Pediatric EM Morsels

JULY 26, 2024

Make sure to consult your friendly neighborhood pediatric neurologist and/or rheumatologist! These females should have imaging with either MRI or CT as well as abdominal or transvaginal ultrasound to assess for ovarian teratoma. The prevalence ranges from 12.5%-61% Prevalence decreases with decreasing age. Epub 2013 Dec 18.

Psychiatric 271

Psychiatric Seizures Outcomes Pediatrics 271

EB Medicine

OCTOBER 21, 2024

In this episode, Sam Ashoo, MD and T.R.

Pediatrics 59

Pediatrics Elder Abuse Risk Management Emergency Department 59

ALiEM

AUGUST 30, 2024

NG/DL) Ultrasound of the neck revealed an enlarged thyroid gland with lobular contours and diffuse hypoechoic echogenicity, without noticeable nodules, fluid collection, or lymphadenopathy. Case Question: What is in the differential diagnosis of a pediatric patient with an anterior neck mass? Pediatric neck masses. Pediatr Rev.

Pediatrics 64

Pediatrics Ultrasounds Academics Emergency Department 64

Don't Forget the Bubbles

JUNE 19, 2023

There were no issues during the pregnancy, and estimated fetal growth by ultrasound was constant. Differential diagnosis of small babies The differential diagnosis for SGA and growth-restricted babies is extensive: The diagnosis of growth restriction in utero has improved because of the better use of ultrasound but still remains challenging.

Pediatrics 143

Pediatrics Ultrasounds Hyperthermia / Hypothermia Sepsis 143

EMDocs

SEPTEMBER 28, 2024

2: Ultrasound + Pediatric Appendicitis Risk Calculator = Rule Out? Spoon Feed This was a single center retrospective study at a tertiary pediatric ED of patients with suspected pediatric appendicitis. PMID: 38597847. #2: Acad Emerg Med. Published online July 21, 2024. #3: 3: Beta-Lactam Allergy?

Ultrasounds 98

Ultrasounds Pediatrics Emergency Department Wellness 98

Ultrasound Gel

JULY 19, 2021

team is back with another great use for pediatric POCUS! You might not have known that you can actually use ultrasound to confirm that your endotracheal tube is in the right place! team is back with another great use for pediatric POCUS! The GEL Jr. But how good is it?? link] [link] The GEL Jr.

Pediatrics 52

Pediatrics Ultrasounds 52

Ultrasound Gel

MAY 11, 2020

Many turn to CT, but ultrasound offers an appealing alternative. This study looks at the implementation of a transcervical ultrasound protocol in a pediatric emergency department to see if it helps this population. Many turn to CT, but ultrasound offers an appealing alternative. link] [link]

Pediatrics 52

Pediatrics Ultrasounds Emergency Department 52

Ultrasound Gel

OCTOBER 15, 2018

The pediatric literature for point of care ultrasound seems to lag behind that of adults. Although point of care ultrasound is used routinely in adults, it may not be as frequently employed in the pediatric emergency department. The pediatric literature for point of care ultrasound seems to lag behind that of adults.

Pediatrics 52

Pediatrics Ultrasounds Emergency Department 52

Ultrasound Gel

MARCH 15, 2021

Acute chest syndrome is such a great application for lung ultrasound, especially in pediatrics where we do everything we can to dodge the harmful affects of ionizing radiation. This is a recent well-done study that takes another look to see how ultrasound compares to the commonly employed chest radiography.

Ultrasounds 52

Ultrasounds Pediatrics Wellness 52

Pediatric Emergency Playbook

AUGUST 1, 2017

Pediatr Rev. Intestinal Malrotation – Not Just the Pediatric Surgeon’s Problem. Pediatr Surg Int. Eur J Pediatr Surg 2016; 26:192. Pediatrics 1977; 60:457. J Pediatr Gastroenterol Nutr 2008; 46:13. J Pediatr 2005; 146:787. Pediatr Surg Int 2003; 19:439. 1988; 9(7):219-226. Radiographics.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 52

Taming the SRU

APRIL 11, 2024

cm is normal Hazard ratio in patients with abnormal TAPSE in normotensive patients is high even though the patient is currently hemodynamically stable Acute vs chronic right heart strain Acute McConnell’s sign: apical hypokinesis with RV free wall hypokinesis Will be present in all causes of increased RV pressure including PE, pulmonary HTN, etc.

Ultrasounds 95

Ultrasounds Pediatrics Hyperthermia / Hypothermia Burns 95

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 And the more people I poll on what they do, the more and very different answers I get. Until now. years from 2013 to 2016.

Pediatrics 113

Pediatrics Outcomes Operations Emergency Department 113

Don't Forget the Bubbles

SEPTEMBER 20, 2023

Pediatric Abdominal X-rays in the Acute Care Setting – Are We Overdiagnosing Constipation? Are We Using Abdominal Radiographs Appropriately in the Management of Pediatric Constipation? Pediatric abdominal radiograph use, constipation, and significant misdiagnoses. Pediatr Emerg Care. J Pediatr Gastroenterol Nutr.

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

Downeast Emergency Medicine

FEBRUARY 14, 2023

Credits: Andrew fried, md A point-of-care lung ultrasound is performed, with the following findings on the left lung fields. Point of Care Ultrasound of the Left Lung Fields. Point of Care Ultrasound of the Left Lung Fields. One study from 2012 found lung ultrasound to be 93% sensitive for pneumonia [4]. Emerg Med J.

Ultrasounds 52

Ultrasounds Emergency Department Pediatrics 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

ACEP Now

SEPTEMBER 5, 2024

What Is the Sensitivity of Ultrasound for Detecting Volvulus in Infants When Compared to An Upper GI Study? But what about ultrasound? In cases where the clinical suspicion is lower for a midgut volvulus, but you feel it still needs to be explored, can ultrasound help? Not all studies included all of these ultrasound signs.

Ultrasounds 40

Ultrasounds Wellness Pediatrics Poisoning 40

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) 2) Management: Confirmed by CT Surgical consult Utility of Ultrasound Ultrasound can be helpful in identifying hernias and in assisting in reduction. This allows gravity to assist you.

Ultrasounds 93

Ultrasounds Emergency Department Pediatrics Radiology 93

Don't Forget the Bubbles

OCTOBER 18, 2024

Ultrasound-guided insertion is by far the ideal method of venous catheterisation, especially in Paediatrics. Midline Compared With Peripheral Intravenous Catheters for Therapy of 4 Days or Longer in Pediatric Patients: A Randomized Clinical Trial. JAMA Pediatr. JAMA Pediatr. JAMA Pediatr. 2023;177(11):1132–1140.

Administration 89

Administration Pediatrics Ultrasounds Burns 89

Don't Forget the Bubbles

AUGUST 9, 2023

His thyroid ultrasound is normal, and thyroid antibodies are negative. Six months later, his weight and height remain normal, he still does not have a goitre and his thyroid ultrasound is unchanged. She has a normal thyroid ultrasound and negative anti-microsomal and anti-thyroglobulin antibodies. Ital J Pediatr 44 , 25 (2018).

Ultrasounds 98

Ultrasounds Pediatrics Wellness 98

Taming the SRU

APRIL 5, 2023

Given her age, history of nephrolithiasis, and frequent urinary tract infections, a bedside renal ultrasound was performed to assess for hydronephrosis due to concern her generalized weakness may be secondary to an infected stone or obstructive uropathy. Point-of-care ultrasound in pediatric nephrology. Pediatr Nephrol.

Ultrasounds 52

Ultrasounds Pediatrics Radiology Radiology 52

All Ohio EM

JANUARY 14, 2019

What about in a pediatric patient? Your main clientele is just starting to wake up and your coffee is running out when you get an EMS encode for a pediatric patient found ejected from high speed, head-on MVC. It is likely that only level 1 pediatric trauma centers will carry this type of device, so plan to call on your inner MacGyver.

Pediatrics 52

Pediatrics EMS Fractures Wellness 52

ACEP Now

APRIL 8, 2025

As a member of ACEP, and therefore IFEM, you can join one today simply by sending an expression of interest and your CV to the link listed on their website.

Emergency Department 52

Emergency Department Ultrasounds Pediatrics EMS 52

Don't Forget the Bubbles

NOVEMBER 20, 2023

These may require surgical drainage following confirmation on ultrasound scan. Evaluation and Management of Pediatric Neck Masses. Pediatric Neck Mass. International Journal of Pediatrics. Journal of Pediatric Surgery. Difficulty swallowing, stridor or altered voice should prompt urgent ENT assessment.

Pediatrics 124

Pediatrics Documentation/Coding Emergency Department Ultrasounds 124

Pediatric Education

AUGUST 25, 2024

Because of the variance in the testing though, genetics also offered to continue to screen the patient as if he did have Beckwith-Wiedemann with an increased risk of Wilms tumor with q3-4 month abdominal ultrasound examinations; all returned negative to date. It is ~ 5% of all pediatric malignancies. Questions for Further Discussion 1.

Ultrasounds 64

Ultrasounds Pediatrics Wellness 64

The Skeptics' Guide to EM

MAY 7, 2017

Point-of-care ultrasound for non-angulated distal forearm fractures in children: test performance characteristics and patient-centered outcomes. Point-of-care ultrasound for non-angulated distal forearm fractures in children: test performance characteristics and patient-centered outcomes. Acad Emerg Med May 2017.

Fractures 40

Fractures Pediatrics Ultrasounds Academics 40

Don't Forget the Bubbles

NOVEMBER 13, 2023

Should we use ultrasound to diagnose distal forearm fractures in children and adolescents? However, ultrasound is gaining popularity due to its portability, affordability, and lack of ionising radiation. However, ultrasound is gaining popularity due to its portability, affordability, and lack of ionising radiation. N Engl J Med.

Fractures 64

Fractures Ultrasounds Emergency Department Pediatrics 64

Don't Forget the Bubbles

MAY 17, 2023

’, ‘ Who can best score postoperative pain: parents or the children? ’, ‘ Is functional constipation associated with hypohydration? ’, ‘ Who is best at assessing foreign body aspiration on chest X-ray: pediatric pulmonologists, pediatric residents, or radiologists? ’ Eur J Pediatr. Eur J Pediatr. Eur J Pediatr.

Pediatrics 72

Pediatrics X-Ray Interpretation Sepsis Fractures 72

EMDocs

JUNE 1, 2024

Source Ultrasound-guided central venous catheterization around the neck: Systematic review and network meta-analysis. . #1: What’s the Best Target in the Neck for US Guided Central Access Spoon Feed This was a network meta-analysis of 13 randomized controlled trials comparing 5 different central venous catheterization (CVC) approaches.

Emergency Department 89

Emergency Department Ultrasounds Pediatrics Wellness 89

Emergency Medicine Cases

APRIL 25, 2023

The post EM Quick Hits 48 – FAST in Pediatric Trauma, Multiple Myeloma, Drowning, AKA, Global EM appeared first on Emergency Medicine Cases.

EMS 52

EMS Pediatrics Ultrasounds Resuscitation 52

JournalFeed

SEPTEMBER 28, 2024

Monday Spoon Feed: Post-processing techniques completed by ultrasound machines to improve spatial resolution have become so advanced that it can now fool us into thinking a FAST exam is positive. Tuesday Spoon Feed: This was a single center retrospective study at a tertiary pediatric ED of patients with suspected pediatric appendicitis.

Ultrasounds 52

Ultrasounds Pediatrics 52

Don't Forget the Bubbles

NOVEMBER 8, 2023

Ultrasound has been associated with lower rates of negative appendicectomy. In a meta-analysis of 26 paediatric studies, the pooled sensitivity and specificity of ultrasound for diagnosing appendicitis in children were 88% and 94%, respectively [10]. Pediatrics, 2012. European Journal of Pediatrics, 1996. Bachur, R.G.,

Emergency Department 105

Emergency Department Ultrasounds Pediatrics Best Practices 105

EMDocs

AUGUST 8, 2023

Keys: Order the ultrasound in a patient with testicular pain, especially with any TWIST score >0. Minimal if any harm to patients by obtaining ultrasound. Even with a normal ultrasound, if the history/exam are concerning – call urology. Repeat ultrasound after manual detorsion to look for normal blood flow.

Ultrasounds 93

Ultrasounds Documentation/Coding Outcomes Emergency Department 93

Ultrasound Gel

APRIL 15, 2019

Ultrasound is great for finding fractures, but what about being able to guide the reduction? This has been shown to be useful in a pediatric population, but this study looks at a population of adult patients in the emergency department to see just how accurate ultrasound is for determining if the pieces have been put back together.

Fractures 52

Fractures Ultrasounds Emergency Department Pediatrics 52

Don't Forget the Bubbles

MAY 8, 2024

An interesting study (JAMA Pediatrics) shows the benefits of newborn screening for spinal muscular atrophy (SMA), as initiating disease-modifying therapy earlier improves clinical outcomes. Pediatr Nephrol. Eur J Pediatr. Long COVID in pediatrics-epidemiology, diagnosis, and management. Eur J Pediatr. JAMA Pediatr.

Pediatrics 69

Pediatrics Emergency Department Outcomes Research 69

Pediatric Emergency Playbook

JANUARY 1, 2018

Structurally abnormal ovary (including cysts) that causes the ovary to flop over and twist on its vascular axis Hypermobile ovary with vigorous movement twists on its vascular pedicle and cuts off blood supply The Dual Blood Supply to the Ovaries: Why Doppler Flow can Fool You What ultrasound findings suggest ovarian torsion? 2004;14:168.

Pediatrics 52

Pediatrics Ultrasounds Radiology Radiology 52

The Skeptics' Guide to EM

NOVEMBER 9, 2019

Chip is the CEO of an ultrasound education company called Practical POCUS which is based in the United States but is expanding into an international market. This has included performing lumbar punctures, diagnosing acute abdominal aneurysms, acute heart failure, pediatric fractures, retinal detachments and endotracheal tube placement.

Ultrasounds 52

Ultrasounds Fractures Pediatrics Radiology 52