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

NOVEMBER 17, 2023

A single cadaveric study from the 1950s showed that the pediatric subglottic space approximated a circular funnel with the narrowest portion at the cricoid level This study included only 15 children aged 4 months–14 years But why was this a problem? Front Pediatr. Cuffed endotracheal tubes in pediatric intensive care.

Pediatrics 187

Pediatrics Emergency Department Outcomes Sepsis 187

American Medical Compliance

NOVEMBER 29, 2024

Unlike traditional methods that rely on periodic fingerstick tests, CGM offers real-time insights into glucose levels, trends, and fluctuations, empowering proactive management and improving patient outcomes. However, to maximize its benefits, healthcare providers must be well-versed in the technology.

Outcomes 105

Outcomes Wellness Operations Pediatrics 105

NRC Health

MARCH 9, 2023

Peggy Greco, Chief Patient Experience Officer at Nemours Children’s Health, and NRC Health Customer Success Manager Cami Mitelman to discuss what diversity, equity, and inclusion outcomes look like in patient experience. The post The interesting connection between pediatric outcomes and DEI appeared first on NRC Health.

Outcomes 52

Outcomes Pediatrics 52

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. Do you think he injured his neck?”

Pediatrics 88

Pediatrics EMS Emergency Department Research 88

Sensible Medicine

FEBRUARY 18, 2025

Treatment failure, the primary outcome, was defined differently for each group: A need for subsequent appendectomy in the antibiotic group and negative appendectomy for the controls. An RCT measures an intervention’s effect on a single outcome. In this study, different outcomes were assessed for each group.

Outcomes 94

Outcomes Research Emergency Department Pediatrics 94

Sensible Medicine

OCTOBER 19, 2023

A few months ago, a sensational letter came out in JAMA Pediatrics. Given the low risks to children from COVID‐19 and a potential for stigmatization, we questioned whether there was minimal risk to children participating in a recent study published in JAMA Pediatrics. Then a dog sniffed them to see if they had COVID19.

Documentation/Coding 128

Documentation/Coding Pediatrics Research Outcomes 128

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 116

Dislocations Fractures Soft Tissue Injuries Outcomes 116

EM Ottawa

JUNE 10, 2024

Pediatrics. Findings: The primary outcome of recurrence of UTI within 30 […] The post Short Oral Antibiotic Therapy for Pediatric Febrile Urinary Tract Infections: A Randomized Trial appeared first on EMOttawa Blog. Methodology: 3.5/5 5 Usefulness: 2.5/5 5 Montini G, et al. 2024 Jan 1;153(1):e2023062598.

Pediatrics 64

Pediatrics Outcomes Infectious Diseases 64

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

Pediatric EM Morsels

JUNE 9, 2023

Acute Esophageal Variceal Bleeding: Basics Pediatric liver disease may be due to numerous causes. Banc-Husu, 2023 ] Cholestastis Inflammatory conditions Genetic and Metabolic diseases Pediatric cirrhotic liver disease has many complications. Beyond Varices: Complications of Cirrhotic Portal Hypertension in Pediatrics.

Pediatrics 154

Pediatrics Head Injuries Airway Management Administration 154

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. Background: We have covered pediatric wrist fractures a few times on the SGEM. Ultrasonography or radiography for suspected pediatric distal forearm fractures.

Fractures 139

Fractures Ultrasounds Pediatrics Outcomes 139

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. Reference: Curry SD, et al.

Pediatrics 69

Pediatrics Radiology Radiology Head Injuries 69

Pediatric EM Morsels

JUNE 14, 2024

Pediatric transverse myelitis.” Clinical Approach to Pediatric Transverse Myelitis, Neuromyelitis Optica Spectrum Disorder and Acute Flaccid Myelitis.” Pediatric acute transverse myelitis overview and differential diagnosis.” ALWAYS rule out a compressive lesion, this is a medical emergency! first sign of MS). Neurology vol.

Pediatrics 143

Pediatrics EMS Outcomes 143

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 Emergency Department Outcomes 113

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

Sensible Medicine

OCTOBER 19, 2023

A few months ago, a sensational letter came out in JAMA Pediatrics. Given the low risks to children from COVID‐19 and a potential for stigmatization, we questioned whether there was minimal risk to children participating in a recent study published in JAMA Pediatrics. Then a dog sniffed them to see if they had COVID19.

Documentation/Coding 95

Documentation/Coding Pediatrics Research Outcomes 95

Don't Forget the Bubbles

JUNE 19, 2023

It is useful to know that there are two kinds of weight curves: Descriptive , in which nearly all mothers and their children are included with few exclusion criteria, and Prescriptive , in which groups of women with pathologies that affect neonatal morbidity and mortality outcomes have been excluded. J Pediatr 2018;196:71-6.

Pediatrics 143

Pediatrics Ultrasounds Hyperthermia / Hypothermia Sepsis 143

EB Medicine

NOVEMBER 3, 2022

In this episode, Sam Ashoo, MD, interviews Ami Shah, MD, MPH, and Don Walker, MD, about eye injuries in the pediatric population. Why ocular injuries? Topical anesthetics Visual acuity apps In this episode, Sam Ashoo, MD, interviews Ami Shah, MD, MPH, and Don Walker, MD, about eye injuries in the pediatric population.

Pediatrics 52

Pediatrics Fractures EMS Outcomes 52

NRC Health

NOVEMBER 28, 2023

When a healthcare team respects a patient’s uniqueness, the patient, in turn, receives the safest care with the best outcomes. During October’s Becker’s Healthcare podcast, two prominent pediatric leaders discussed the critical nature of intentional practices and the importance of family-centered care.

Pediatrics 52

Pediatrics Outcomes 52

Pediatric Emergency Playbook

AUGUST 1, 2017

Pediatr Rev. Intestinal Malrotation – Not Just the Pediatric Surgeon’s Problem. Pediatr Surg Int. Does Functional Outcome Improve with Time Postsurgery for Hirschsprung Disease? Eur J Pediatr Surg 2016; 26:192. Pediatrics 1977; 60:457. J Pediatr Gastroenterol Nutr 2008; 46:13. J Pediatr 2005; 146:787.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 52

PulmCCM

APRIL 14, 2025

SEP-1 was pushed through without waiting for the outcomes of three ongoing multicenter trials testing goal-directed therapy for sepsis. “New Recommendations to Improve Sepsis Outcomes”, IDSA communication, October 2023. The Infectious Diseases Society of America (IDSA) has consistently opposed SEP-1 since at least 2016.

Sepsis 59

Sepsis Infectious Diseases Administration Shock 59

Pediatric Emergency Playbook

NOVEMBER 1, 2016

Elbow Interpretation Roadmap: CRITOE More pragmatic and utilitarian than a prosaic mnemonic, CRITOE helps us to remember the order of ossification of the pediatric elbow. Acute compartment syndrome of the upper extremity in children: diagnosis, management, and outcomes. J Pediatr Orthop. Pediatrics. Ann R Coll Surg Engl.

Pediatrics 52

Pediatrics Fractures Dislocations Radiology 52

EMDocs

MAY 4, 2024

The current analysis showed that EVT was superior in functional outcomes across a variety of ischemic severities and penumbra profiles on imaging. 3: Could Teleconsultation Reduce Pediatric Transfers? Source Pediatric Patients Discharged After Transfer to a Pediatric Emergency Department: Opportunities for Telehealth?

Documentation/Coding 98

Documentation/Coding Stroke Emergency Department Pediatrics 98

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.

Pediatrics 98

Pediatrics Outcomes Operations Hospitals 98

The Skeptics' Guide to EM

FEBRUARY 22, 2025

Excluded: Pediatric patients, COVID-19 patients, non-diagnostic studies (ie studies evaluating only the prognostic role of MDW), non-English studies and case reports and reviews. Outcome: Diagnostic accuracy of MDW for early sepsis detection, measured by pooled sensitivity, specificity, and likelihood ratios.

Sepsis 61

Sepsis Infectious Diseases Emergency Department Pediatrics 61

The Skeptics' Guide to EM

APRIL 2, 2022

Take-Pause: Efficacy of mindfulness-based virtual reality as an intervention in the pediatric emergency department. She is the cofounder of FOAMcast and is a pulmonary embolism […] The post SGEM#363: View Master – Virtual Reality Immersion Tool to Reduce Pediatric Anxiety first appeared on The Skeptics Guide to Emergency Medicine.

Pediatrics 52

Pediatrics Emergency Department Outcomes Research 52

Sensible Medicine

MAY 28, 2024

A 2008 Cochrane review found adult depression screening does not improve outcomes. The last two trials convincingly demonstrate that when patients with postpartum depression have better access to mental health services, outcomes improve. Screening had no impact on depression, anxiety, or a host of other mental health outcomes.

Military 144

Military Outcomes Psychiatric Wellness 144

ACEP Now

AUGUST 25, 2023

The Pediatric Pain Management Standard 1 for children was published this year to provide guidance to health organizations on how to deliver equitable and quality pain management across hospital settings. IN fentanyl has been safely used to treat pain in pediatric patients. It offers a way to deliver analgesia without IV access.3,

Administration 97

Administration Pediatrics Emergency Department Outcomes 97

The Skeptics' Guide to EM

SEPTEMBER 10, 2022

Single-dose dexamethasone is not inferior to 2 doses in mild to moderate pediatric asthma exacerbations in the emergency department. Pediatr Emerg Care. 2022 Guest Skeptic: Dr. Harrison Hayward is a Pediatric Emergency Medicine fellow at Children’s National Hospital. Pediatr Emerg Care. Pediatr Emerg Care.

Pediatrics 52

Pediatrics Emergency Department Urgent Care Hospitals 52

EMDocs

JANUARY 13, 2024

Spoon Feed High-dose nitroglycerin improves outcomes in patients with sympathetic crashing acute pulmonary edema (SCAPE) without significant side effects when compared to low-dose nitroglycerin. sodium chloride) reduced acute kidney injury and improved other outcomes in these pediatric patients with septic shock. Crit Care Med.

Stroke 87

Stroke Shock Pediatrics Resuscitation 87

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. Pediatric Crit Care Med.

Pediatrics 52

Pediatrics Hospitals CPR Resuscitation 52

Pediatric EM Morsels

AUGUST 11, 2023

Infections there become complicated very quickly and the outcomes can be very poor. Pediatr Emerg Care. The post Perichondritis of the Ear in Children appeared first on Pediatric EM Morsels. ” Those areas have very important and delicate structures. PMID: 33251051; PMCID: PMC7686808. Stewart GM, Thorp A, Brown L.

Burns 130

Burns Pediatrics EMS Outcomes 130

EMDocs

JANUARY 11, 2025

Stercoral Colitis in the Emergency Department: A Retrospective Review of Presentation, Management, and Outcomes. Fecal Impaction and Nonperforated Stercoral Colitis: Red Flags for Poor Outcomes. Pediatric Emergency Care 34(9):p e159-e160, September 2018. | Mathis, K. L., & Lindor, R. link] Chakravartty, S., DOI: 10.1097/PEC.0000000000001600

EMS 98

EMS Sepsis Shock Fluid Resuscitation 98

The Skeptics' Guide to EM

JUNE 17, 2023

Intranasal fentanyl and discharge from the emergency department among children with sickle cell disease and vaso-occlusive pain: A multicenter pediatric emergency medicine perspective. She is a Professor of Pediatrics and Interim Chief of the Section of Pediatric Emergency Medicine at the Medical College of Wisconsin.

Emergency Department 74

Emergency Department Pediatrics Head Injuries Administration 74

Pediatric Emergency Playbook

SEPTEMBER 1, 2015

Get up-to-date in the understanding and management of pediatric status epilepticus. Pediatric status epilepticus is analogous to the multi-organ dysfunction syndrome in severe sepsis. Pediatric Seizures and Strokes: Beyond Benzos and Brain Scans. Pediatr Emerg Care. In other words – time is brain. October 8th, 2009.

Pediatrics 40

Pediatrics Seizures Stroke Radiology 40

Don't Forget the Bubbles

MAY 8, 2024

An interesting study (JAMA Pediatrics) shows the benefits of newborn screening for spinal muscular atrophy (SMA), as initiating disease-modifying therapy earlier improves clinical outcomes. These findings advocate for expanding newborn screening programs to enhance outcomes for children with SMA. Pediatr Nephrol.

Pediatrics 69

Pediatrics Emergency Department Outcomes Research 69