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

DECEMBER 18, 2023

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. Here is what the USPSTF says: They call for more research.

Pediatrics 145

Pediatrics Documentation/Coding Burns Academics 145

PEMBlog

MARCH 4, 2025

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.

Pediatrics 94

Pediatrics Military CDC Hospitals 94

The Skeptics' Guide to EM

FEBRUARY 1, 2025

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?"

Pediatrics 65

Pediatrics EMS Emergency Department Research 65

Pediatric EM Morsels

JANUARY 19, 2024

If you have ever talked with a pediatric emergency medicine physician about some basic tenets of their practice, one of them will inevitably be, “ Never trust a neonate. ” The first few months of life outside the womb can elucidate a myriad of problems that were previously hidden during the prenatal state. The Journal of Pediatrics.

Infectious Diseases 271

Infectious Diseases CDC Pediatrics Fractures 271

Sensible Medicine

OCTOBER 19, 2023

A few months ago, a sensational letter came out in JAMA Pediatrics. To the editor: Subpart D of 45 Code of Federal Regulations Section §46.404 states that research involving children should not entail greater than minimal risk, meaning that harm or discomfort should be no greater than those encountered in everyday life.

Documentation/Coding 129

Documentation/Coding Pediatrics Research Outcomes 129

The Skeptics' Guide to EM

OCTOBER 14, 2023

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. She is also a member of the Don’t’ Forget the Bubbles team where she serves as the editor for the monthly research round up, Bubble WRAP. It seems awfully high.

Pediatrics 103

Pediatrics Sepsis Urgent Care Emergency Department 103

ACEP Now

JANUARY 5, 2025

Authors of one study clearly felt the same way and implemented a direct admission program across three pediatric health systems. Pediatrics. The post 2024 Emergency Medicine Research Highlights: Forced Air, Sepsis, and More appeared first on ACEP Now. Leyenaar JK, Acquilano SC, Freyleue SD, et al. 2024;154(4):e2024065776.

Sepsis 40

Sepsis Research Airway Management Stroke 40

Pediatric EM Morsels

AUGUST 23, 2024

In the research setting, abnormalities can be found via functional, blood flow, or metabolic imaging. The post Return to Learn / Return to Sport after Concussion appeared first on Pediatric EM Morsels. It does NOT have structural brain damage visible on standard neuroimaging. Br J Sports Med. 2023 Jun;57(11):695-711. PMID: 37316210.

Seizures 281

Seizures Pediatrics Academics Emergency Department 281

The Skeptics' Guide to EM

JUNE 1, 2024

2024 Date: May 29, 2024 Guest Skeptic: Dr. Caleb Ward is a pediatric emergency medicine attending and Associate Professor of Pediatrics and Emergency Medicine at Children’s National Hospital and The George Washington School of Medicine and Health Sciences in Washington, DC. Cochrane Database Syst Rev. Do you think he injured his neck?”

Pediatrics 87

Pediatrics EMS Emergency Department Research 87

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?

Pediatrics 126

Pediatrics Emergency Department Research Fractures 126

Science Based Medicine

JANUARY 14, 2024

The latest report from the American Academy of Pediatrics is filled with misinformation and missing key articles that support the well-researched conclusion that there is no legitimate evidence of negative health effects of glyphosate.

Pediatrics 127

Pediatrics Research Wellness 127

Sensible Medicine

SEPTEMBER 3, 2024

Here is a sample of what I have heard: “You don’t want to raise research funds? We are still conducting clinical trials and research.” ” To some extent I understand the reasoning here for “research". If I was a doctor at a pediatric research hospital, I would focus on transformational drugs.

Pediatrics 79

Pediatrics Poisoning Research Military 79

EMDocs

MARCH 1, 2025

Source Performance of individual criteria of the Pediatric Emergency Care Applied Research Network (PECARN) intraabdominal injury prediction rule. Acad Emerg Med. 2025 Jan 13. doi: 10.1111/acem.15084. Epub ahead of print.

Emergency Department 63

Emergency Department Pediatrics Research 63

Sensible Medicine

OCTOBER 19, 2023

A few months ago, a sensational letter came out in JAMA Pediatrics. To the editor: Subpart D of 45 Code of Federal Regulations Section §46.404 states that research involving children should not entail greater than minimal risk, meaning that harm or discomfort should be no greater than those encountered in everyday life.

Documentation/Coding 92

Documentation/Coding Pediatrics Research Outcomes 92

The Skeptics' Guide to EM

JANUARY 20, 2024

JAMA Pediatr. JAMA Pediatr. Aug 2023 Date: October 30, 2023 Guest Skeptic: Dr. Ellie Hill is a pediatric emergency medicine physician at Children’s National Hospital in Washington, DC and Assistant Professor of Pediatrics and Emergency Medicine at George Washington University School of Medicine and Health Sciences.

Pediatrics 74

Pediatrics Anaphylaxis Emergency Department Outcomes 74

The Skeptics' Guide to EM

FEBRUARY 3, 2024

Systematic Review of CT Angiography in Guiding Management in Pediatric Oropharyngeal Trauma. March 2023 Date: January 30, 2024 Guest Skeptic: Dr. Alexandra (Ali) Espinel is an Associate professor of pediatrics and otolaryngology at Children’s National Hospital and George Washington University. Laryngoscope. Reference: Curry SD, et al.

Pediatrics 68

Pediatrics Radiology Radiology Head Injuries 68

Sensible Medicine

FEBRUARY 18, 2025

What can be gleaned from the study are the outcomes from antibiotic treatment of pediatric appendicitis in children: 66% of children with acute, noncomplicated appendicitis were successfully treated with antibiotics alone. How the clinically important margins are established should be explained in detail in a research article.

Outcomes 86

Outcomes Research Emergency Department Pediatrics 86

The Skeptics' Guide to EM

SEPTEMBER 9, 2023

Ultrasonography or radiography for suspected pediatric distal forearm fractures. Ultrasonography or radiography for suspected pediatric distal forearm fractures. Background: We have covered pediatric wrist fractures a few times on the SGEM. Ultrasonography or radiography for suspected pediatric distal forearm fractures.

Fractures 137

Fractures Ultrasounds Pediatrics Outcomes 137

The Trauma Pro

OCTOBER 4, 2024

A pediatric multi-center study of study on adherence to activity restrictions was published last year. Ten Level I pediatric trauma centers in the US tabulated their experience with solid organ injuries over 3.75 They bide their time waiting for new, published research that they can lean on for their changes. Until now.

Pediatrics 113

Pediatrics Operations Outcomes Emergency Department 113

American Medical Compliance

NOVEMBER 29, 2024

Benefits of CGM Training in Diabetes Management Below, we explore the many benefits of CGM training and how it addresses common challenges in adoption: Improved Patient Outcomes Research shows that CGM users experience fewer episodes of hypoglycemia and hyperglycemia, leading to better overall glycemic control.

Outcomes 105

Outcomes Wellness Operations Pediatrics 105

ACEP Now

MARCH 10, 2025

Often, the role and responsibilities are added to the ED medical director job description, though other specialists including family practitioners, obstetricians and gynecologists, and pediatrics may serve as medical directors. For pediatric programs, it is preferred that the medical director be trained as a child abuse pediatrician.

Sexual Assault 52

Sexual Assault Forensics Leadership Pediatrics 52

Sensible Medicine

JUNE 15, 2024

We force students to do fake research. This is almost exclusively low value, irreproducible, unhelpful research. There is an illness in medical schools — the idea that everyone, no matter how disinterested, should do a useless research project. Universities make this happen. Universities make this happen. We need grades.

Research 144

Research Wellness Academics Administration 144

EMDocs

JULY 9, 2024

The emDOCs.net team is very happy to collaborate with PECARN STELAR (Seattle, Dallas/Texas, and Los Angeles) Node and the Emergency Medical Services for Children Innovation and Improvement Center (EIIC) in presenting high-yield pediatric topics that highlight evidence based medicine with solid research. Acad Pediatr.

Pediatrics 70

Pediatrics Emergency Department Research Burns 70

The Skeptics' Guide to EM

OCTOBER 1, 2022

Disparities in the emergency department management of pediatric migraine by race, ethnicity, and language preference. She is the cofounder of FOAMcast and is a pulmonary embolism […] The post SGEM#378: Keepin’ It REaL when Treating Pediatric Migraine Patients first appeared on The Skeptics Guide to Emergency Medicine.

Pediatrics 52

Pediatrics Emergency Department Documentation/Coding Research 52

The Skeptics' Guide to EM

APRIL 2, 2022

Take-Pause: Efficacy of mindfulness-based virtual reality as an intervention in the pediatric emergency department. She is the cofounder of FOAMcast and is a pulmonary embolism […] The post SGEM#363: View Master – Virtual Reality Immersion Tool to Reduce Pediatric Anxiety first appeared on The Skeptics Guide to Emergency Medicine.

Pediatrics 52

Pediatrics Emergency Department Outcomes Research 52

The Skeptics' Guide to EM

JULY 17, 2018

Validation of the Pediatric NEXUS II Head Computed Tomography Decision Instrument for Selective Imaging of Pediatric Patients with Blunt Head Trauma. Validation of the Pediatric NEXUS II Head Computed Tomography Decision Instrument for Selective Imaging of Pediatric Patients with Blunt Head Trauma.

Pediatrics 52

Pediatrics Head Injuries Academics Emergency Department 52

EMDocs

SEPTEMBER 4, 2024

The emDOCs.net team is very happy to collaborate with PECARN STELAR (Seattle, Dallas/Texas, and Los Angeles) Node and the Emergency Medical Services for Children Innovation and Improvement Center (EIIC) in presenting high-yield pediatric topics that highlight evidence based medicine with solid research.

Pediatrics 97

Pediatrics Outcomes Operations Hospitals 97

Pediatric EM Morsels

AUGUST 9, 2024

The post Congenital Syphilis appeared first on Pediatric EM Morsels. Can identify T. pallidum before antibodies against it can be detected. > 4 weeks of age : Aqueous crystalline penicillin G 50,000 Units/kg IV every 6 hours Treat for 10-14 days. A case of congenital syphilis. Emerg Radiol. 2013 Aug;20(4):337-9. Epub 2013 Feb 27.

Hyperthermia / Hypothermia 154

Hyperthermia / Hypothermia Emergency Department Seizures Pediatrics 154

ACEP Now

MARCH 6, 2024

Every year, the volume of published research continues to outpace capacity to consume. JAMA Pediatr.2023;177(8):782. The post Fourteen Emergency Medicine Research Gems from 2023 appeared first on ACEP Now. Gotta catch ‘em all!” may be an appealing mantra, however it is impracticable to achieve with the medical literature.

Research 52

Research Airway Management Stroke Outcomes 52

The Skeptics' Guide to EM

SEPTEMBER 10, 2022

Single-dose dexamethasone is not inferior to 2 doses in mild to moderate pediatric asthma exacerbations in the emergency department. Pediatr Emerg Care. 2022 Guest Skeptic: Dr. Harrison Hayward is a Pediatric Emergency Medicine fellow at Children’s National Hospital. Pediatr Emerg Care. Pediatr Emerg Care.

Pediatrics 52

Pediatrics Emergency Department Urgent Care Hospitals 52

Don't Forget the Bubbles

NOVEMBER 22, 2023

Is propofol a friend or a foe of the pediatric intensivist? Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies. British journal of anaesthesia. 2019;122(4):448-59. Koriyama H, Duff JP, Guerra GG, Chan AW. The Lancet.

Pediatrics 126

Pediatrics EKG/ECG Research Operations 126

Pediatric EM Morsels

MAY 12, 2023

The post Closed Head Injury – PECARN for < 3 Months: Rebaked Morsel appeared first on Pediatric EM Morsels. Identification of children at very low risk of clinically-important brain injuries after head trauma: a prospective cohort study. 2009 Oct 3;374(9696):1160-70. doi: 10.1016/S0140-6736(09)61558-0. Epub 2009 Sep 14.

Head Injuries 130

Head Injuries Fractures Pediatrics EMS 130

Don't Forget the Bubbles

MAY 31, 2023

The patients were identified through site leads from the PERUKI research network. Because of the retrospective nature of the study, if data had not been recorded in the ED notes, it was not available to researchers. D., & Paediatric Emergency Research United Kingdom and Ireland (PERUKI) (2023). Which patients were involved?

Emergency Department 135

Emergency Department Research Documentation/Coding Outcomes 135

EMDocs

NOVEMBER 19, 2024

2 Lipid emulsion has been considered due to the lipophilic nature of atypical antipsychotics; however, studies are limited on this topic, and this is an area that could benefit from further research. Low-dose lipid emulsion for pediatric vasoplegic shock due to quetiapine and fluvoxamine overdose: a case report. Hum Exp Toxicol.

Poisoning 108

Poisoning Hyperthermia / Hypothermia EKG/ECG Seizures 108

Don't Forget the Bubbles

AUGUST 28, 2023

Arguably, more robust research is neither feasible nor ethical to conduct in such a rare and time-critical emergency. Given that the study is now nearly 20 years old, newer research is needed to further back up current guidelines. Pediatr Surg Int. Pediatric mediastinal lymphoma. Pediatric mediastinal masses.

Pediatrics 97

Pediatrics Research Emergency Department Ultrasounds 97

Don't Forget the Bubbles

DECEMBER 25, 2023

Interpreting Research Outcomes with a Little Bathroom Humour You have learned a method for how to read a research paper , and now you are faced with a bunch of outcomes. The researchers should have specified a clear research question or aim. Ultrasonography or radiography for suspected pediatric distal forearm fractures.

Research 83

Research Outcomes Fractures Pediatrics 83