Pediatric EM Morsels

AUGUST 23, 2024

The post Return to Learn / Return to Sport after Concussion appeared first on Pediatric EM Morsels. Br J Sports Med. 2023 Jun;57(11):695-711. doi: 10.1136/bjsports-2023-106898. PMID: 37316210.

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Seizures Pediatrics Academics Emergency Department 281

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. Plus, well discuss whether M. pneumoniae even needs to be treated in the first place! Plus, well discuss whether M. UpToDate , 1 Nov.

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Pediatrics Military CDC Seizures 94

Taming the SRU

DECEMBER 17, 2024

This has been particularly validated in pediatric literature; however, this can be applicable to the adult patient population within the right circumstances i.e A number of studies have compared the effects of ORT and IV rehydration therapy in infants and children with acute GI illness.

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Dehydration Fluid Resuscitation Resuscitation Administration 85

PEMBlog

SEPTEMBER 15, 2023

Did you know that lab tests and CT scans are not recommended for most children who fully recover after a simple febrile seizure or a first-time, unprovoked generalized seizure? This video features Dr. Archit Sahai who conducts a simulated discussion with a parent of a child following a seizure.

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Seizures Pediatrics 52

ACEP Now

JULY 7, 2024

35-year-old man presents by EMS with seizures. According to family at the scene, he has a history of seizures but has not been taking his medication recently. On arrival, he is obtunded, foaming at the mouth, and exhibiting generalized tonic-clonic seizure activity. Clinical Question » How should status epilepticus be diagnosed?

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Seizures Emergency Department Outcomes EMS 52

Don't Forget the Bubbles

JANUARY 29, 2024

A UK-based study found that 4% of admissions to a tertiary paediatric intensive care unit (PICU) over a 10-year period were due to refractory status epilepticus (RSE) – seizures which fail to terminate despite appropriate first and second-line treatments. Despite this, the CFAM still showed ongoing electrical seizure activity.

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Seizures Pediatrics Research Wellness 122

The Skeptics' Guide to EM

DECEMBER 15, 2018

Acetaminophen and febrile seizure recurrences during the same fever episode. Pediatrics. He specialises in Paediatric Emergency Medicine and is a passionate […] The post SGEM#239: Febrile Seizure Recurrence – With or Without You Acetaminophen? Acetaminophen and febrile seizure recurrences during the same fever episode.

Seizures 52

Seizures Pediatrics Emergency Department Administration 52

JournalFeed

APRIL 24, 2021

We cover leadership through change, IN midazolam for pediatric seizure, hypothermia and young infant sepsis risk, VICTAS RCT, and clinically diagnosing GHB intoxication. It’s the JournalFeed Podcast for the week of Apr 19-23, 2021.

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Hyperthermia / Hypothermia Seizures Sepsis Leadership 52

PEMBlog

SEPTEMBER 13, 2023

Team members and families eagerly await your intervention to halt the seizure and understand its underlying cause. The lack of utility of laboratory testing in children with an unprovoked generalized seizure, or a simple febrile seizure is supported by several observational studies.

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Seizures Pediatrics Point-of-Care Testing Wellness 52

JournalFeed

DECEMBER 11, 2021

We cover patient-centered diagnostic excellence, alteplase before endovascular stroke treatment, steroids for pediatric retropharyngeal abscess, LP for febrile seizure, and the new AHA chest pain guideline. It’s the JournalFeed Podcast for the week of December 6-10, 2021.

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Seizures Stroke Pediatrics 52

Pediatric EM Morsels

AUGUST 18, 2023

Jackson 2016) A systematic review of safety data for over 16000 pediatric patients did show MAEs were the most frequently reported event. 451 pediatric patients were included. From 2001 to 2009, in a pediatric hospital gram negative culture showed a drop in sensitivity to ciprofloxacin from 96% to 93%. Pediatrics.

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Pediatrics Infectious Diseases Seizures Hospitals 130

PEMBlog

AUGUST 28, 2023

Staring this week, and continuing for the next five, we will be releasing new content supporting the key Pediatric Emergency Medicine recommendations of Choosing Wisely. Do not obtain screening laboratory tests in the medical clearance process of pediatric patients who require inpatient psychiatric admission unless clinically indicated.

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Pediatrics Seizures Psychiatric 52

Pediatric Emergency Playbook

SEPTEMBER 1, 2015

Get up-to-date in the understanding and management of pediatric status epilepticus. Definition of status epilepticus:Continuous seizure activity of 5 minutes or greater – OR – Recurrent activity without recovery between intervals. This definition includes clinically apparent seizures as well as those seen only on EEG.)

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Pediatrics Seizures Stroke Radiology 40

Don't Forget the Bubbles

SEPTEMBER 6, 2023

The stepwise approach was guided by vital signs, presence of seizures or focal neurology, presence of trauma (including attempted hanging or cutting), overdoses and substance misuse, level of consciousness, medical complaints, history of alleged sexual assault/rape, and developmental delay. Hosp Pediatr. Pediatrics.

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Psychiatric Sexual Assault Emergency Department Pediatrics 119

Pediatric EM Morsels

APRIL 7, 2023

There are many conditions that we would like to think belong only to the “ adult patient problem DDx; ” however, as we have discussed several times previously, pediatric patients can experience many “adult conditions” (see, Aortic Dissection , Kidney Stones , and Cholecystitis ). Expert Rev Hematol. doi: 10.1586/ehm.13.25.

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Stroke Pediatrics Seizures Sepsis 130

EMDocs

NOVEMBER 6, 2023

Flumazenil administration is associated with harm in patients who are at increased risk for seizures or dysrhythmias. We recommend the use of benzodiazepines to treat seizures associated with local anesthetic systemic toxicity. Editorial Comment: Give atropine, benzo’s for seizures. COR No Benefit, LOE C-EO.

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Poisoning Hyperthermia / Hypothermia Seizures Administration 116

EMDocs

MARCH 2, 2024

 An Pediatr (Engl Ed). 2019 Seizure as Early Presentation of a Pneumocephalus after Cochlear Implant: A Case Report. J The most common causes include trauma and cranial surgeries, but there are other etiological factors, and in rare cases, it can also be spontaneous. [1-3] Int J Crit Illn Inj Sci. 2017  2017 Jan-Mar;7(1):58-64.

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EMS Fractures Seizures Head Injuries 120

Pediatric Education

APRIL 30, 2023

The past medical history showed she was a 38 week infant who had neonatal seizures that were easily controlled. She was weaned off antiepileptics after not having additional seizures several months later. How is pediatric stroke different than perinatal stroke? Otherwise she was described as a normally developing child.

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Stroke Seizures Pediatrics Hyperthermia / Hypothermia 52

EMDocs

JUNE 9, 2023

If you have restraints in your ambulance, are those restraints appropriately sized for pediatric patients? Because of these factors, the restraint techniques and thresholds to restrain a patient differ from the in-hospital environment. Patients who are in custody or arrested should be accompanied by a law enforcement officer during transport.

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EMS Documentation/Coding Pediatrics Psychiatric 98

The Skeptics' Guide to EM

NOVEMBER 18, 2017

We have covered fever before on the SGEM in pediatric patients. There was the great episode on pediatric fever fear with PedEM Super Hero Anthony Crocco ( SGEM#95 ). We also did a RANThony on pediatric fever fear that you can watch on YouTube. Will treating with antipyretics prevent a febrile seizure?

Sepsis 52

Sepsis Emergency Department Seizures Pediatrics 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

EMDocs

AUGUST 3, 2023

Massive acetylcysteine overdose associated with cerebral edema and seizures. Pediatr Emerg Care. link] Heard K, Schaeffer TH. Clin Toxicol (Phila). 2011 Jun;49(5):423-5. doi: 10.3109/15563650.2011.583664. PMID: 21740141. Brush DE, Boyer EW. Intravenous N-acetylcysteine for children. 2004;20(9):649-650. doi:10.1097/01.pec.0000139754.56001.90

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Poisoning Seizures Administration Pediatrics 98

Pediatric Emergency Playbook

OCTOBER 1, 2017

J Neurosurg Pediatrics. Vagus nerve stimulation for partial seizures. Complications of Intrathecal Baclofen Pump Therapy in Pediatric Patients. J Pediatr Orthop. Pediatr Neurosurg. for the Pediatric Heart Transplant Study Investigators. Prospective Trial of a Pediatric Ventricular Assist Device.

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Pediatrics Seizures Stroke Ultrasounds 52

Taming the SRU

MARCH 17, 2023

mepivacaine (1-3 h) 1% lidocaine +/- epi (2-3h) 0.25% bupivacaine (2-3 h) 0.25-0.5% mg/kg IV Versed: 0.2 mg/kg IM, 0.2 mg/kg IN (may repeat to max of 0.4 mg/kg IN), 0.2 mg/kg IV Versed: 0.2 mg/kg IM, 0.2 mg/kg IN (may repeat to max of 0.4 mg/kg IN), 0.2 mg/kg IV Versed: 0.2 mg/kg IM, 0.2 mg/kg IN (may repeat to max of 0.4 mg/kg IN), 0.2

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Seizures Fractures Burns Pediatrics 40

Pediatric Education

FEBRUARY 18, 2024

There was no reported respiratory distress or problems handling secretions and no obvious seizure activity. Seizures, cerebrovascular problems and central nervous system tumor swirl in professionals’ heads as they take in the history, physical examination and start to evaluate and manage the problem. How are seizures classified?

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Seizures Pediatrics Psychiatric Radiology 40

The Skeptics' Guide to EM

DECEMBER 7, 2019

Pediatrics 2019 Guest Skeptic: Dr. Katie Noorbakhsh is a pediatric emergency physician at the Children’s Hospital of Pittsburgh. This is an SGEM Xtra and it was inspired by the recent publication in Pediatrics on BRUEs. […] The post SGEM Xtra: Strange BRUE first appeared on The Skeptics Guide to Emergency Medicine.

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Pediatrics Seizures CPR Hospitals 52

Pediatric Emergency Playbook

MAY 1, 2016

sludge phenomenon, secondary sepsis, hypoglycemia from supply-demand mismatch) S – Seizure (e.g. Many authors report a broad array of neurological manifestations associated with influenza, such as altered mental status, seizures, cranial nerve abnormalities, hallucinations, abnormal behavior, and persistent irritability. Pediatrics.

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Seizures Sepsis Stroke Pediatrics 40

RebelEM

JULY 10, 2024

Red flags in patients with headaches that may suggest a brain tumor include signs of increased intracranial pressure, focal neurological signs, seizures or ataxia. Avoid sedation and lying supine and steroids in patients with mediastinal masses. Post Peer Reviewed By: Salim R.

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Seizures Administration EMS Wellness 58

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

ACEP Now

JUNE 14, 2024

And the Board approved a new clinical policy, “Critical Issues in the Management of Adult Patients Presenting to the ED with Seizures,” rescinding the 2014 clinical policy with same title. Open applications will be coming soon, but you can find out more and get on the interest list today at acep.org/EDap.

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Sexual Assault Seizures Documentation/Coding EMS 52

Taming the SRU

FEBRUARY 5, 2024

For pediatric patients, we recommend using the PECARN Pediatric Head Injury Algorithm. Admission should also be strongly considered in patients with a depressed GCS, post-traumatic seizure(s), or intractable symptoms [2]. JAMA Pediatr. For high-risk patients, a non-contrast CT Head is the test of choice. JAMA Netw Open.

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Head Injuries Emergency Department Seizures Pediatrics 59

Pediatric Emergency Playbook

SEPTEMBER 1, 2015

The Pediatric Assessment Triangle is a rapid, global assessment tool using only visual and auditory clues to make determinations on three key domains: appearance, work of breathing, and circulation to the skin. Pediatr Clin N Am. You have all of the skills you need to care for an acutely ill infant. 2006; 53:69-84.

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Seizures Sepsis Pediatrics Shock 40

Pediatric Education

APRIL 28, 2024

A review can be found here Related Cases Disease: Cerebral Palsy Symptom/Presentation: Developmental Delay | Extremity Problems | Weakness Specialty: Developmental Disabilities | Neonatology | Neurology / Neurosurgery Age: Infant To Learn More To view pediatric review articles on this topic from the past year check PubMed. JAMA Pediatr.

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Seizures Pediatrics Dislocations Stroke 40

Pediatric Emergency Playbook

APRIL 1, 2016

Read on to go from bread-and-butter pediatric blood work to answer the question – what’s up with troponin, lactate, d-dimer, and BNP in kids? This is especially true in children – the majority of pediatric ambulatory visits do not require blood work to make a decision about acute care. The punchline is, use a pediatric reference.

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Pediatrics Sepsis Shock Outcomes 52

SheMD

JULY 6, 2023

When you attend 7-8 clerkships simultaneously, you can’t check off pediatrics and forget the immunization schedule ever existed! Picture this: you discover your neurology preceptor is studying seizure disorders in children, and you happen to be interested in pediatrics.

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Ultrasounds Research Seizures Pediatrics 52

Pediatric Emergency Playbook

MAY 1, 2017

Pediatrics. Pediatrics. Acute bilirubin encephalopathy may progress to an abnormal neurologic exam, seizures, apnea, or coma. Pediatrics. Pediatrics. Pediatrics. Pediatrics. Pediatrics. Pediatrics in Review. Pediatrics. This will tell you: home or admission. Can I go Home Now?

Dehydration 52

Dehydration Pediatrics Wellness Seizures 52

Northwestern EM Blog

MARCH 28, 2022

Clinical Findings of Methanol Poisoning CNS sedation Seizures Rapid, Deep Breathing Hypotension Ocular findings: Blindness Afferent pupillary defect Optic disk hyperemia Mydriasis Ethylene Glycol Toxicity Similarly, the toxic metabolites of ethylene glycol cause end-organ damage at levels greater than 20mg/dl. Journal of Pediatrics.

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Poisoning Seizures Administration Pediatrics 52