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Pediatric healthcare providers can encounter vaccine-hesitant parents daily. Addressing these concerns is complex but essential. To support healthcare providers in navigating these critical conversations, our Pediatric Immunizations Training for Healthcare Personnel offers comprehensive guidance on addressing vaccine hesitancy effectively.
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.
Any time I give a pediatric talk, I mention it. And another law to end the first week! This one applies to anyone who takes care of children, and is particularly important to EMS / prehospital providers and emergency physicians. On occasion, medics are called to a home to treat a child in extremis, or occasionally in arrest.
To begin, a 2012 prospective pediatric study found a failure rate of 16.9 A 2016 multicenter prospective study evaluated 1,036 pediatric patients for shunt failure who received CSF shunts over a four-year period. Risk factors for shunt malfunction in pediatric hydrocephalus: a multicenter prospective cohort study.
This is thought to be secondary to increased microtrauma for boys 1 In pediatric patients long bones (femur, tibia) are more commonly infected nearing 75% of the time. Pediatric osteomyelitis treatment algorithm. Bacterial osteomyelitis in pediatric patients: a comprehensive review. Osteoarticular infections in pediatrics.
Predisposing conditions ( Down Syndrome , Klippel-Fleil, achondroplasia, etc.) — OR 1.5 – 15 Torticollis — OR 1.8 – 64 The sensitivity of C-Spine plain films in pediatric patients is good (85-95% in multiple studies), but keep in mind that nothing is 100%. Pediatr Emerg Care. High Risk (12.8% When in doubt, MRI. 2018;34(10):677-686.
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. The authors’ definition of “pediatric” is age < 18. Solid organ injuries, mainly the liver and spleen, are the most prevalent ones.
Paraphimosis , phimosis , and priapism can be painful pediatric penile problems that need prompt perusal and procedures to prevent problems with peeing. Now let’s consider another penile and skin problem that is quite common – Pediatric Balanitis and Balanoposthitis. Int J Dermatol. 2009;48(2):121-124. doi:10.1111/j.1365-4632.2009.03966.x
However, there is much less information available regarding pediatric trauma. High-risk criteria for pediatric VTE after trauma have recently been released. The Medical College of Wisconsin trauma group organized a prospective, multi-institutional study involving eight pediatric trauma centers. State an explicit age cutoff.
The goal of this update is to provide a practical update in pediatric emergency medicine to the average Canadian adult or community emergency clinician. We will review the following three […] The post Little People, Big Updates: Updates in Pediatric Emergency Medicine appeared first on EMOttawa Blog.
The ABC score was evaluated in pediatric patients and was found to be much less sensitive than in adults. Several adult and pediatric trauma centers in the Denver area collaborated to test a new score using the ABC-S score in combination with serum lactate and base deficit. J Pediatr Surg. But what about children? 2019.10.008.
Bob Luten, a PEM physician in Jacksonville, FL , designed the Broselow-Luten color-coded length-based system to help estimate a child’s weight, and thereby offload the cognitive burden of medication dosing and choice of equipment sizes in pediatric resuscitations. DeBoer 2020] Now seen as industry standard in pediatric emergency care.
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. Reference: Remick KE, et al.
To celebrate the end of trauma season ( is it ever really over? ), we here at the Ped EM Morsels Bakery have cooked up a morsel to remind you that pediatric trauma can be even more difficult than you think. Unfortunately, there are numerous other pitfalls that can be encountered during the management of pediatric trauma patients.
In this episode: recognition, risk stratification, decision tools, indications for lumbar puncture in the febrile pediatric patient, tips and trick on performing LPs in children, and ED management of pediatric meningitis. and many more.
I think that is an important mental space for emergency physicians to find if you want to be able […] The post The pediatric can’t intubate can’t oxygenate scenario (Use a knife) appeared first on First10EM.
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.
Regional implementation of a pediatric cardiology chest pain guideline using SCAMPs methodology. Pediatrics. Management of pediatric chest pain using a standardized assessment and management plan. Pediatrics. Musculoskeletal causes of pediatric chest pain. Pediatr Clin North Am. Pediatr Clin North Am.
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! Detecting coagulopathy in pediatric patients with post-tonsillectomy hemorrhage. 2021 Aug;147:110807.
We have mentioned the Glasgow Coma Scale in multiple delicious morsels: Minor closed head injuries in <3 month olds and in the rebaked morsel , Blunt cerebrovascular injury , Cerebral edema in DKA , Pediatric Trauma Pitfalls , and Carbon monoxide poisoning. When is it useful and what does it tell us? Fun fact for animal lovers!-
St.Emlyn's - Emergency Medicine #FOAMed The blog highlights the updated 2024 guidelines from the Royal College of Radiologists (RCR) on imaging in pediatric trauma. It emphasizes critical changes from the previous 2014 guidelines, focusing on the judicious use of imaging to minimize ionizing radiation exposure in children.
Guidelines for the Management of Pediatric Severe Traumatic Brain Injury, Third Edition: Update of the Brain Trauma Foundation Guidelines [published correction appears in Pediatr Crit Care Med. Pediatr Crit Care Med. What do the guidelines recommend? Doi:10.4266/acc.2022.01291 2022.01291 Kochanek PM, Tasker RC, Carney N, et al.
Training paths and professional opportunities for those who want to dedicate themselves to the care of children The role of pediatric nurse The pediatric nurse plays a crucial role in healthcare dedicated to the youngest, from birth to adolescence.
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.
The learning didnt end because she then completed another fellowship in pediatric emergency medicine at Harbor UCLA. Background: Pediatric cervical spine (c-spine) injuries are uncommon (1-3% of blunt trauma). There are multiple CDRs for identifying pediatric c-spine injuries besides PECARN. Does she need an X-ray or CT scan?"
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.
Urethral prolapse is a rare condition occurring in prepubertal female pediatric patients. Initial treatment is medical management with topical estrogen cream in conjunction with Sitz baths and outpatient follow-up with pediatric urology or gynecology. Laboratory Data Hemoglobin : 12.2
In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the November 2023 Pediatric Emergency Medicine Practice article, Pediatric Diabetes: Management of Acute Complications in the Emergency Department and some of the highlights from the other EB Medicine articles published in November.
Read this tutorial on the use of point of care ultrasonography (POCUS) for pediatric lung ultrasound. Take the ALiEMU PEM POCUS: Pediatric Lung Ultrasound Quiz Module Goals List indications for performing a pediatric lung point-of-care ultrasound (POCUS). He was admitted to the pediatric intensive care unit. Pediatrics.
Cerebral edema is the most feared emergent complication of pediatric diabetic ketoacidosis. Pediatr Diabetes. Population-based study of incidence and risk factors for cerebral edema in pediatric diabetic ketoacidosis. The Pediatric Emergency Medicine Collaborative Research Commitee. Pediatr Rev. Pediatrics.
Some topics come up over and over again, and it may seem somewhat repetitive or wasteful to spend so much time on them, but seeing as so many people are still using outpatient IV antibiotics despite overwhelming evidence that oral antibiotics are just as good, if not better, I will continue to cover papers as […] The post Oral antibiotics are (..)
Innovation and specialization in pediatric emergency care Pediatric ambulances are state-of-the-art vehicles specifically designed for children’s medical crises. They are not just ordinary ambulances but mobile […] The post Pediatric Ambulances: Innovation in the Service of the Youngest appeared first on Emergency Live.
The American Academic of Pediatrics (AAP) proudly told parents to avoid peanuts in kids at high risk of allergy. Sensible Medicine The AAP (American Academy of Pediatrics) is broken, failed organization The American Academy of Pediatrics (AAP) is a failed organization. JMM Sensible Medicine is a reader-supported publication.
A New Chapter in Pediatric Emergency, Life-Saving Mobile ECMO Unit for Little Patients In the setting of Monasterio Heart Hospital, a new star has emerged in the pediatric emergency scene.
Friday Spoon Feed: The American Academy of Pediatrics has released their first clinical practice guideline on opioid prescribing in children and adolescents. The 12 evidence-based key action statements outline safe practices for prescribing opioids for acute pain in the outpatient setting.
On this month's EM Quick Hits podcast: Anand Swaminathan on update to ED management of postpartum hemorrhage, Nour Khatib on serotonin syndrome and its mimics, Katie Lin on an approach to recognition and management of severe TBI and brain herniation syndromes, Hans Rosenberg on the ED management of ulcerative colitis, Heather Cary on pediatric c-spine (..)
Certainly, the care of pediatric patients is known for its “ Seasonality. Pediatr Emerg Care. The post Summer Penile Syndrome appeared first on Pediatric EM Morsels. Chance encounters with life’s hazards seem to increase in the Summer time (ex, Trampolines , Snakes , Lawn Mowers , Water , and Heat ). PMID: 9583392.
Acute Kidney Injury Is Common in Pediatric Severe Malaria and Is Associated with Increased Mortality. Pediatric Malaria: Global and North American Perspectives. Pediatr Clin N Am 69 (2022) 47–64. Higher Rates of Misdiagnosis in Pediatric Patients versus Adults Hospitalized with Imported Malaria. Pediatr Emerg Care.
Pediatrics. Pediatr Rev (2022) 43 (7): 371–383. link] The post Rebaked: Inborn Errors of Metabolism presenting in the ED appeared first on Pediatric EM Morsels. Incidence of inborn errors of metabolism in British Columbia, 1969–1996. 2000; 105:e 10. Inborn Errors of Metabolism: Becoming Ready for Rare. Samantha A.
A team at Dayton Children’s, led by pediatric anesthesiologist Sean Antosh, MD, believed there was a better way to humanize care and environments for patients, particularly for children with Autism Spectrum Disorder or other special needs like ADHD or high anxiety.
In this episode we dive into the resurgence of Mycoplasma pneumoniae an atypical bacterial cause of community-acquired pneumonia thats making waves in pediatric emergency medicine. Pediatr Emerg Care. For PEMCurrents, the Pediatric Emergency Medicine Podcast, this has been Brad Sobolewski. Plus, well discuss whether M.
Editorial: Reducing overuse of CT imaging in pediatric trauma: a model example of the Model for Improvement. Question and Methods: The aim of this QI project was to reduce unnecessary CT abdomen on pediatric trauma activations who were identified as being low risk of IAI. Methodology: 4.5/5 5 Usefulness: 5/5 Beno S, al.
She is also a member […] The post SGEM #417: Everybody’s Changing…the Reference Ranges for Pediatric Vital Signs first appeared on The Skeptics Guide to Emergency Medicine. Background: We have looked at pediatric vital signs on the SGEM back in 2014 with PedEM superhero Dr. Anthony Crocco ( SGEM#98 ). Reference: Brennan L et al.
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