Don't Forget the Bubbles

MARCH 11, 2024

Craniosynostosis needs urgent referral and is usually corrected operatively before a child’s first birthday. References The ISPN Guide to Pediatric Neurosurgery (USA): Positional Plagiocephaly in Children Homepage. New York, USA: The International Society for Pediatric Neurosurgery, 2024 (Accessed January 9, 2024). Vladusic, S.

Radiology 59

Radiology Radiology Pediatrics Documentation/Coding 59

Pediatric Education

AUGUST 4, 2024

Recurrence can occur and also presentations on the contralateral side after operation have also been noted. Pediatr Radiol. Surgical treatment of thoracic outlet syndrome in pediatrics. Journal of Pediatric Surgery. D’Alessandro, MD Professor of Pediatrics, University of Iowa 2017;47(10):1222-1234.

Pediatrics 52

Pediatrics Radiology Radiology Operations 52

Northwestern EM Blog

MAY 16, 2022

Follow up CT should depend on the patient and ultrasound operator. Lastly the POCUS operators were ED physicians with training “recommended by ACEP.” It is worth mentioning that this study was a multicenter study based in the US with representation from ED, Radiology, and Urology. were hospitalizations during f/u period; 26.4%

Ultrasounds 52

Ultrasounds Radiology Radiology Outcomes 52

Pediatric Emergency Playbook

MARCH 1, 2016

Pediatric Massive Transfusion 40 mL/kg of blood products given at any time within the first 24 hours. Adults tolerate hypotension relatively well, and is sufficient until we send them to the OR or interventional radiology suite. Often children even with high-grade splenic and liver lacerations can be managed non-operatively.

Resuscitation 40

Resuscitation Pediatrics Hyperthermia / Hypothermia Operations 40

Advanced Emergency Nursing from AENJ

DECEMBER 18, 2014

Emergency Medicine Journal , 25 (12), 824-826. The Ten Commandments of Medical Emergency Management for Dentists Pediatric Emergency Medicines Ten Commandments of Pediatric Emergency Medicine Givens T. The Ten Commandments of Pediatric Emergency Medicine. J Emerg Med. 2004 Aug;27(2):193-4. PubMed PMID: 15261366.

Mass Casualty Incidents 40

Mass Casualty Incidents Burns Urgent Care Pediatrics 40

Pediatric Emergency Playbook

FEBRUARY 1, 2016

Crash course in pediatric anatomy and physiology in trauma When you think of trauma in children, think of Charlie Brown. In pediatric trauma, we need to be proactive. Chest Tube Pearl #1: Chest tube sizing in pediatrics is straightforward if we remember that the traditional chest tube size is 4 x the ETT size.

Resuscitation 40

Resuscitation Pediatrics Fractures Emergency Department 40

PEMBlog

JUNE 5, 2024

It was inspired by a hot-off-the-presses publication from the Pediatric Emergency Care Applied Research Network (PECARN) focused on clinical decision rules for cervical spine imaging in children. Leonard JR, Jaffe DM, Kuppermann N, Olsen CS, Leonard JC; Pediatric Emergency Care Applied Research Network (PECARN) Cervical Spine Study Group.

Fractures 52

Fractures Pediatrics Radiology Radiology 52

ACEP Now

MARCH 14, 2024

First reported in 1879 in the case of diphtheria in a pediatric patient, TIF is fatal without surgical treatment due to hemorrhage and failure of airway security. 15,19 Endovascular intervention depends upon the patient’s hemodynamic stability and availability of interventional radiology. European J Pediatr Surg Rep.

Operations 52

Operations Pediatrics Radiology Radiology 52

Taming the SRU

APRIL 5, 2023

Operators should take care to obtain clear images of the upper renal poles with the understanding that inferior pole evaluation will be limited from the isthmus. Horseshoe Kidney: Radiology Reference Article. Point-of-care ultrasound in pediatric nephrology. Pediatr Nephrol. Radiopaedia Blog RSS. Clinical imaging.

Ultrasounds 52

Ultrasounds Pediatrics Radiology Radiology 52

Pediatric Emergency Playbook

APRIL 1, 2017

Steady the operating hand by placing your hypothenar eminence on the child’s zygoma or temporal scalp, to avoid jutting the instrument into the ear canal with sudden movement. A commonly available suction catheter is the Frazier suction tip ( right ), a single-use device used in the operating room. Pediatrics. Pediatrics.

Pediatrics 52

Pediatrics CPR Operations Resuscitation 52

Pediatric Emergency Playbook

JUNE 1, 2017

Fontan Operation and the Single Ventricle. J Curr Pediatr. World Journal for Pediatric Congenital Heart Surgery. Pediatr Cardiol. Pediatr Rev. Pediatr Nephrol. Ann Pediatr Cardiol. References Congenital AboulHosn JA et al. Congenit Heart Dis. 2007; 2:2-11. Aliku TO et al. 2017; 15:47-50. Circulation.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

Taming the SRU

MAY 30, 2023

hours earlier and went to OR 3.5 mg single-dose 5-mL ampule or equivalent, 2 Aspirin, 325-mg tablets, 4 Bronchodilator, metered-dose inhaler or equivalent 50% Dextrose injection, single-dose 50-mL ampule or equivalent Epinephrine injection, 1:1000 (1 mg/mL) single-dose 1-mL ampule or equivalent, 2 Epinephrine injection, 1:10,000 (0.1

OB/GYN 52

OB/GYN Ultrasounds Pediatrics Resuscitation 52

Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

Farrington] Rebuilding of outdated hospitals put emergency rooms on ground level with nearby X-ray service, and, ideally, sometimes closer to the Blood Bank and the Operating Rooms. Rebuilding of EDs in proximity to Radiology, Blood Bank, OR, and ICU, becoming organic to the hospital. 1950s & 1960s Resuscitation Research.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

EB Medicine

JULY 8, 2019

Nachi: Unfortunately this procedure is associated with a relatively high re-operation rate – one study found 20% of patients required removal or revision. Jeff: Even more shockingly, some series showed a 52% repeat operation rate. These patients often require emergent operative intervention. 2015;25(4):622-627. 2012;8(1):1-7.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

Don't Forget the Bubbles

JANUARY 27, 2025

Overall, ovarian ischaemia is multi-factorial in cases of torsion and there is no clear predictor of necrosis therefore further emphasising the importance of timely action, rationalised use of imaging available to you, appropriate discussions with radiology and surgical teams and low thresholds to escalate. How unstable is this patient?

Ultrasounds 76

Ultrasounds Emergency Department Pediatrics Dehydration 76

Don't Forget the Bubbles

OCTOBER 28, 2024

recent systematic review on pediatric patients found no clear mortality benefit for using either a high/balanced or low/unbalanced transfusion ratio. As this is being given and definitive treatment is planned (either surgery or interventional radiology), you consider what adjunctive treatments are needed. Am J Emerg Med.

Blood Transfusions 72

Blood Transfusions Hyperthermia / Hypothermia Shock Pediatrics 72

Don't Forget the Bubbles

FEBRUARY 7, 2024

One systematic review of 1283 patients showed that if you got to the operating room within 6 hours, you had a 97% chance of saving the testicle. Urgent senior review, decision making and operation 31.3% Pediatric radiology , 48 , pp.735-744. Clinical predictors for testicular torsion as seen in the pediatric ED.

Pediatrics 111

Pediatrics Ultrasounds Operations Hospitals 111

Don't Forget the Bubbles

MARCH 4, 2024

International Consensus Criteria for Pediatric Sepsis and Septic Shock. Diagnostic accuracy of point-of-care ultrasound versus radiographic imaging for pediatric distal forearm fractures: A randomized controlled trial. Reviewed by: John Coveney Article 2: How do we define sepsis in children? Schlapbach LJ, Watson RS, Sorce LR, et al.

Hospitals 78

Hospitals Sepsis Fractures Emergency Department 78

EMDocs

JUNE 21, 2023

If thinking TA, share your concern with radiology, which improves sensitivity. Common operator errors Failing to enter joint capsule before injecting STS. In pediatrics- consult orthopedics. A 2013 study found a sensitivity of ~47% for TA of the knee using plain radiographs. Not injecting enough STS into the joint.

Soft Tissue Injuries 88

Soft Tissue Injuries Fractures Dislocations Radiology 88

Advanced Emergency Nursing from AENJ

MAY 27, 2015

2008) Mumbai Combined Arms Operation November 26-28, 2008. September 2005) Terrorism and Other Public Health Emergencies Reference Guide for Media. [ USDHHS Public Health Emergency website for more current and general information] Sourced from : California Hospital Association. Emergency Preparedness. Preparing Hospitals for Disaster.

Federal Emergency Management Agency 40

Federal Emergency Management Agency Military Hospitals Administration 40

Don't Forget the Bubbles

SEPTEMBER 23, 2024

suprapubic catheters, gastrostomy tubes, haemodialysis or peritoneal dialysis lines – may have been left in situ in the initial post-operative period), and central vascular catheters. Look for scars indicating previous central lines, peritoneal dialysis catheters or operations. Pediatric nephrology , 22 (9), pp.1243-1250.

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52