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.

Pediatrics 113

Pediatrics Blood Transfusions Resuscitation Shock 113

Don't Forget the Bubbles

NOVEMBER 11, 2024

In contrast, Kochanek reviewed each meta-analysis, as well as the RCT and secondary analyses, separately to assess overall results and potential moderators of effect. Pediatr Crit Care Med. Targeted Temperature Management in Pediatric Traumatic Brain Injury: A Systematic Review and Network Meta-Analysis. Doi:10.4266/acc.2022.01291

Hyperthermia / Hypothermia 117

Hyperthermia / Hypothermia Pediatrics Outcomes Resuscitation 117

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.

Wellness 52

Wellness Pediatrics 52

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.

Pediatrics 94

Pediatrics Military CDC Hospitals 94

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.

Pediatrics 145

Pediatrics Documentation/Coding Burns Academics 145

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.

Pediatrics 83

Pediatrics Documentation/Coding EMS Wellness 83

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].

Pediatrics 100

Pediatrics Emergency Department Academics OB/GYN 100

Pediatric EM Morsels

NOVEMBER 3, 2023

With concern for malaria, it is very important to identify who is non-immune and semi-immune as this can affect both the timeframe for illness after departure from the endemic country as well as severity of illness. Acute Kidney Injury Is Common in Pediatric Severe Malaria and Is Associated with Increased Mortality. Pediatr Emerg Care.

Seizures 281

Seizures Pediatrics CDC Infectious Diseases 281

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?"

Pediatrics 65

Pediatrics EMS Emergency Department Research 65

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.

Ultrasounds 98

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.

Pediatrics 98

Pediatrics EKG/ECG Academics Wellness 98

Pediatric EM Morsels

AUGUST 4, 2023

Oka, 2023) A systematic review linked SMA syndrome to the immediate post-operative period after surgery for scoliosis in pediatric patients, and found the mean days to onset of symptoms was 9. There is a co-occurrence with Nutcracker syndrome in the pediatric populations due to anatomic location. Record, 2015). England, 2021).

Pediatrics 246

Pediatrics Burns Operations Ultrasounds 246

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.

Dehydration 84

Dehydration Fluid Resuscitation Administration Resuscitation 84

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).

Dehydration 193

Dehydration Shock Pediatrics Emergency Department 193

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.

Pediatrics 87

Pediatrics EMS Emergency Department Research 87

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.

Psychiatric 271

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.

Stroke 59

Stroke Pediatrics Blood Transfusions Radiology 59

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 126

Pediatrics Research Wellness 126

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.

Outcomes 105

Outcomes Wellness Operations Pediatrics 105

Sensible Medicine

SEPTEMBER 3, 2024

It is well-recognized that our commercial drug development process, a process that has led to so many nearly miraculous advancements, serves people with rare diseases poorly. Sensible Medicine readers appreciate a well-designed clinical trial. If I was a doctor at a pediatric research hospital, I would focus on transformational drugs.

Pediatrics 78

Pediatrics Poisoning Research Military 78

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.

Fractures 130

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. &

Pediatrics 52

Pediatrics CPR Radiology Radiology 52

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.

Pediatrics 52

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.

EKG/ECG 98

EKG/ECG Pediatrics Wellness 98

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.

Wellness 52

Wellness Pediatrics 52

EMDocs

DECEMBER 6, 2024

Ferrous sulfate tablets are radiopaque and can be visualized on radiographs, however not all preparations are radiopaque (pediatric chewable and liquid preparations). Arch Pediatr Adolesc Med. Pediatric Emergency Care, 27 (10), 978-985. Significant clinical toxicity is uncommon with serum iron concentration less than 300 g/dL.

Poisoning 94

Poisoning Fluid Resuscitation Seizures Resuscitation 94

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.

Ultrasounds 95

Ultrasounds Pediatrics Emergency Department Wellness 95

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.

Poisoning 52

Poisoning EMS Pediatrics Wellness 52

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

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.

Pediatrics 143

Pediatrics Ultrasounds Hyperthermia / Hypothermia Sepsis 143

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

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

EM Literature of Note

SEPTEMBER 13, 2024

These are each awful, of course, in their own way from a patient- and parent-oriented standpoint, but they’re also quite awful at the population level, overburdening limited pediatric and emergency department resources. “Nirsevimab and Acute Bronchiolitis Episodes in Pediatric Emergency Departments” [link] Tweet

Emergency Department 87

Emergency Department Pediatrics Administration Wellness 87

ACEP Now

SEPTEMBER 5, 2024

It is important to evaluate for both the position of the SMA in relationship to the SMV as well as for the “whirlpool” sign. Dr. Jones is associate professor at the department of emergency medicine & pediatrics and the program director of pediatric emergency medicine fellowship at the University of Kentucky in Lexington, Kentucky.

Ultrasounds 40

Ultrasounds Wellness Pediatrics Poisoning 40

The Skeptics' Guide to EM

FEBRUARY 25, 2023

Sodium bicarbonate use during pediatric cardiopulmonary resuscitation: a secondary analysis of the icu-resuscitation project trial. Pediatric Crit Care Med. 2022 Date: February 15, 2023 Guest Skeptic: Dr. Carlie Myers is Pediatric Critical Care Attending at Cincinnati Children’s Hospital Medical Center. Pediatric Crit Care Med.

Pediatrics 52

Pediatrics Hospitals CPR Resuscitation 52

Pediatric EM Morsels

AUGUST 11, 2023

Having authored 575 ( well, now 576 ) of them, I am often quite convinced that there are no new topics to discuss. Pediatr Emerg Care. The post Perichondritis of the Ear in Children appeared first on Pediatric EM Morsels. This is the 601st Ped EM Morsel ! PMID: 33251051; PMCID: PMC7686808. Stewart GM, Thorp A, Brown L.

Burns 130

Burns Pediatrics EMS Outcomes 130

Taming the SRU

SEPTEMBER 20, 2023

EKG QUICK Hits: electrolyte abnormalities - air care grand rounds - pediatric pain and procedural sedation EKG Quick hits: electrolyte abnormalities WITH Dr. Baez Potassium Hyperkalemia Peaked T-waves (there is tall and spiked T-waves, that you “wouldn’t want to sit on”) PR interval increases Widening of the QRS Can lead to a sine wave Hypokalemia (..)

EKG/ECG 77

EKG/ECG Pediatrics Administration Wellness 77