Pediatric EM Morsels

DECEMBER 20, 2024

Keep in mind, there can be extrapulmonary manifestations as well! The post Mycoplasma Pneumonia in Children appeared first on Pediatric EM Morsels. These include: Mucocutaneous disease including rashes like erythema multiforme, mycoplasma induced rash and mucositis (AKA reactive infectious mucocutaneous eruption RIME), and SJS.

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The Trauma Pro

JUNE 18, 2024

Objective MTP activation criteria have been developed and are well-supported by the literature. The ABC score was evaluated in pediatric patients and was found to be much less sensitive than in adults. Reference: The ABC-D score improves the sensitivity in predicting need for massive transfusion in pediatric trauma patients.

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Pediatrics Blood Transfusions Resuscitation Shock 113

The Skeptics' Guide to EM

FEBRUARY 1, 2025

Tabitha Cheng Guest Skeptic: Dr. Tabitha Cheng is a Southern California native and board-certified emergency medicine physician and completed an EMS fellowship as well. The learning didnt end because she then completed another fellowship in pediatric emergency medicine at Harbor UCLA. Does she need an X-ray or CT scan?"

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Pediatrics EMS Emergency Department Research 82

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. JMM Sensible Medicine is a reader-supported publication.

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EM Ottawa

DECEMBER 28, 2023

Pediatric trauma is a high acuity but low frequency event (2). There is a well-documented correlation amongst EMS and adult ED physicians who provide less pediatric care to […] The post Pediatric Traumatic Cardiac Arrest appeared first on EMOttawa Blog.

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Pediatrics Documentation/Coding EMS Wellness 84

ALiEM

NOVEMBER 17, 2023

kg General : Well-appearing 4-year-old female acting appropriately with grandmother and mother at the bedside. Urethral prolapse is a rare condition occurring in prepubertal female pediatric patients. However, persistence of the prolapse or necrosis of the distal urethra often warrants emergent pediatric urology consultation [2,3].

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Pediatric EM Morsels

JUNE 7, 2024

For children at least 4 years of age who are not well controlled on ICS alone. Difficult vs. Severe Asthma: Definition and Limits of Asthma Control in the Pediatric Population. Front Pediatr. The post ReBaked Morsel on Asthma Control – The 2020 NIH Asthma Management Guidelines appeared first on Pediatric EM Morsels.

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Pediatrics Emergency Department Wellness EMS 208

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. Well cover its clinical presentation, epidemiology, diagnostic approach, and management, including why standard beta-lactam antibiotics wont work.

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NRC Health

FEBRUARY 19, 2025

The post Pediatric Collaborative Preview | How caregiver wellness shapes experiences appeared first on NRC Health. This years lineup includes many great presentations, including a session focused on reclaiming the practices of resilience by focusing on the power to find the I within resiliency.

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ALiEM

AUGUST 9, 2023

Read this tutorial on the use of point of care ultrasonography (POCUS) for pediatric lung ultrasound. Take the ALiEMU PEM POCUS: Pediatric Lung Ultrasound Quiz Module Goals List indications for performing a pediatric lung point-of-care ultrasound (POCUS). He was admitted to the pediatric intensive care unit. Pediatrics.

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Ultrasounds Pediatrics Emergency Department Operations 98

ALiEM

APRIL 10, 2023

Additional Images Physical Exam General: Well appearing, no distress. Skin: Large, serpiginous rash on the left forehead and scalp with central clearing and peripheral erythema as well as areas of erythematous plaques. Denies fever, cough, rhinorrhea, congestion, decreased appetite, diarrhea, and decreased urination.

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Pediatrics EKG/ECG Academics Wellness 98

Taming the SRU

DECEMBER 17, 2024

Out of 18 patients receiving ORT, 4 failed to respond well and were escalated to IV therapy. Hospitals can purchase ORT packets for use in EDs as well as giving patients the formula to make their own at home. 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 84

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. Well-designed, Cochrane Database Syst Rev.

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Pediatrics EMS Emergency Department Research 88

Pediatric EM Morsels

JUNE 2, 2023

Our patients have varied past medical histories that require us to be well-versed in even the most uncommon disorders (or know where to look things up in a pinch)! Food protein-induced enterocolitis syndrome in a tertiary pediatric center: safety of guideline-conforming food challenges. Allergy Asthma Clin Immunol 18, 54 (2022).

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Dehydration Shock Pediatrics Emergency Department 193

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% The prevalence ranges from 12.5%-61% Epub 2013 Dec 18.

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Psychiatric Seizures Outcomes Pediatrics 271

PEMBlog

APRIL 24, 2024

Pediatric strokes are rare and challenging to diagnose. There is a validated Pediatric Stroke Scale from the NIH that can be used in conjunction with a stroke protocol that involves Neurology, Radiology, and a local/regional Stroke Team. Early consultation with a pediatric hematologist and neurologist is mandatory.

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Stroke Pediatrics Blood Transfusions Radiology 59

American Medical Compliance

NOVEMBER 29, 2024

Continuous Glucose Monitoring (CGM) technology is transforming the approach to diabetes care for healthcare providers, including endocrinologists, diabetes educators, and nurses, as well as for the patients they support. However, to maximize its benefits, healthcare providers must be well-versed in the technology.

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Outcomes Wellness Operations Pediatrics 105

ALiEM

MARCH 7, 2024

Read this tutorial on the use of point of care ultrasonography (POCUS) for pediatric renal and bladder ultrasonography. It is usually large, nodular, well-defined, homogeneous, and slightly hypoechoic (Figure 13) [6]. She has no flank tenderness, but she does cry out with palpation of the LLQ and suprapubic areas.

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Ultrasounds Pediatrics Radiology Radiology 70

Pediatric EM Morsels

MARCH 31, 2023

They like to pretend to be well when they are truly sick ( remember to check that Cap Refill and to never trust a Neonate! ) Pediatric spinal injuries- current concepts. www.Orthobullets.com The post Pseudosubluxation: Rebaked Morsel appeared first on Pediatric EM Morsels. Children love to trick us! PMID: 841068. 2023.102122.

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Fractures Dislocations Pediatrics Radiology 130

EM SIM Cases

MAY 9, 2023

When it comes to pediatric drowning, prevention is the best medicine. However, if you find yourself treating a drowning patient in the ED, this case will have you well prepared. The team should begin CPR and follow the PALS pediatric bradycardia algorithm. Pediatric Drowning Download Hon, K. , Cheung, H. &

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ACEP Now

OCTOBER 11, 2024

Introduction Pediatric intubations in the emergency department (ED) occur at only a tenth the frequency of adult intubations. 1 Pediatric rapid sequence intubation (RSI) in the ED is associated with a higher frequency of failed first attempts and adverse effects than in adult patients. mg/kg IV, ketamine at 1.5–2 3 mg/kg IV.

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Pediatrics Airway Management Emergency Department Wellness 52

ECG Guru

SEPTEMBER 27, 2023

Infant is eating well, no cyanotic spells. Intubated and given nitric oxide for pulmonary hypertension. Weaned in NICU over 10 days. Echocardiogram during that time showed stiff pulmonic valve. This ECG was obtained at follow up appointment. Four- week echo continues to show pulmonic valve stenosis. We do not know chamber measurements.

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EKG/ECG Pediatrics Wellness 98

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 unfortunately, I’m not able to guess the numbers well enough to do the power calculation for this study.

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Pediatrics Operations Emergency Department Outcomes 113

Resus Review

APRIL 23, 2015

There is also a tremendous cognitive load during pediatric resuscitations determining the appropriate sized equipment and medication dosing, increasing the pressure. There are numerous critical differences in managing the pediatric airway. Use a pediatric bronchoscope. They have a diameter of 4 mm and can fit through a 4.5

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Pediatrics Airway Management Resuscitation Emergency Department 52

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

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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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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. Pediatric Abdominal X-rays in the Acute Care Setting – Are We Overdiagnosing Constipation? Pediatr Emerg Care. J Pediatr Gastroenterol Nutr.

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Pediatrics Emergency Department Radiology Radiology 133

EMDocs

SEPTEMBER 28, 2024

It was ruled out as well with good specificity, with a bubble time < 40 seconds. 2: Ultrasound + Pediatric Appendicitis Risk Calculator = Rule Out? . #2: 2: Ultrasound + Pediatric Appendicitis Risk Calculator = Rule Out? Ann Emerg Med. 2024 Aug;84(2):182-194. doi: 10.1016/j.annemergmed.2024.02.005. 2024.02.005.

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Ultrasounds Pediatrics Emergency Department Wellness 98

Emergency Medicine Cases

APRIL 2, 2020

The post EM Quick Hits 15 – COVID-19 Practical Tips, Pediatric COVID and Human Factors appeared first on Emergency Medicine Cases.

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Pediatrics EMS Wellness 52

Emergency Medicine Cases

OCTOBER 11, 2022

The post EM Quick Hits 43 Pediatric Cannabis Poisoning, Esophageal Perforation, Brugada, Career Transitions in EM appeared first on Emergency Medicine Cases.

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Poisoning EMS 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. Pediatr Surg Int 2003; 19:247.

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Pediatrics Ultrasounds Resuscitation Sepsis 52

NRC Health

FEBRUARY 19, 2025

The post Peds Collab Preview | How caregiver wellness shapes experiences appeared first on NRC Health. This years lineup includes many great presentations, including a session focused on reclaiming the practices of resilience by focusing on the power to find the I within resiliency.

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Wellness Pediatrics 52

Don't Forget the Bubbles

JUNE 19, 2023

Fetal Growth Restriction (FGR) and dysmaturity are common in neonatology and are a leading cause of morbidity during the neonatal period, as well as later in life. J Pediatr 2018;196:71-6. Pediatrics 2022;149:e2021053413. Curr Pediatr Rev 2018;14:212–8. Eur J Pediatr 2016;175:1047-57. J Pediatr 2015;167:238-45.

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Pediatric EM Morsels

APRIL 28, 2023

Pediatric x-rays are challenging. We have previously discussed how the surrounding ligaments and tendon are often stronger than the weakest part of the child’s bone necessitating our vigilance when addressing the pediatric extremity complaint (ex, Ankle Pain , Elbow Injury , Supracondylar Fractures ). References: Cole, rd et al.

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Fractures Pediatrics Operations Wellness 130

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. Well, several reasons. You have identified the cricothyroid membrane and prepped the neck, as well as your equipment.

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Pediatrics EMS Fractures Wellness 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.

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Pediatrics Ultrasounds Emergency Department Radiology 52

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.

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Pediatrics Emergency Department Documentation/Coding Research 52