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. This definition includes clinically apparent seizures as well as those seen only on EEG.) Or… is it something else as well? Pediatric status epilepticus is analogous to the multi-organ dysfunction syndrome in severe sepsis. Boston, MA.

Pediatrics 40

Pediatrics Seizures Stroke Radiology 40

Don't Forget the Bubbles

JUNE 30, 2023

Well, one study in Kornelson’s systematic review and meta-analysis is interesting. 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). Pediatr Crit Care Med. Or is there a risk TXA could cause harm?”

Head Injuries 145

Head Injuries Seizures Pediatrics Outcomes 145

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

Pediatric Education

JULY 14, 2024

He was overall well but his father noted that he had a “bump” on the side of his forehead. The patient was referred to neurosurgery and radiologic evaluation of a magnetic resonance imaging study revealed a dermoid cyst. Patient Presentation A 24-month-old male came to clinic for his health supervision visit.

Radiology 52

Radiology Radiology Pediatrics Operations 52

Pediatric Education

JUNE 9, 2024

She said she hadn’t felt well for a couple hours before that and had had some nausea and emesis before the pain. She had eaten the same food as her college roommates who were all well. The radiologic evaluation of ultrasound showed an enlarged right ovary with a large follicular cyst and decreased blood flow in the pedicle.

Pediatrics 52

Pediatrics Ultrasounds Radiology Radiology 52

Don't Forget the Bubbles

NOVEMBER 8, 2023

Tilly is normally fit and well, with no significant past medical history. The Shera Score Children with a low Shera score (less than 3) who are otherwise systemically well may be suitable for discharge home with safety netting advice , whereas patients with high scores (8 or more) warrant immediate surgical referral. Pediatrics, 2012.

Emergency Department 105

Emergency Department Ultrasounds Pediatrics Best Practices 105

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 pediatric patients with an inguinal hernia, a unilateral frog leg position is helpful for aligning the inguinal canal. (7) Emergency Radiology (Print) , vol. This allows gravity to assist you.

Ultrasounds 93

Ultrasounds Emergency Department Pediatrics Radiology 93

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

Pediatric Education

NOVEMBER 5, 2023

Patient Presentation A 4-month-old male came to clinic for his well child appointment. He was doing well, was breastfeeding, smiling and had good head control during tummy time. The pertinent physical exam showed a well-appearing male with all three growth parameters growing normally at approximately 50%. Atlas Obscura.

Radiology 52

Radiology Radiology Pediatrics Wellness 52

Don't Forget the Bubbles

MARCH 11, 2024

There are many causes, and it is less well understood than plagiocephaly. 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.

Radiology 59

Radiology Radiology Pediatrics Documentation/Coding 59

Pediatric Education

AUGUST 4, 2024

Angiography and/or venography may be considered as well. Pediatr Radiol. Surgical treatment of thoracic outlet syndrome in pediatrics. Journal of Pediatric Surgery. D’Alessandro, MD Professor of Pediatrics, University of Iowa Other testing can include nerve conduction tests or electromyography studies.

Pediatrics 52

Pediatrics Radiology Radiology Operations 52

Pediatric Education

OCTOBER 22, 2023

Patient Presentation A 2-week-old female came to clinic for her 2 week well child appointment. Her parents felt that she was doing well with feeding every 2-3 hours with many urine and stool diapers per day. The radiologic evaluation confirmed that these were subcutaneous fat necrosis. Her mild jaundice had disappeared.

Radiology 52

Radiology Radiology Fractures Pediatrics 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

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

Pediatric Education

AUGUST 27, 2023

This obviously is not a congenital malformation, but can be seen with them as well or is due to other conditions Questions for Further Discussion 1. Indian J Pediatr. Cardiomegaly on chest radiographs as a predictor of heart disease in the pediatric population. Differential diagnosis of characteristic pediatric heart shapes.

Pediatrics 40

Pediatrics Radiology Radiology Wellness 40

Pediatric Education

SEPTEMBER 10, 2023

The radiologic evaluation included a chest x-ray which showed suspected right-sided tracheal mass. Surgical treatment may include ligation as well as vascular re-implantation. These patients may have tracheal stenosis as well as ~75% may have complete cartilaginous tracheal rings. Semin Pediatr Surg. Pediatr Radiol.

Pediatrics 40

Pediatrics Radiology Radiology Sepsis 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

Pediatric Emergency Playbook

FEBRUARY 1, 2016

Protocols work well for adults, but trauma in children requires that we exercise our clinical muscles just a bit more. 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. J Pediatr Surg.

Resuscitation 40

Resuscitation Pediatrics Fractures Emergency Department 40

PEMBlog

SEPTEMBER 13, 2023

This harm can manifest through the discomfort of blood draws and urine catheterizations, as well as the radiation exposure involved in head CT scans. Fever First, is there a fever in a previously well child between the ages of 6 months and 5 years? 2006;67(9):1542-1550 American Academy of Pediatrics, Subcommittee on Febrile Seizures.

Seizures 52

Seizures Pediatrics Point-of-Care Testing Wellness 52

Taming the SRU

APRIL 5, 2023

The kidney will have a different axis as well as level of lie, so care should be taken to scan broadly if the renal cortex is not immediately apparent. Evaluation of the anechoic structure itself, as well as the relative location and communication with the renal pelvis is crucial. Horseshoe Kidney: Radiology Reference Article.

Ultrasounds 52

Ultrasounds Pediatrics Radiology Radiology 52

Pediatric Emergency Playbook

MARCH 1, 2016

Pediatric Massive Transfusion 40 mL/kg of blood products given at any time within the first 24 hours. Adults tolerate hypotension relatively well, and is sufficient until we send them to the OR or interventional radiology suite. Massive transfusion and blood product use in the pediatric trauma patient. Semin Pediatr Surg.

Resuscitation 40

Resuscitation Pediatrics Hyperthermia / Hypothermia Operations 40

SheMD

MAY 14, 2023

On the first week of my OB/GYN rotation as a medical student, I was becoming very enamored with the specialty and was considering switching into it from my lifelong goal of pediatrics. Two days later, an Interventional Radiology resident contacted me right after they performed an artery coil embolization on a patient.

OB/GYN 52

OB/GYN Radiology Radiology Pediatrics 52

Dr. Smith's ECG Blog

DECEMBER 10, 2019

The pediatric team felt it might be ACS, but on review of his prior ECGs, it was thought to be really unchanged from the 2 prior and more consistent with myocarditis. But I showed it to our expert and chief of radiology, Gopal Punjabi, and he read it as normal. What I find interesting here is the new Q-wave in lead III.

EKG/ECG 52

EKG/ECG Radiology Radiology Pediatrics 52

Pediatric Emergency Playbook

APRIL 1, 2017

Look for a small tip diameter (to fit in the ear canal as well as the nose) and a strong “hold” (at least a 3-lb hold). Pediatrics. Pediatrics. Procedural sedation use in the ED: management of pediatric ear and nose foreign bodies. Pediatr Emerg Care. Removal of nasal foreign bodies in the pediatric population.

Pediatrics 52

Pediatrics CPR Operations Resuscitation 52

ACEP Now

NOVEMBER 14, 2023

True hemoptysis is usually bright red and/or foamy blood, and is associated with respiratory symptoms as well as a sensation of warmth in the chest. Inhaled tranexamic acid as a novel treatment for pulmonary hemorrhage in critically ill pediatric patients: An observational study. 2018;154(6):1379-1384. Crit Care Explor.

Radiology 52

Radiology Radiology Emergency Department Airway Management 52

Taming the SRU

MAY 30, 2023

Comiskey Hyperammonemia 10% of of patient presenting with hepatic encephalopathy do not have elevated ammonias Most commonly seen in adults is secondary to liver dysfunction with cirrhosis or portal venous system shunting.

OB/GYN 52

OB/GYN Ultrasounds Pediatrics Resuscitation 52

Advanced Emergency Nursing from AENJ

FEBRUARY 29, 2016

A natural one, and especially suited for increasing capability without regard to physician residency program output of graduates, and in less-well-served rural areas. Rebuilding of EDs in proximity to Radiology, Blood Bank, OR, and ICU, becoming organic to the hospital. 1950s & 1960s Resuscitation Research.

Emergency Nursing 40

Emergency Nursing EMS Resuscitation Military 40

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

Don't Forget the Bubbles

JANUARY 27, 2025

Overall, ovarian ischaemia is multi-factorial in cases of torsion and there is no clear predictor of necrosis therefore further emphasising the importance of timely action, rationalised use of imaging available to you, appropriate discussions with radiology and surgical teams and low thresholds to escalate. Mansuria S.M, Donnellan N.M

Ultrasounds 76

Ultrasounds Emergency Department Pediatrics Dehydration 76

Don't Forget the Bubbles

SEPTEMBER 20, 2023

Although there are guidelines from leading organisations, and the potentially harmful effects of unnecessary radiation exposure are well known, AXRs are widely used in practice. The interpretation of radiological findings is subjective. Pediatric Abdominal X-rays in the Acute Care Setting – Are We Overdiagnosing Constipation?

Pediatrics 133

Pediatrics Emergency Department Radiology Radiology 133

PEMBlog

SEPTEMBER 20, 2023

The Choosing Wisely Pediatric Emergency Medicine Recommendations The Choosing Wisely Campaign Toolkit Expert Contributors Kelly Levasseur, DO Children’s Hospital of Michigan Detroit, MI, USA docklevasseur@gmail.com Jennifer Thull-Freedman, MD Alberta Children’s Hospital Calgary, Alberta, Canada Jennifer.Thull-Freedman@albertahealthservices.ca

Pediatrics 123

Pediatrics Emergency Department Hospitals Ultrasounds 123

Don't Forget the Bubbles

JANUARY 22, 2024

Clinical and radiological findings supported the diagnosis of pneumonia. Blood cultures are commonly drawn for certain focal infections such as pneumonia , skin and soft tissue infections (SSTIs), asthma , bronchiolitis as well and UTIs. Front Pediatr. You wondered how useful the liver function tests and blood cultures were.

Emergency Department 90

Emergency Department Best Practices Radiology Radiology 90

Pediatric Education

JULY 28, 2024

Her mother said she was feeding well every 2-3 hours and had been urinating and stooling frequency. The diagnosis of of clitoromegaly was made and the pediatrician consulted a pediatric endocrinologist who agreed that more evaluation was needed right away because of the risk of congenital adrenal hyperplasia. cm or greater.

Pediatrics 40

Pediatrics Radiology Radiology Wellness 40

Advanced Emergency Nursing from AENJ

MAY 27, 2015

If mere criminality was the only matter, there’s some cash, personal electronics, appliances, and business machines; if not merely criminal, and well-studied beforehand, there are to be had radioactive materials, drugs, toxins, chemicals, and many who would pay a ransom for the loved ones within.

Federal Emergency Management Agency 40

Federal Emergency Management Agency Military Hospitals Administration 40

Pediatric Education

APRIL 21, 2024

The past medical history showed no bruising or bleeding problems, no pulmonary problems and he had otherwise been well. The radiologic evaluation of a chest radiograph showed prominent interstitial markings at the bases but no obvious focal infiltrate. Int J Pediatr Otorhinolaryngol. Pediatr Pulmonol. Pediatr Rev.

Pediatrics 40

Pediatrics Infectious Diseases Radiology Radiology 40

Don't Forget the Bubbles

AUGUST 13, 2023

Assessment of the child ( NICE guidelines + NCBI – management of pediatric febrile seizures ) If the child is actively having seizures in the ED: Airway assessment and management – confirm and protect the airway. After a short period of observation in the ED, he looks well and has been eating and drinking normally and playing.

Seizures 97

Seizures Pediatrics Dehydration Radiology 97