EM SIM Cases

MAY 9, 2023

When it comes to pediatric drowning, prevention is the best medicine. The team should begin CPR and follow the PALS pediatric bradycardia algorithm. Pediatric Drowning Download Hon, K. , Pediatric Emergency Care,32 (9), 623-626. PICU should be called if not already involved. Cheung, H. & & Cheung, K.

Pediatrics 52

Pediatrics CPR Radiology Radiology 52

Don't Forget the Bubbles

SEPTEMBER 13, 2023

The American College of Radiology guidelines provide further detail on imaging recommendations based on different age and seizure type variants. Take home points References American Academy of Pediatrics, Subcommittee on Febrile Seizures. Pediatrics. J Trop Pediatr. Pediatr Rev. Pediatrics. Front Pediatr.

Seizures 131

Seizures Pediatrics Emergency Department Radiology 131

Pediatric Emergency Playbook

NOVEMBER 1, 2016

What am I seeing -- or not seeing -- here? First a refresher on radiographic anatomy of the elbow -- Images courtesy of Radioglypics (Open Access Radiology Education). 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.

Pediatrics 52

Pediatrics Fractures Dislocations Radiology 52

ALiEM

JUNE 10, 2024

Similarly, the Pediatric Emergency Care Applied Research Network (PECARN) has developed robust tools for assessing blunt head trauma in children. However, until now, there has been a gap in guidance for clinicians managing pediatric patients at risk for cervical spine injuries. Case Scenario: What would you do? High Risk (>12.1%

Pediatrics 126

Pediatrics Emergency Department Research Fractures 126

Don't Forget the Bubbles

JULY 24, 2023

Radiological resolution can take time. Pediatric Radiology. PEDIATRICS. The Journal of Pediatrics. Vertebral osteomyelitis: assessment using MR. Radiology. It can reduce diagnostic delay and can identify adjacent inflammatory lesions requiring prolonged treatment +/- surgical intervention. 1993 Jul 1;17(1).

Radiology 98

Radiology Radiology Infectious Diseases Pediatrics 98

Life in the Fast Lane

DECEMBER 10, 2023

Michael Gibbs MD Pediatric Ortho Cases 007 December 2022; Elbow injuries. Pediatric Orthopedic case interpretation with Haley Dusek, Danielle Sutton, and Virginia Casey

Pediatrics 52

Pediatrics Dislocations Radiology Radiology 52

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. Curr Opin Pediatr. Hip Pain in Pediatrics. BMC Musculoskelet Disord.

Pediatrics 52

Pediatrics Ultrasounds Emergency Department Radiology 52

EMDocs

OCTOBER 30, 2023

2 In response to the constrained availability of contrast media, emergency medicine (EM) and radiology departments were compelled to enact modifications in their imaging techniques. In most cases, the radiology team functioned as the main decision-maker playing a key role in drafting institutional protocols. 11 Table 1.

Radiology 92

Radiology Radiology Emergency Department Hospitals 92

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. Treatment: stabilization, embolization by interventional radiology, elective extirpation when more stable. Pediatr Emerg Care. Boston, MA.

Pediatrics 40

Pediatrics Seizures Stroke Radiology 40

Don't Forget the Bubbles

JUNE 30, 2023

She’s wheeled to radiology. Tranexamic acid administration to pediatric trauma patients in a combat setting: the pediatric trauma and tranexamic acid study (PED-TRAX). Effectiveness and safety of tranexamic acid in pediatric trauma: A systematic review and meta-analysis. Pediatr Crit Care Med. Brakes off.

Head Injuries 145

Head Injuries Seizures Pediatrics Outcomes 145

Don't Forget the Bubbles

FEBRUARY 5, 2025

E.g. burns, neurosurgery, interventional radiology. Signs of Hypovolaemia Children have approximately 80ml/kg of blood volume; clinical signs of shock may not occur until there has been a loss of more than 20% of circulating blood volume in pediatric trauma. Clinical Radiology: Major paediatric trauma radiology guidance.

Domestic Violence 59

Domestic Violence Fluid Resuscitation Head Injuries Sexual Assault 59

PEMBlog

SEPTEMBER 1, 2023

We can help our Radiology colleagues by avoiding unnecessary chest X-ray orders for most children with respiratory problems such as bronchiolitis, asthma exacerbations, croup, or first-time wheezing. The Choosing Wisely Pediatric Emergency Medicine Recommendations The Choosing Wisely Campaign Toolkit

Radiology 52

Radiology Radiology Pediatrics 52

Pediatric Education

JULY 14, 2024

The patient was referred to neurosurgery and radiologic evaluation of a magnetic resonance imaging study revealed a dermoid cyst. Treatment is excision with or without pre-operative radiological imaging depending on patient age and location. Cranial Erosion Associated With Non-Midline Dermoid Cysts in the Pediatric Population.

Radiology 52

Radiology Radiology Pediatrics Operations 52

Pediatric Education

JUNE 9, 2024

The radiologic evaluation of ultrasound showed an enlarged right ovary with a large follicular cyst and decreased blood flow in the pedicle. Other symptoms may include nausea, emesis and fever in 1-7% of patients with fever more common in the pediatric age group. Journal of Pediatric Surgery. Eur J Pediatr. Eur J Pediatr.

Pediatrics 52

Pediatrics Ultrasounds Radiology Radiology 52

PEMBlog

SEPTEMBER 23, 2024

PEMPix is the American Academy of Pediatrics Section on Emergency Medicine’s annual visual diagnosis competition. This case was submitted by Dr. “Intracranial arachnoid cysts: Pediatric neurosurgery update.” Journal of pediatric neurosciences vol. Understanding Subdural Collections in Pediatric Abusive Head Trauma.”

Pediatrics 59

Pediatrics Radiology Radiology Research 59

ALiEM

MAY 13, 2024

Read this tutorial on the use of point of care ultrasonography (POCUS) for pediatric soft tissue ultrasonography. Take the ALiEMU PEM POCUS: Soft Tissue Quiz Case Goals List the indications of performing a pediatric soft tissue point-of-care ultrasound (POCUS). Pediatric Soft Tissue POCUS Ultrasound Technique Figure 1.

Ultrasounds 64

Ultrasounds Pediatrics Emergency Department Wellness 64

Don't Forget the Bubbles

NOVEMBER 8, 2023

Pediatrics, 2012. European Journal of Pediatrics, 1996. Diagnostic Accuracy of History, Physical Examination, Laboratory Tests, and Point-of-care Ultrasound for Pediatric Acute Appendicitis in the Emergency Department: A Systematic Review and Meta-analysis. Hospital Admitted Patient Care Activity. Bachur, R.G., 129 (5): p.

Emergency Department 105

Emergency Department Ultrasounds Pediatrics Best Practices 105

Pediatric Emergency Playbook

JANUARY 1, 2018

In the Journal of Pediatric Radiology, Servaes et al catalogued the ultrasound findings in children with surgically confirmed torsion over a 12 year period. Incidence and trends of pediatric ovarian torsion hospitalizations in the United States, 2000-2006. Pediatrics 2010;125:532-8. Pediatr Emerg Care.

Pediatrics 52

Pediatrics Ultrasounds Radiology Radiology 52

Pediatric Education

FEBRUARY 4, 2024

The radiologic evaluation of an ultrasound examination showed a small hypoechoic mass in the area of right adrenal gland that was smaller than previously recorded prenatally. What are the most common pediatric cancers? Pediatr Surg Int. Pediatr Radiol. D’Alessandro, MD Professor of Pediatrics, University of Iowa

Ultrasounds 52

Ultrasounds Radiology Radiology Pediatrics 52

Don't Forget the Bubbles

MARCH 11, 2024

References The ISPN Guide to Pediatric Neurosurgery (USA): Positional Plagiocephaly in Children Homepage. New York, USA: The International Society for Pediatric Neurosurgery, 2024 (Accessed January 9, 2024). Craniosynostosis, The Radiology Assistant. The Radiology Assistant: Craniosynostosis Accessed 10.01.2024 Mawji, A.,

Radiology 59

Radiology Radiology Pediatrics Documentation/Coding 59

Taming the SRU

APRIL 14, 2024

For pediatric patients with an inguinal hernia, a unilateral frog leg position is helpful for aligning the inguinal canal. (7) For hernias that are difficult to reduce, make sure the patient is in optimal positioning including Trendelenburg, or unilateral frog leg positioning for pediatric patients. Emergency Radiology (Print) , vol.

Ultrasounds 93

Ultrasounds Emergency Department Pediatrics Radiology 93

Don't Forget the Bubbles

OCTOBER 11, 2023

Journal of pediatric gastroenterology and nutrition. Increase in pediatric magnet-related foreign bodies requiring emergency care. Reference s Hussain SZ, Bousvaros A, Gilger M, Mamula P, Gupta S, Kramer R, Noel RA. Management of ingested magnets in children. 2012 Sep 1;55(3):239-42. Silverman JA, Brown JC, Willis MM, Ebel BE.

Pediatrics 116

Pediatrics Operations Radiology Radiology 116

The Skeptics' Guide to EM

NOVEMBER 9, 2019

You do not have an ultrasound tech available at night and you are thinking of using your point of care ultrasound (POCUS) skills to look for a possible appendicitis, but you are unsure how accurate this test would be especially compared to other modalities such as radiology performed ultrasound.

Ultrasounds 52

Ultrasounds Fractures Pediatrics Radiology 52

Pediatric Education

AUGUST 4, 2024

Related Cases Disease: Thoracic Outlet Syndrome Symptom/Presentation: Pain Specialty: Neurology / Neurosurgery | Orthopaedic Surgery and Sports Medicine | Radiology / Nuclear Medicine / Radiation Oncology Age: Teenager To Learn More To view pediatric review articles on this topic from the past year check PubMed. Pediatr Radiol.

Pediatrics 52

Pediatrics Radiology Radiology Operations 52

Pediatric Education

NOVEMBER 5, 2023

The radiologic evaluation showed a normally open metopic suture and all other sutures were also open. D’Alessandro, MD Professor of Pediatrics, Unive The rest of his examination was normal. The patient was referred back to the pediatrician for continued monitoring. Figure 135 – Craniosynostosis Types. Atlas Obscura.

Radiology 52

Radiology Radiology Pediatrics Wellness 52

Pediatric Education

OCTOBER 22, 2023

The radiologic evaluation confirmed that these were subcutaneous fat necrosis. D’Alessandro, MD Professor of Pediatrics, University of Iowa The pediatrician thought that given the history, location and texture of the masses, that this was most likely fat necrosis secondary to the forceps delivery. BJOG Int J Obstet Gynaecol.

Radiology 52

Radiology Radiology Fractures Pediatrics 52

Pediatric Education

APRIL 30, 2023

How is pediatric stroke different than perinatal stroke? Pediatr Neurol. Semin Pediatr Neurol. D’Alessandro, MD Professor of Pediatrics, University of Iowa Often subtle neurological findings Imaging: Thrombosis and/or venous infarction is seen Questions for Further Discussion 1. A review can be found here 3.

Stroke 52

Stroke Seizures Pediatrics Hyperthermia / Hypothermia 52

Northwestern EM Blog

MAY 16, 2022

vs. It is worth mentioning that this study was a multicenter study based in the US with representation from ED, Radiology, and Urology. pediatrics, pregnancy, solitary kidney, fever, unstable/critically ill, unrelenting pain, atypical features, etc). were hospitalizations during f/u period; 26.4% And, it's not a “formal” US.

Ultrasounds 52

Ultrasounds Radiology Radiology Outcomes 52

PEMBlog

JUNE 5, 2024

It was inspired by a hot-off-the-presses publication from the Pediatric Emergency Care Applied Research Network (PECARN) focused on clinical decision rules for cervical spine imaging in children. Leonard JR, Jaffe DM, Kuppermann N, Olsen CS, Leonard JC; Pediatric Emergency Care Applied Research Network (PECARN) Cervical Spine Study Group.

Fractures 52

Fractures Pediatrics Radiology Radiology 52

Pediatric Education

AUGUST 27, 2023

A review can be found here Related Cases Disease: Congenital Heart Disease Symptom/Presentation: Cyanosis Specialty: Cardiology / Cardiovascular-Thoracic Surgery | Neonatology | Radiology / Nuclear Medicine / Radiation Oncology Age: Newborn To Learn More To view pediatric review articles on this topic from the past year check PubMed.

Pediatrics 40

Pediatrics Radiology Radiology Wellness 40

Pediatric Emergency Playbook

FEBRUARY 1, 2016

Crash course in pediatric anatomy and physiology in trauma When you think of trauma in children, think of Charlie Brown. In pediatric trauma, we need to be proactive. Chest Tube Pearl #1: Chest tube sizing in pediatrics is straightforward if we remember that the traditional chest tube size is 4 x the ETT size. J Pediatr Surg.

Resuscitation 40

Resuscitation Pediatrics Fractures Emergency Department 40

Taming the SRU

SEPTEMBER 15, 2023

ultrasound grand rounds: bedside dvt studies - family presence in the ed/icu - r1 clinical knowledge: aicd - r3 small groups: difficult airway management Ultrasound grand rounds: DVT studies WITH Dr. minges Why should we perform bedside DVT studies in the ED?

CPR 90

CPR Burns Airway Management Wellness 90

Advanced Emergency Nursing from AENJ

DECEMBER 18, 2014

Emergency Medicine Journal , 25 (12), 824-826. The Ten Commandments of Medical Emergency Management for Dentists Pediatric Emergency Medicines Ten Commandments of Pediatric Emergency Medicine Givens T. The Ten Commandments of Pediatric Emergency Medicine. J Emerg Med. 2004 Aug;27(2):193-4. PubMed PMID: 15261366.

Mass Casualty Incidents 40

Mass Casualty Incidents Burns Urgent Care Pediatrics 40

Pediatric Education

SEPTEMBER 10, 2023

The radiologic evaluation included a chest x-ray which showed suspected right-sided tracheal mass. Semin Pediatr Surg. Pediatr Radiol. Pediatr Pulmonol. Pediatr Pulmonol. D’Alessandro, MD Professor of Pediatrics, University of Iowa The heart examination showed normal S1, S2 without murmurs.

Pediatrics 40

Pediatrics Radiology Radiology Sepsis 40

PEMBlog

SEPTEMBER 1, 2023

You can learn more about the Choosing Wisely Pediatric Emergency Medicine recommendations in the links below The Choosing Wisely Pediatric Emergency Medicine Recommendations The Choosing Wisely Campaign Toolkit Vincent Alexander who conducts a simulated discussion with a parent of a child with a respiratory illness.

Pediatrics 52

Pediatrics Infectious Diseases Radiology Radiology 52

Pediatric Education

FEBRUARY 18, 2024

Later the senior resident had heard from another pediatric resident in the emergency room that they were treating the child for a diagnosis of probable seizures as the radiologic evaluation of head imaging was normal and it didn’t appear that the child had other problems such as respiratory causes. Curr Opin Pediatr.

Seizures 40

Seizures Pediatrics Psychiatric Radiology 40

PEMBlog

SEPTEMBER 22, 2023

The Choosing Wisely Pediatric Emergency Medicine Recommendations The Choosing Wisely Campaign Toolkit For most children with children with constipation an abdominal X-Ray will not assist in making the diagnosis or quantifying the exact stool burden. WilltheThrill2 made a special video that helps to answer the question.

Pediatrics 52

Pediatrics Radiology Radiology 52