Don't Forget the Bubbles

JANUARY 17, 2024

The liquids were chosen to “approximate a pediatric digestive environment.” Abdominal ultrasound, used in 34 cases, was able to visualize a rounded intraluminal image corresponding to a bead in 28 patients. They passed away a few days after a second operation. BMC Pediatrics , 20 , pp.1-5. Arch Pediatr.

Pediatrics 111

Pediatrics Poisoning Ultrasounds Dehydration 111

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

Taming the SRU

APRIL 5, 2023

Given her age, history of nephrolithiasis, and frequent urinary tract infections, a bedside renal ultrasound was performed to assess for hydronephrosis due to concern her generalized weakness may be secondary to an infected stone or obstructive uropathy. Point-of-care ultrasound in pediatric nephrology. Pediatr Nephrol.

Ultrasounds 52

Ultrasounds Pediatrics Radiology Radiology 52

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

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. 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

EMDocs

AUGUST 12, 2023

Management consists of intravenous antibiotics , and hand surgery should be consulted to consider operative debridement. The value of ultrasound for detecting hand fractures: A meta-analysis. Inoculation usually occurs by penetrating injury , which seeds the tendon sheath. There are no extensor tendon sheaths (A) in the hand.

EMS 89

EMS Fractures Operations Ultrasounds 89

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

EMDocs

NOVEMBER 18, 2023

A point of care ultrasound of the liver reveals the following: Image 1: Ultrasound of the liver showing abnormal hepatic artery flow and resistance index 1 Question: What is the diagnosis? Pediatr Radiol. Liver Transplantation: Operative Techniques and Medical Management. Vital signs: HR 118, BP 103/68, RR 20, T 99.8.

EMS 89

EMS Ultrasounds Emergency Department Outcomes 89

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

Don't Forget the Bubbles

JANUARY 31, 2024

Edelman J, Taylor H, Goss A, et al Point-of-care ultrasound as a diagnostic tool in respiratory assessment in awake paediatric patients: a comparative study Archives of Disease in Childhood Published Online First: 14 December 2023 What’s it about? Academic Pediatrics 2024 24 1 51-58 What’s it about?

Hospitals 72

Hospitals Ultrasounds Emergency Department Pediatrics 72

Northwestern EM Blog

MAY 16, 2022

What is your initial imaging test of choice, ultrasound (US) or non-contrast CT, and why? Would you be confident in a point-of-care-ultrasound evaluation or a formal ultrasound? Many patients in the ultrasound groups did get additional imaging, but this was not the majority. How do you proceed? In this study, 40.7%

Ultrasounds 52

Ultrasounds Radiology Radiology Outcomes 52

RebelEM

NOVEMBER 30, 2022

History, physical examination and ultrasound are all flawed in making the diagnosis. History, physical examination and ultrasound are all flawed in making the diagnosis. Clinical predictors for testicular torsion as seen in the pediatric ED. Pediatric Emer Care 2012; 28: 80-6. Pediatr Emerg Care. 10, (-) LR = 0.13

Ultrasounds 52

Ultrasounds Pediatrics Operations EMS 52

The Skeptics' Guide to EM

FEBRUARY 2, 2018

Guest Skeptic: Dr. Melissa Langhan is an Associate Professor of Pediatric Emergency Medicine at Yale University in New Haven, CT. Guest Skeptic: Dr. Melissa Langhan is an Associate Professor of Pediatric Emergency Medicine at Yale University in New Haven, CT. [display_podcast] Date: January 31st, 2018 Reference: Frohlich LC, et al.

Pediatrics 40

Pediatrics Ultrasounds Emergency Department Research 40

Pediatric Education

AUGUST 4, 2024

” Imaging may include ultrasound, computed tomography or magnetic resonance imaging depending on the patient age and circumstances. 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.

Pediatrics 52

Pediatrics Radiology Radiology Operations 52

The Skeptics' Guide to EM

MAY 28, 2017

Pediatrics 2017. Pediatrics 2017. His blood work shows an elevated WBC count and the ultrasound is consistent with acute uncomplicated appendicitis (AUA). This is called Non Operative Treatment of Appendicitis (N.O.T.A). Clinical Question: Is non-operative treatment (N.O.T.) Pediatrics 2017.

Pediatrics 40

Pediatrics Operations Emergency Department Ultrasounds 40

Taming the SRU

AUGUST 4, 2024

The largest retrospective cohort study to date (Beyde et al.) shows that most will improve with empiric antibiotics.

Dislocations 85

Dislocations Emergency Department Documentation/Coding Burns 85

Pediatric Emergency Playbook

MARCH 1, 2016

Pediatric Massive Transfusion 40 mL/kg of blood products given at any time within the first 24 hours. Often children even with high-grade splenic and liver lacerations can be managed non-operatively. Unfortunately, a negative FAST cannot help with detecting or grading the laceration for non-operative management. 2010.07.002.

Resuscitation 40

Resuscitation Pediatrics Hyperthermia / Hypothermia Operations 40

Taming the SRU

MAY 30, 2023

hours earlier and went to OR 3.5 hours earlier and went to OR 3.5 hours earlier and went to OR 3.5

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. Advances in Medical Imaging (CT, MRI, and Ultrasound) facilitating rapid, accurate, diagnosis affording new potential to save additional lives.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

Pediatric Emergency Playbook

JUNE 1, 2017

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

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

Advanced Emergency Nursing from AENJ

NOVEMBER 24, 2016

While Point of Care Ultrasound has made limited entry in prehospital care, largely with physician-led services and some Advanced Paramedics; it has largely been as a proof of concept rather than everyday care. I am thankful for having a career of wonderful care at supportive institutions. Readers must verify validity to their own practice.

Emergency Nursing 40

Emergency Nursing Seizures CPR Wellness 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.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

Taming the SRU

AUGUST 30, 2023

Notably, lung ultrasound for the diagnosis of bacterial CAP demonstrated exceptional stand-alone diagnostic accuracy in 33 studies including 4,901 adults and children in the emergency department, with a pooled sensitivity of 92% and specificity of 90%. World J Gastroenterol. 2015 Oct 28;21(40):11246-59. doi: 10.3748/wjg.v21.i40.11246.

Infectious Diseases 89

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 89

Don't Forget the Bubbles

JANUARY 27, 2025

While you dip a urine to rule out UTI , DKA and pregnancy, take bloods, speak to the general surgical registrar to rule out appendicitis and scramble to get an ultrasound before the close of play, the clock is ticking on the lifespan of that ovary This article aims to shine a light on a difficult diagnosis. How unstable is this patient?

Ultrasounds 76

Ultrasounds Emergency Department Pediatrics Dehydration 76

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% What is the role of ultrasound? This dropped to 79.3% of patients were first seen by a junior specialist trainee.

Pediatrics 111

Pediatrics Ultrasounds Operations Hospitals 111

Pediatric Emergency Playbook

JANUARY 1, 2017

The guiding principles in pediatric pain assessment and management are: know the child; know the family; and know the physiology. As the pendulum on pain management swings one way or the other, do not let your pediatric patient get knocked by the wayside. They do not understand rational or logical thinking.

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

Don't Forget the Bubbles

NOVEMBER 1, 2023

Lactate as a screening tool for critical illness in a pediatric emergency department. Pediatric Emergency Care. Pediatric Emergency Care 39(7):p 524-529, July 2023. Reviewed by: Leanne Lindenstruth, ENP Article 4: Can we treat appendicitis non-operatively? 2023 Oct 1;39(10):735-8. What’s it about? DOI: 10.1097/PEC.0000000000002890

Emergency Department 140

Emergency Department Hospitals Resuscitation Administration 140

Don't Forget the Bubbles

MARCH 4, 2024

International Consensus Criteria for Pediatric Sepsis and Septic Shock. Reviewed by: Kieran McDonnell Article 4: Diagnosing Paediatric Distal Forearm Fractures with Ultrasound Snelling PJ, Jones P, Bade D, Bindra R, Davison M, Gillespie A, et al. This study suggests that ultrasound reduces these incidents. doi:10.1001/jama.2024.0179

Hospitals 78

Hospitals Sepsis Fractures Emergency Department 78

EMDocs

JUNE 21, 2023

Common operator errors Failing to enter joint capsule before injecting STS. In pediatrics- consult orthopedics. Can Ultrasound Identify Traumatic Knee Arthrotomy in a Cadaveric Model? When in the joint, you’ll obtain synovial fluid. You can range the joint which may help you see fluid extruding. J Orthop Trauma. PMID: 23412508.

Soft Tissue Injuries 88

Soft Tissue Injuries Fractures Dislocations Radiology 88

EB Medicine

AUGUST 1, 2018

It was peer-reviewed by Joseph Habboushe, assistant professor at NYU and Nadia Maria Shaukat, director of the emergency and critical care ultrasound at Coney Island Hospital in Brooklyn, New York. Nachi: Let’s talk about some special populations next -- starting with Pediatrics. Counsel them on drug abuse also.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

Don't Forget the Bubbles

JANUARY 1, 2024

This retrospective cohort study in JAMA Pediatrics looked at the impact of the COVID-19 pandemic on the socioemotional development of infants and toddlers. A randomized clinical trial, the Pediatric Adenotonsillectomy Trial for Snoring ( PATS ), evaluated adenotonsillectomies in children with snoring or mild obstructive sleep apnoea (OSA).

Pediatrics 98

Pediatrics Ultrasounds Blood Transfusions Sepsis 98

EMDocs

NOVEMBER 4, 2024

Evaluation by ultrasound of traumatic rib fractures missed by radiography. Eosinophils and mast cells as therapeutic targets in pediatric functional dyspepsia. Pharmacologic therapy should only be utilized for chronic low back pain for patients who have not responded adequately to the aforementioned options. 2020;120(10):696-697.

Emergency Department 105

Emergency Department Fractures Burns EMS 105

EMDocs

SEPTEMBER 9, 2023

The value of ultrasound for detecting hand fractures: A meta-analysis. Results of primary extensor tendon repair in relation to the zone of injury and pre-operative outcome estimation. Plast Reconstr Surg. 2013;132(4):560e-566e. doi:10.1097/PRS.0b013e3182a0148c 0b013e3182a0148c Zhao W, Wang G, Chen B, et al. Medicine (Baltimore).

EMS 97

EMS Fractures Soft Tissue Injuries Ultrasounds 97

Don't Forget the Bubbles

JULY 5, 2023

Afro-Caribbean patients should be screened for sickle cell before anaesthesia for possible pre-operative transfusion. The high blood flow velocities through these stenotic segments can be detected using transcranial doppler ultrasound (TCD). Pediatr Allergy, Immunol Pulmonol 2017; 30: 191–201. Anemia ; 2015.DOI:10.1155/2015/791498.

Blood Transfusions 126

Blood Transfusions Stroke Dehydration Sepsis 126

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

Mind The Bleep

DECEMBER 6, 2024

Initial Management (whilst Urology team are on their way) Bloods FBC, U/Es, CRP, Coagulation screen, Blood glucose levels, Blood cultures IV Antibiotics as per Trust guidelines (may be under section for Necrotising fasciitis) Urethral catheter- this will help with monitoring urine output and help identify the urethra during the operation.

Documentation/Coding 52

Documentation/Coding Operations Ultrasounds Hospitals 52

Don't Forget the Bubbles

JANUARY 6, 2025

Article 1: Is lung ultrasound a viable alternative to chest x-ray in diagnosing community-acquired pneumonia? Diagnostic accuracy of point-of-care lung ultrasound for community-acquired pneumonia in children in ambulatory settings: A systematic review and meta-analysis. Ultrasound. 2024 Oct 29; Whats it about? Salhi, Melissa A.

Dislocations 59

Dislocations CPR Ultrasounds Resuscitation 59