EMDocs

SEPTEMBER 2, 2023

. #1: Dual Antiplatelets or Lytics for Minor Stroke? Spoon Feed In minor acute ischemic stroke (AIS) patients presenting within 4.5 Source Dual Antiplatelet Therapy vs Alteplase for Patients With Minor Nondisabling Acute Ischemic Stroke: The ARAMIS Randomized Clinical Trial. JAMA Pediatr. 2023 Aug 14;e232900.

Stroke 96

Stroke Pediatrics Outcomes 96

JournalFeed

APRIL 25, 2020

We cover blunt cerebrovascular injury, head CT in patients on antithrombotic agents, cooling heat stroke victims, avoiding antibiotics in pediatric pneumonia, and surviving quarantine. Here is the JournalFeed Podcast for the week of April 20-24, 2020. Special thanks to Lara Fesdekjian for writing theme music!

Stroke 52

Stroke Pediatrics 52

EMDocs

JANUARY 13, 2024

sodium chloride) reduced acute kidney injury and improved other outcomes in these pediatric patients with septic shock. Source Multiple Electrolytes Solution Versus Saline as Bolus Fluid for Resuscitation in Pediatric Septic Shock: A Multicenter Randomized Clinical Trial. Crit Care Med. 2023 Nov 1;51(11):1449-1460. doi: 10.1097/CCM.0000000000005952.

Stroke 87

Stroke Shock Pediatrics Resuscitation 87

Broome Docs

DECEMBER 9, 2023

Does BP management in haemorrhagic stroke matter? Choosing wisely for kids From the American Academy of Pediatrics and the Canadian Association of Emergency Physicians, we have the Choosing Wisely recommendations for pediatric emergency medicine. Does BP management in haemorrhagic stroke matter? 2023 Oct 12. 2023.21019.

Infectious Diseases 114

Infectious Diseases Emergency Department Stroke Pediatrics 114

JournalFeed

APRIL 4, 2020

We cover Pediatric Surviving Sepsis; mortality risk after out-of-hospital naloxone; spontaneous pneumothorax - tube or no tube; opioids prior to pediatric sedation; and HINTS by emergency physicians and stroke risk. Here is the JournalFeed Podcast for the week of March 30- April 3, 2020.

Sepsis 52

Sepsis Stroke Pediatrics Hospitals 52

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. Case 3: Headache and Arteriovenous Malformation Unlike in adults, stroke in children is divided evenly between hemorrhagic and ischemic etiologies.

Pediatrics 40

Pediatrics Seizures Stroke Radiology 40

Don't Forget the Bubbles

NOVEMBER 27, 2023

The amount of blood that comes from the heart with each contraction is the stroke volume (SV). The stroke volume is the difference between how full it is at the start and how full it is after a contraction. The next element of stroke volume is the emptying. Pediatr Crit Care Med. Pediatr Crit Care Med.

Shock 143

Shock Sepsis Fluid Resuscitation Resuscitation 143

EMDocs

JANUARY 11, 2025

A 75-year-old woman who is bedridden after a stroke presents to the ED from a nursing facility with abdominal pain and constipation. Pediatric Emergency Care 34(9):p e159-e160, September 2018. | Low threshold for antibiotics and escalation of care with surgery consultation. Cureus, 15(7), e41705. DOI: 10.1097/PEC.0000000000001600

EMS 98

EMS Sepsis Shock Fluid Resuscitation 98

The Skeptics' Guide to EM

JUNE 17, 2023

Intranasal fentanyl and discharge from the emergency department among children with sickle cell disease and vaso-occlusive pain: A multicenter pediatric emergency medicine perspective. She is a Professor of Pediatrics and Interim Chief of the Section of Pediatric Emergency Medicine at the Medical College of Wisconsin.

Emergency Department 74

Emergency Department Pediatrics Head Injuries Administration 74

ACEP Now

AUGUST 25, 2023

The Pediatric Pain Management Standard 1 for children was published this year to provide guidance to health organizations on how to deliver equitable and quality pain management across hospital settings. IN fentanyl has been safely used to treat pain in pediatric patients. It offers a way to deliver analgesia without IV access.3,

Administration 97

Administration Pediatrics Emergency Department Outcomes 97

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.

Seizures 52

Seizures Stroke Pediatrics 52

EM Curious

SEPTEMBER 9, 2015

CUTTING EDGE ACUTE ISCHEMIC STROKE CARE [LECTURE]: Dr. Melissa Motta, a neuro-critical care expert breaks down current best practice in acute ischemic stroke in an excellent talk at Maryland CC Project. Listen to the podcast here on how to approach the undifferentiated sick infant.

Stroke 52

Stroke Pediatrics Best Practices EMS 52

ACEP Now

JANUARY 30, 2024

Be Prepared for All Pediatric Challenges Whether you want to brush up on your pediatric EM skills or take your dual-boarded training to the next level, the Advanced Pediatric EM Assembly helps you be prepared for any pediatric patient you may treat. Look for “Qual-ED” in your preferred podcast platform.

Pediatrics 52

Pediatrics EMS Documentation/Coding Stroke 52

Pediatric Emergency Playbook

OCTOBER 1, 2017

Also used for severe MS, stroke, TBI, chronic pain. J Neurosurg Pediatrics. 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.

Pediatrics 52

Pediatrics Seizures Stroke Ultrasounds 52

PEMBlog

MARCH 19, 2024

We published the first pediatric SOAR review in AEM Education and Training on the topic of respiratory infectious disease. In this new pediatric SOAR review, we found that only 36 of the 441 blog posts reached this high-quality threshold score. We want to help you learn! How can I use these findings?

Infectious Diseases 52

Infectious Diseases Pediatrics Stroke Academics 52

EM Literature of Note

OCTOBER 20, 2022

How FAST Can You Spot a Pneumothorax? Thin Evidence Supporting Thrombolysis of Those on Blood Thinners Epinephrine Norepinephrine, That Is the Question Ill PREPAREd-II Intubate the Critically Ill Enjoy!

Stroke 40

Stroke Sepsis Pediatrics Resuscitation 40

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.

Psychiatric 52

Psychiatric Pediatrics Emergency Department EKG/ECG 52

Pediatric Education

JULY 23, 2023

In adults, cryptogenic stroke is a current indication for treatment of an identified PFO. Adults with a cryotogenic stroke are more likely to have a PFO (up to 40-50%), and a 2017 New England Journal of Medicine study found that interventional closure of adult PFO decreased recurrent ischemic strokes. with timing 37-5137 days).

Stroke 40

Stroke Pediatrics Outcomes Hospitals 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.

Pediatrics 52

Pediatrics Sepsis Shock Outcomes 52

EM Literature of Note

JANUARY 9, 2022

The Annals of Emergency Medicine Podcast continues apace, with free monthly updates from the original research published in the journal: iTunes Link SoundCloud Link Likewise, the Annals of Emergency Medicine Journal Club has published several monthly installments: Predicting Outcomes in Pediatric Pneumonia: Are We Omnipotent or Incompetent?

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Stroke Emergency Department Outcomes 40

JournalFeed

MARCH 26, 2022

High-dose IN Fentanyl Spoon Feed: Higher doses of intranasal (IN) fentanyl for pain ranging from 2-5 μg/kg (with a maximum of 200 μg) were given in a pediatric emergency department, with no documented episodes of apnea, hypotension, or respiratory failure.

Stroke 40

Stroke Documentation/Coding Emergency Department Resuscitation 40

Pediatric Emergency Playbook

MAY 1, 2016

For altered adults, use AEIOU TIPS (Alcohol-Epilepsy-Insulin-Overdose-Uremia-Trauma-Infection-Psychosis-Stroke). Pediatrics International. Pediatrics. Keep your mind open to the possibilities, and be ready to change it, when new information becomes available. V – Vascular (e.g. Ann Intern Med 1984; 101:692. 2015; 57(4):659–664.

Seizures 40

Seizures Sepsis Stroke Pediatrics 40

The Skeptics' Guide to EM

MAY 24, 2019

Dual antiplatelet therapy with aspirin and clopidogrel for acute high risk transient ischaemic attack and minor ischaemic stroke: a clinical practice guideline. Pediatrics Dec 2018 * Frey et al. JAMA Pediatrics Feb 2019 ( SGEM#242 ) * Akhlaghi et al. BMJ Dec 2018 * Feld et al.

Domestic Violence 40

Domestic Violence Sexual Assault Research Diabetic Emergencies 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.

Seizures 40

Seizures Pediatrics Dislocations Stroke 40

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

Dr. Smith's ECG Blog

JANUARY 8, 2020

See the 5 articles below.

EKG/ECG 52

EKG/ECG Stroke Pediatrics 52

Pediatric Education

SEPTEMBER 3, 2023

There is no positive association for deep venous thrombosis, cardiomyopathy, heart failure, stroke and no abnormalities of growth parameters in the pediatric population. Managing Acute Complications Of Sickle Cell Disease In Pediatric Patients. Pediatr Emerg Med Pract. Subramaniam S, Chao JH. 2016;13(11):1-28.

Dehydration 40

Dehydration Hyperthermia / Hypothermia Pediatrics Military 40

Mind The Bleep

OCTOBER 25, 2024

Adults: While strabismus is more common in children, it can also occur in adults due to trauma, stroke , or neurological conditions. Pediatrics. It is estimated that 2-4% of children are affected by some form of strabismus before reaching the age of five. References Donahue SP, Baker JD. 2016;137(5) S.E. Olitsky, D.K. Strabismus.

Stroke 52

Stroke Pediatrics Outcomes Wellness 52

Taming the SRU

JULY 31, 2024

Barometric pressure, humidity, and temperature changes may influence stroke and fall incidence (especially in elderly patients with cardiovascular risk factors). Nice people are not more likely to get cancer. Black clouds don’t exist (but I still sort of think they do).

EKG/ECG 52

EKG/ECG Sepsis Documentation/Coding Stroke 52

EMDocs

OCTOBER 30, 2023

Normal CECT scans utilize iodinated contrast at 300 mg/mL concentrations with an average adult receiving 80–150 mL of contrast for most indications and pediatric age group patient receiving 1 mL/lb body weight. 3 A study of CT use trends in the ED has shown increasing use of CTs by almost 60% from 2005 to 2013.

Radiology 101

Radiology Radiology Emergency Department Hospitals 101

RebelEM

MARCH 22, 2023

Pediatric patients should be considered for admission and further cardiology evaluation. Multiple studies comparing verapamil to adenosine demonstrate equal efficacy of either agent with verapamil causing more hypotension ( Delaney 2011 , Hood 1992 ) Dose: 0.07 mg/kg (most studies gave 5 mg over 2-5 minutes).

EKG/ECG 52

EKG/ECG EMS Pediatrics Stroke 52

ACEP Now

JULY 6, 2023

5 Patients with acute ischemic strokes, STEMIs, and trauma, as well as many other diagnoses, have their workup largely completed, and even sometimes definitive therapy executed, before they leave the emergency department, rather than requiring inpatient units. Risk of brain tumor induction from pediatric head CT procedures. 2018;6:1-7.

Head Injuries 52

Head Injuries Emergency Department Research Pediatrics 52

Taming the SRU

AUGUST 4, 2024

Wound healing is faster with Dermabond compared to sutures, and can be useful as a less-painful technique to repair certain wounds Dermabond differs from non-medicinal superglue because it is sterile, is more flexible, and ultimately less brittle than standard superglue There have been care reports of non-medicinal glue (superglue, nail glue, etc.)

Dislocations 85

Dislocations Emergency Department Documentation/Coding Burns 85

Pediatric Emergency Playbook

JUNE 1, 2016

Hypovolemic Shock The most common presentation of pediatric shock; look for decreased activity, decreased urine output, absence of tears, dry mucous membranes, sunken fontanelle. Cold shock is the most common presentation in pediatric septic shock, and is treated with epinephrine. Pediatrics. PE with symptoms: heparin.

Shock 40

Shock Sepsis Pediatrics Ultrasounds 40

Pediatric Education

OCTOBER 6, 2024

Related Cases Disease: Schizophrenia | Psychotic Disorders Symptom/Presentation: Health Maintenance and Disease Prevention | Genetic Disorder Specialty: Psychiatry and Psychology Age: Teenager To Learn More To view pediatric review articles on this topic from the past year check PubMed. Schizophr Res. 2024;264:1-28. doi:10.1016/j.schres.2023.11.015

Psychiatric 40

Psychiatric Pediatrics Stroke Wellness 40

Critical Care Now

MAY 12, 2022

The Pre-brief When we think of lysing things in the emergency department (ED), we think of alteplase busting up a blood clot in either ischemic stroke or in patients experiencing a massive pulmonary embolism. Arch Pediatr Adolesc Med. Interests include trauma, toxicology, and infectious diseases. 2000; 36(3): 228 – 32.

Infectious Diseases 52

Infectious Diseases Stroke Emergency Department Administration 52

Pediatric Education

OCTOBER 29, 2023

including increased risk of cardiac ischemia and myocardial infarction, arrhythmias, thrombotic events including stroke, exacerbation of asthma, chronic obstructive pulmonary disease, viral infections including bronchiolitis and possibly influenza and COVID-19, and neurodegenerative diseases of the brain including Alzheimer’s, and cancer.

Burns 40

Burns Pediatrics Stroke 40