with features like pediatric mode and self-testing capabilities. Many AEDs come with features like pediatric mode for children and multiple languages for broader accessibility. It features a pediatric mode, enabling safe treatment for children as well.

Pediatrics 52

Pediatrics Shock Operations Wellness 52