Pediatric Emergency Playbook

JULY 1, 2016

Lab work can be helpful, as well as US of the hip to look for an effusion, but sometimes, regardless of the results, the joint just has to be tapped to know for sure. Children with limb-length discrepancy only need a non-urgent referral to pediatric orthopedics to look for congenital dysplasia of the hip, or other growth abnormalities.

Fractures 52

Fractures Poisoning Wellness Sepsis 52

Pediatric Education

NOVEMBER 12, 2023

weeks was seen for well-care. Bull MJ, Engle WA, The Committee on Injury and Poison Prevention and the Committee on Fetus and Newborn. Pediatrics. Pediatrics. Pediatrics. D’Alessandro, MD Professor of Pediatrics, University of Iowa 2009;123(5):1424-1429. doi:10.1542/peds.2009-0559 2009-0559 Davis NL.

Pediatrics 40

Pediatrics Poisoning Hospitals Documentation/Coding 40

Taming the SRU

APRIL 13, 2023

stent, percutaneous nephrostomy) by urology or IR Hypokalemia evaluate for EKG changes assess for underlying cause and factors that may influence ability to replete (i.e. Vaishnav Hyperthermia: abnormally high body temperature due to thermoregulatory failure Severe hyperthermia: temp greater than 40.5C

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Poisoning EKG/ECG Seizures 52

Pediatric Education

MARCH 24, 2024

Some people recommend boiling these utensils for 5 minutes as well. Entrance for young children can occur through the mother when in-utero or through breastfeeding, or through the environment including dermal, inhalation and ingestis to be inadequate studies of these potential contaminants in the pediatric age group.

Pediatrics 40

Pediatrics Poisoning Research Wellness 40

Pediatric Education

MAY 7, 2023

The fever was responsive to antipyretics, and he was taking some dextromethorphan as well. What are services that a poison center can offer? Pediatr Neurol. D’Alessandro, MD Professor of Pediatrics, University of Iowa Maximum temperature was 102.4F 5 days ago. J Am Acad Child Adolesc Psychiatry. 2021;60(2):201-202.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Infectious Diseases Pediatrics Poisoning 40

EMDocs

DECEMBER 6, 2024

In the late 1990s, iron was the leading cause of poisoning deaths reported to poison control centers for children less than 6 years of age. Ferrous sulfate tablets are radiopaque and can be visualized on radiographs, however not all preparations are radiopaque (pediatric chewable and liquid preparations). 2 L/hr in adults.

Poisoning 97

Poisoning Fluid Resuscitation Seizures Resuscitation 97

Pediatric EM Morsels

JULY 21, 2023

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!-

Head Injuries 246

Head Injuries Pediatrics Outcomes Shock 246

Sensible Medicine

SEPTEMBER 3, 2024

It is well-recognized that our commercial drug development process, a process that has led to so many nearly miraculous advancements, serves people with rare diseases poorly. Sensible Medicine readers appreciate a well-designed clinical trial. Your supervisor says, “Look, the plant has some similarities to poison ivy.

Pediatrics 81

Pediatrics Poisoning Research Military 81

Don't Forget the Bubbles

JANUARY 17, 2024

Forrester reported data from the Texas Poison Centers surrounding 110 cases of superabsorbent polymer bead ingestions between 2011 and 2016. Closer to home, the New South Wales Poisons Information Centre (NSWPIC) reported 129 incidents involving water-absorbing beads since 2004. BMC Pediatrics , 20 , pp.1-5. Arch Pediatr.

Pediatrics 111

Pediatrics Poisoning Ultrasounds Dehydration 111

Pediatric EM Morsels

MARCH 17, 2023

Call your friends … at the Poison Center! Your state poison center and local toxicologists are a wealth of knowledge and help for management and treatment. Management of pediatric snake bites: are we doing too much? J Pediatr Surg. Pediatr Nephrol. Ahmed 2008) Tetanus toxoid booster is usually recommended.

CDC 130

CDC Poisoning Pediatrics Shock 130

EMDocs

AUGUST 15, 2023

He was admitted to the pediatrics service for further management. Treatment of snakebite poisoning. Vital signs are HR 142 bpm, BP 133/86 mmHg, RR 22 breaths/min, SpO 2 98% on room air, T 98.7°F. Laboratory testing demonstrated platelets 482 × 10 9 /L, fibrinogen 241 mg/dL, and INR 1.2. How do you manage crotalid envenomations?

Poisoning 98

Poisoning CDC Administration EMS 98

EMDocs

SEPTEMBER 7, 2023

In mass poisoning cases, DEG has been substituted as a solvent in oral medications and in topical medicinal products. DGA concentrates in the kidney tissue and causes nephrotoxicity, as well as neurotoxicity. Elimination half-life data is not well established but increases in larger overdoses and as renal injury begins to occur.

Poisoning 91

Poisoning CDC Administration Emergency Department 91

EMDocs

JUNE 25, 2024

Consider escharotomy if there is any issue with perfusion or neurologic deficit, as well as difficult ventilation in the intubated patient. Typically for adults with a TBSA of at least 20% or 10% in pediatric patients. If the patient is altered after smoke exposure in an enclosed spaced, consider carbon monoxide or cyanide poisoning.

Burns 96

Burns Fluid Resuscitation Resuscitation Poisoning 96

ACEP Now

OCTOBER 10, 2023

The patient’s urine was obtained and compared with the urine of his emergency physician using a Wood’s lamp, and the patient’s was found to be brightly fluorescent, supporting the presumptive diagnosis of EG poisoning. After resolution of EG poisoning, he was transferred to psychiatry and ultimately discharged home without complication.

Poisoning 52

Poisoning Pediatrics Research Wellness 52

EMDocs

JUNE 8, 2024

Post septal (retrobulbar) is higher risk to vision and requires CT imaging to diagnose as well as thorough exam to check for proptosis, afferent pupillary defect, increased intraocular pressure [7]. Posttraumatic Iridocyclitis – Injuries; Poisoning.” PDQ Pediatric Treatment Editorial Board. Murchison, Ann P. 2021 Oct 7.

EMS 98

EMS Allergic Reactions Poisoning Emergency Department 98

EMDocs

JANUARY 4, 2024

3 Bupropion blocks the reuptake of dopamine and norepinephrine, as well as antagonizes acetylcholine at nicotinic receptors. If > 500 msec give 2 grams magnesium IV in adults, 50 mg/kg up to 2 grams in pediatric patients and observe closely for the development of dysrhythmias. Consider lidocaine for associated dysrhythmias.

Seizures 91

Seizures EKG/ECG Poisoning Shock 91

Taming the SRU

MAY 1, 2023

Subsequent exposure results in a T-cell mediated response (Type IV hypersensitivity reaction) Plants: Toxicodendron species (poison ivy, poison oak, poison sumac) Also present in foods, including pistachio, cashew, and mango.

Poisoning 52

Poisoning Hyperthermia / Hypothermia Seizures Emergency Department 52

Pediatric Education

JUNE 18, 2023

He and his mother had cleaned it well with soap and water and then used some iodine solution on his leg scrapes. The past medical history showed a history of poison ivy reaction the year before. They may contain additional active ingredients as well including alcohol. J Pediatr Surg. Pediatr Dermatol.

Allergic Reactions 40

Allergic Reactions Poisoning Pediatrics Infectious Diseases 40

Taming the SRU

APRIL 17, 2023

Poison centers across the United States receive over 100,000 reports of exposures to toxic plants annually. The majority of ingestion cases occur in pediatric patients and are often minor due to low quantities of exposure. The majority of ingestion cases occur in pediatric patients and are often minor due to low quantities of exposure.

Poisoning 52

Poisoning Hyperthermia / Hypothermia Anaphylaxis Pediatrics 52

PEMBlog

OCTOBER 19, 2023

PEMPix is the American Academy of Pediatrics Section on Emergency Medicine’s annual visual diagnosis competition. Cannabinoid poisoning D. Tyrosinemia The patient’s CT scan revealed liver replaced and distorted by innumerable, variably-enhancing nodules, as well as nephromegaly. Rev Paul Pediatr. Hepatic hemangioma C.

Urgent Care 52

Urgent Care Pediatrics Poisoning Wellness 52

ACEP Now

DECEMBER 10, 2023

5 Symptoms of milkweed poisoning may include abdominal discomfort, nausea, vomiting, diarrhea, weakness, lethargy, and confusion, progressing to seizures, heart rhythm changes, and bradycardia. corneal toxicity secondary to latex from Asclepias curassavica in a pediatric patient. J Chem Ecol. 2019;45(1):50-60. Yang JF, Beal CJ.

Poisoning 52

Poisoning Seizures Documentation/Coding Emergency Department 52

EB Medicine

SEPTEMBER 1, 2018

Nachi: And don’t forget our peer reviewers this month, Dr. Daniel Sessions, a medical toxicologist working at the South Texas Poison Center, and our very own editor-in-chief, Dr. Andy Jagoda, who is also Chair of the Department of Emergency Medicine at Mount Sinai in New York City. Jeff: What a team! But, let’s get back to the snakes.

Emergency Department 40

Emergency Department Poisoning Anaphylaxis Allergic Reactions 40

PEMBlog

APRIL 26, 2023

Kristen Humphrey discuss gun violence, its impact on our patients and their families, as well as practical tips on advocating for safe storage of firearms, and how we can support victims of violence. Smith; Firearm-Related Injuries Affecting the Pediatric Population. Pediatrics November 2012; 130 (5): e1416–e1423. 10.1542/peds.2012-2481

Pediatrics 52

Pediatrics Wellness Poisoning Burns 52

Advanced Emergency Nursing from AENJ

MAY 27, 2014

Even after no longer having a role in resuscitation, CO2 was advocated for accelerating clearance of carbon monoxide poisoning into the 1950s and 1960s. Henderson , it would seem, was an enthusiast, well-convinced of his opinions, with missionary zeal, who would firmly argue his positions and tirelessly campaign them. In 1927, H.W.

Resuscitation 40

Resuscitation Poisoning Research Administration 40

ACEP Now

MARCH 6, 2024

Many clinicians staffing emergency departments intubate infrequently, as well, and these results are likely applicable to a wide scope of practice. 10 The trial was stopped due to superiority due to both its overall mortality benefit, as well as a reduction in the need for mechanical ventilation. JAMA Pediatr.2023;177(8):782.

Research 52

Research Airway Management Stroke Outcomes 52

EB Medicine

AUGUST 1, 2018

Jeff: Because the current DEA controlled substances schedule designations are based on original chemical names, synthetics have gained popularity as manufacturers are able to produce newer compounds and circumvent DEA designation as well as routine urine drug screening tests. Jeff: And the etiology of CHS is not well understood.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

Taming the SRU

SEPTEMBER 1, 2023

Can also extend this logic to those with TBI’s or trauma patients are inebriated Can attempt try to mitigate the risk and harm associated with iWBCT’s Future use of low-dose iWBCT Full-body MR imaging is already being used in pediatric patients Logistic regression in REACT-2 patient population identified 10 characteristics to warrant iWBCT in patients (..)

Sepsis 96

Sepsis Fractures Documentation/Coding Administration 96

PEMBlog

JANUARY 16, 2025

In this episode of PEM Currents: The Pediatric Emergency Medicine Podcast , we explore the complex and often underrecognized issue of inhalant misuse. Formulate effective strategies for identifying, managing, and preventing inhalant misuse in pediatric patients. Inhalant misuse reported to Americas Poison Centers, 2001-2021.

Pediatrics 52

Pediatrics Poisoning Wellness Burns 52

ACEP Now

SEPTEMBER 13, 2023

pediatric sickle cell centers and suggested poor splenic function in 94 percent of sickle cell anemia (SCA) patients by 5 years of age; 28 percent of children had poor splenic function at 1 year of age and the authors noted that initial splenic dysfunction rose sharply after 6 months of age. J Pediatr Pharmacol Ther. 2010;15(3):152-9.

Pediatrics 40

Pediatrics Ultrasounds Emergency Department Poisoning 40

Advanced Emergency Nursing from AENJ

MARCH 27, 2015

Introduction: My first professional ambulance call was for three victims of Carbon Monoxide poisoning. Lubricate well. Effect of combined mouth closure and chin lift on upper airway dimensions during routine magnetic resonance imaging in pediatric patients sedated with propofol. Gerkin] Priceless. D., & Bair, A. Schnabel, K.,

Resuscitation 40

Resuscitation Airway Management EMS CPR 40

Taming the SRU

NOVEMBER 13, 2024

opiates or anticholinergics): Use initial nomogram and treat if initial level is above the treatment line. haffner and wright The number of psychiatric emergencies across the U.S., haffner and wright The number of psychiatric emergencies across the U.S., haffner and wright The number of psychiatric emergencies across the U.S.,

Psychiatric 90

Psychiatric Seizures Emergency Department Pediatrics 90