PEMBlog

SEPTEMBER 6, 2023

However, the vast majority of pediatric patients with psychiatric complaints do not present with undifferentiated acute psychosis; rather, they are seen for behavioral concerns or suicidal ideation. Decades ago, psychiatric complaints in the pediatric ED were infrequent.

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Psychiatric Pediatrics Emergency Department EKG/ECG 52

Don't Forget the Bubbles

AUGUST 2, 2023

in 2018, 16% of patients diagnosed with CRPS had comorbid depression, and two-thirds had at least one psychiatric diagnosis, significantly higher than in the general population. As well as nonpharmacological treatments included physiotherapy and psychological therapy, 79% were also prescribed medication, most commonly gabapentin.

Psychiatric 98

Psychiatric Pediatrics Outcomes Fractures 98

EMDocs

JUNE 16, 2023

Podcast: Play in new window | Download (Duration: 13:57 — 19.2MB) Subscribe: Apple Podcasts | Google Podcasts | RSS Management of the child with mental health problems who is boarding in the ED In episode 1 of this series, we discussed differentiating organic vs psychiatric causes of agitation in children.

Psychiatric 52

Psychiatric Pediatrics Emergency Department Best Practices 52

Taming the SRU

JANUARY 12, 2024

pediatric small groups WITH our cchmc colleagues Dermatologic emergencies Children can present with a wide range of rashes, many of which are benign, however identifying concerning rashes is very important. Use your resources to differentiate scary from benign! Children are not just small adults!

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Fluid Resuscitation Pediatrics Sepsis Shock 59

Broome Docs

FEBRUARY 22, 2024

PMID: 36946338 Bottom line: This is a well done RCT that demonstrates pretty convincingly that you should not bother trying to but fingernails back on after nail bed repair (and my guess is you definitely shouldn’t be removing them either). PMID: 37755727 Bottom line: Substance abuse and psychiatric disease go hand in hand. Pediatrics.

Emergency Department 89

Emergency Department Psychiatric Resuscitation Wellness 89

Pediatric Education

OCTOBER 6, 2024

Overall he was doing well in school and was looking forward to his upcoming cross-country, basketball and baseball seasons. His mother was worried because his cousin, who attended the same high school, had just been released from inpatient psychiatric treatment for newly diagnosed schizophrenia. Child Adolesc Psychiatr Clin N Am.

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Psychiatric Pediatrics Stroke Wellness 40

Pediatric Education

AUGUST 11, 2024

He is described as being a quieter child but is well-liked at school and has friends at home and school that he plays with. The pediatrician thought that this likely was more benign, but because the hallucinations continued to be frequent and were causing some distress to the patient, felt that psychiatric evaluation was needed.

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Psychiatric Infectious Diseases Pediatrics Seizures 40

Pediatric Education

JUNE 16, 2024

” The patient’s clinical course 1 month later when she returned for her well examination showed that her symptoms had improved but hadn’t totally resolved. This includes appropriate treatment for any concomitant psychiatric disorders. D’Alessandro, MD Professor of Pediatrics, University of Iowa

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Psychiatric Pediatrics Burns Ultrasounds 40

Pediatric Emergency Playbook

JUNE 1, 2017

This child is at risk for expected complications, as well as overdiagnosis and iatrogenia. These children depend on their preload to run blood passively into the pulmonary circuit; afterload reduction is also important to compensate for a poor left ejection fraction, as well as to avoid the development of pulmonary hypertension.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

Don't Forget the Bubbles

MARCH 19, 2024

This has coincided with a widespread shortage of specialist placements for children facing behavioural, psychiatric, and child protection challenges, leading to an over-reliance on the placement of these children in hospitals. Just 20% of a person’s health and general well-being is related to access to care and the quality of services.

Hospitals 52

Hospitals Psychiatric Documentation/Coding Pediatrics 52

Don't Forget the Bubbles

FEBRUARY 19, 2024

The Role of Gaming in Emotional Well-being Stress Relief: Gaming can be a form of relaxation and stress relief, providing an escape from the pressures of daily life. There is a complex interplay between gaming, psychological needs, and adolescent well-being. Pediatrics , 127 (2), pp.e319-e329. Selected references Anderson, C.A.

Academics 59

Academics Leadership Research Teamwork 59

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. EtOH, amphetamines, or cocaine) Prescription drugs (i.e. cuffed ETT) preloaded and intubate through the stoma if PPV needed Infection (i.e.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Poisoning EKG/ECG Seizures 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

Dr. Smith's ECG Blog

SEPTEMBER 7, 2020

Next : try verapamil, which will convert it as well as adenosine does, but has a much longer duration of action and so will maintain sinus rhythm. In this pediatric study, it was 71% successful and better than amiodarone. You may also see a LBBB pattern in the chest leads with LVOT VT ( as well as the inferior axis in limb leads ).

EKG/ECG 52

EKG/ECG Psychiatric Wellness Resuscitation 52

EB Medicine

JULY 8, 2019

Jeff: Well that’s kind worrisome. Which again reiterates why this is such an important topic for us as EM clinicians to be well-versed in. For the sake of completeness, just be aware that there is also the biliopancreatic diversion with or without a duodenal switch, as well as a vertical banded gastroplasty.

Emergency Department 40

Emergency Department Sepsis Operations Dehydration 40

ACEP Now

MARCH 11, 2025

Common, Deadly, Elusive Eating disorders, which include anorexia nervosa, bulimia nervosa, binge eating disorder and avoidant/restrictive food intake disorder (ARFID), are common with increasing prevalence, increasing visits to EDs, and the highest mortality of any psychiatric illness.

Emergency Department 83

Emergency Department Psychiatric Dehydration Pediatrics 83

Don't Forget the Bubbles

MAY 15, 2023

Previously well child? “ Pregnancy was uncomplicated and he was well after birth. Physical examination: Joey is well-grown. It usually affects children between 18 months and five years old, who are otherwise well with average growth, development and physical exam. Pregnancy was uncomplicated, and he was well after birth.

Wellness 103

Wellness Seizures Hospitals Dehydration 103

ACEP Now

AUGUST 1, 2023

1 The letter detailed ED physician stories, highlighting the preventable harms from boarding, crowding, long waits, staff shortages, burnout, and the disproportionate impact on behavioral health and pediatric populations. It should also differentiate boarding times for psychiatric patients, who are at high risk for very prolonged boarding.

Military 98

Military Emergency Department Hospitals Leadership 98

Don't Forget the Bubbles

JULY 17, 2023

Reviews and opinion articles Point-of-care ultrasound in pediatric nephrology. Pediatr Nephrol. JAMA Pediatr. Eur J Pediatr. Pediatr Infect Dis J. Pediatr Infect Dis J. Eur J Pediatr. Eur J Pediatr. Pediatr Infect Dis J. Pediatr Infect Dis J. Eur J Pediatr. Sethi SK, et al.

Pediatrics 98

Pediatrics Emergency Department Outcomes Fractures 98

Taming the SRU

NOVEMBER 13, 2024

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

Psychiatric 89

Psychiatric Seizures Emergency Department Pediatrics 89

SheMD

DECEMBER 10, 2023

But, I am also an internist who takes care of adults because I completed a dual residency in internal medicine and pediatrics. In medical school, we spend two years in the classroom learning about medicine then embark on two years of “rotations” in the hospital, exposed to certain core clerkships including internal medicine and pediatrics.

Pediatrics 98

Pediatrics EKG/ECG Psychiatric Wellness 98

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

Taming the SRU

JUNE 6, 2023

BROADSTOCK Suicidal Ideation & Behavior with Concomitant Substance-Use Difficult to distinguish suicidal ideation/behavior from primary decompensated psychiatric disease versus substance-induced in the ED Statement of Belief Aka pink slip, 72 hour hold, involuntary civil commitment, etc.

Documentation/Coding 64

Documentation/Coding Seizures Psychiatric Wellness 64

Maria Yang, MD

DECEMBER 7, 2024

As a medical student I did not train at a VA, but was instead sent to an Air Force base for part of my pediatrics rotation!) Well put aside for now the vexing reality that trainees spend so much time learning their health care profession on patients who dont have much money in publicly-funded institutions. It messes people up.

Military 40

Military Psychiatric Administration Pediatrics 40

Sensible Medicine

NOVEMBER 21, 2024

It’s my pleasure to introduce this letter and response to a recent article by Ryan about pediatric gender medicine. Sensible Medicine Pediatric Gender Medicine: Dispatches From a Deceptive Medical Field It is my pleasure to introduce this article by the intrepid reporter Benjamin Ryan. Somehow, Ms.

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Pediatrics Domestic Violence Research Psychiatric 128

Don't Forget the Bubbles

DECEMBER 9, 2024

Clinical recommendations for pain, sedation, withdrawal, and delirium assessment in critically ill infants and children Pediatric Acute Lung Injury and Sepsis Investigators ( PALISI ). It is well-recognised that the environment in the PICU can negatively affect children and their parents/caregivers, increasing the probability of delirium.

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Pediatrics Sepsis Hospitals Administration 59