Pediatric EM Morsels

APRIL 28, 2023

J Child Orthop 5, 465–470 (2011). J Child Orthop 5, 465–470 (2011). JBJS reviews 8.4 2020): e0186–e0186. & Hosalkar, H.S. Tibial tubercle fractures in children with intra-articular involvement: surgical tips for technical ease. link] Gregory W. Kunis, Joshua A. Berko, Jeffrey C. Shogan, et al. October 26, 2021.

Fractures 130

Fractures Pediatrics Operations Wellness 130

Pediatric EM Morsels

MAY 10, 2024

2011 Aug;128(2):239-45. [PubMed] [Read by QxMD] Friedman KG1, Kane DA, Rathod RH, Renaud A, Farias M, Geggel R, Fulton DR, Lock JE, Saleeb SF. Management of pediatric chest pain using a standardized assessment and management plan. Pediatrics. PMID: 21746719. PubMed] [Read by QxMD] Kane DA1, Fulton DR, Saleeb S, Zhou J, Lock JE, Geggel RL.

EKG/ECG 212

EKG/ECG Pediatrics Ultrasounds Seizures 212

RebelEM

MARCH 22, 2023

Multiple studies comparing verapamil to adenosine demonstrate equal efficacy of either agent with verapamil causing more hypotension ( Delaney 2011 , Hood 1992 ) Dose: 0.07 2011; 18(3): 148-52. Can J Cardiol 2011; 27(1): 105-9. Can J Cardiol 2011; 27(1): 105-9. Am J Emerg Med 2011; 29(5): 545-8. Eur J Emerg Med.

EKG/ECG 52

EKG/ECG EMS Pediatrics Stroke 52

RebelEM

JANUARY 24, 2024

Wallace 2011 ) If addressed early and appropriately, most patients have good self-reported long-term outcomes regardless of the treatment modality Links Orthobullets: Achilles Tendon Rupture Resources: Sheth U et al. J Bone Joint Surg Br 2011; 93(10):1362-6. PMID: 21037028 Wallace RG et al. PMID: 21969435 Erickson BJ.

Operations 80

Operations Ultrasounds Outcomes Fractures 80

Don't Forget the Bubbles

SEPTEMBER 18, 2023

2011 Aug;16(8):995–1006. British Thoracic Society guidelines for the management of community acquired pneumonia in children: update 2011. 2011 Oct 1;66(Suppl 2):ii1–23. 2011 Jan;25(1):21–9. 2011 Sep 1;128(3):595–610. Community-acquired pneumonia Addo-Yobo E, Anh DD, El-Sayed HF, Fox LM, Fox MP, MacLeod W, et al.

Emergency Department 143

Emergency Department Infectious Diseases Pediatrics Sepsis 143

Dr. Smith's ECG Blog

DECEMBER 5, 2023

ECG findings somewhat atypical for acute OMI in a teenager clearly increase suspicion for acute myocarditis. == Acute MI in Children: I list in Figure-2 — potential causes of acute MI to consider in the pediatric age group ( Suryawanshi et al — Ann Pediatr Cardiol 4(1):81-83, 2011 ).

Pediatrics 119

Pediatrics EKG/ECG Hospitals Burns 119

Taming the SRU

APRIL 26, 2023

Mil Med 2011. First aid cooling techniques for heat stroke and exertional hyperthermia: A systematic review and meta-analysis. Resuscitation 2020. Druyan A, Janovich R, Heled Y. Misdiagnosis of exertional heat stroke and improper medical treatment. Epstein Y, Yanovich R. Heatstroke. N Engl J Med 2019. Gaudio FG, Grissom CK. J Emerg Med 2016.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Emergency Department Stroke Sepsis 52

Taming the SRU

FEBRUARY 12, 2024

DISCUSSION Epidemiology and Background Rivaroxaban, along with other direct oral anticoagulants (DOACs), has become a mainstay of treatment for pro-thrombotic conditions since 2011. [1] 3-5] From a patient perspective, DOACs are favorable for daily dosing, oral intake, and lack of frequent clinical visits for dosing adjustments. N Engl J Med.

Administration 73

Administration Fractures Anaphylaxis Emergency Department 73

Taming the SRU

JULY 2, 2023

2011): 544-549. 2011): 189-196. "Capnography in the emergency department: a review of uses, waveforms, and limitations." The Journal of emergency medicine 53.6 2017): 829-842. Whitaker, D. Time for capnography–everywhere." Anaesthesia 66.7 Kelly, John J., Use of tube condensation as an indicator of endotracheal tube placement."

Emergency Department 79

Emergency Department Pediatrics CPR Administration 79

EMDocs

JUNE 13, 2024

EM, April 2011. A record that the patient acknowledged receipt of discharge instructions is a valuable defense. References : “Sign Right Here and You’re Good to Go”: A Content Analysis of Audiotaped Emergency Department Discharge Instructions. Vashi A, Rhodes K. emDOCs Podcast – C. Medscape eMedicine. Updated: Jun 7, 2023.

Documentation/Coding 77

Documentation/Coding Patient Safety Emergency Department Hospitals 77

American Medical Compliance

NOVEMBER 3, 2022

” Starting in 2011, a study led by Dr. Tait Shanafelt, professor of medicine and chief wellness officer at Stanford Medicine in California, has tracked the wellbeing of doctors and professionals across all other industries in the US. Jack Resneck Jr. doctors was 62.8%. These numbers have increased from 38.2% in 2020, 43.9%

Telemedicine 52

Telemedicine Wellness 52

Emergency Medicine Journal

JANUARY 22, 2024

We assessed safety and efficacy data from 10 years (2011–2021) of our N 2 O PPS programme. Background Nitrous oxide (N 2 O) has multiple benefits in paediatric procedural sedation (PPS), but use is restricted by its limited analgesic properties. Analgesic potency could be increased by combining N 2 O and intranasal fentanyl (INF).

Emergency Department 40

Emergency Department Outcomes 40

The Skeptics' Guide to EM

OCTOBER 14, 2023

That episode reviewed the 2011 Fleming et al systematic review for the normal ranges of HR and RR in children from birth to 18 years of age. Does he have sepsis?” Background: We have looked at pediatric vital signs on the SGEM back in 2014 with PedEM superhero Dr. Anthony Crocco ( SGEM#98 ).

Pediatrics 98

Pediatrics Sepsis Urgent Care Emergency Department 98

Pediatric Emergency Playbook

SEPTEMBER 1, 2019

2011; 57 (4) 382-386 Miller LJ. 2011; 58 (4) 240-241. Annals of Emergency Medicine. et al A new study of intraosseous blood for laboratory analysis.Arch Pathol Lab Med. 2010 Sep;134(9):1253-60. Miller, et al. Utility of an intraosseous vascular system to deliver contrast dye using a power injector for computerized tomography studies.

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The Skeptics' Guide to EM

NOVEMBER 1, 2022

There have been a few randomized control trials (RCTs) of peripheral nerve blocks for shoulder dislocation, but without definitive results (Raeyat Doost 2017; Blaivas 2011). Intra-articular injection has been compared with procedural sedation (PS) for shoulder dislocation, with some potential benefits (Wakai 2011).

Dislocations 59

Dislocations Ultrasounds Emergency Department 59

PHEM Cast

FEBRUARY 7, 2022

2011; 364: 189-190. The value of technetium 99 scintigraphy in the prognosis of amputation in severe frostbite injuries of the extremities: A retrospective study of 92 severe frostbite injuries. The Journal of Hand Surgery. 2000; 25(5): 969-978. Cauchy et al. A Controlled Trial of a Prostacyclin and rt-PA in the Treatment of Severe Frostbite.

Hospitals 52

Hospitals 52

Pediatric EM Morsels

SEPTEMBER 1, 2023

2011-3798 Borowsky IW, Taliaferro LA, McMorris BJ. Cappelli M, Gray C, Zemek R, et al. The HEADS-ED: a rapid mental health screening tool for pediatric patients in the emergency department. Pediatrics. 2012;130(2):e321-e327. doi:10.1542/peds.2011-3798 Journal of Adolescent Health 2013; 53:S4-S12.

Pediatrics 161

Pediatrics Emergency Department Fractures Infectious Diseases 161

Pediatric EM Morsels

JULY 21, 2023

2011 Apr;48(4):331-2. [Orso 2020] One pediatric study in this systematic review, and the intubated patients had worse outcome than non-intubated Early airway protection = lower rates of complications (in TRAUMA), but this is not always true with medical patients. PMID: 33303004; PMCID: PMC7726605. Raman S, Sreenivas V, Puliyel JM, Kumar N.

Head Injuries 226

Head Injuries Pediatrics Outcomes Shock 226

The Skeptics' Guide to EM

JULY 17, 2021

This is because most pneumonias in this age-group are caused by viral pathogens ( Bradley et al 2011 ). Bradley et al 2011 ). Antibiotics are recommended for school age children diagnosed with CAP. However, how long should they be treated is an open question.

Pediatrics 52

Pediatrics Emergency Department Wellness 52

Emergency Medicine Ireland

JUNE 10, 2024

A follow up trial in 2011 by ICU steroid guru Djilalli Annane did not find a benefit. Intensive Care Medicine 37 , 486–492 (2011). But the RCTs that have been done don’t seem (to me at least) to give a clear benefit. So if anyone should get this it might be the non intubated isolated COHb poisoining.

Poisoning 52

Poisoning EMS Burns Shock 52

PHEM Cast

APRIL 16, 2018

Critical Care; 2011. 2011; 82: 1138-43. Epidemiology and aetiology of TCA in England… Resuscitation; 110 (2017): 90-94. Russell RJ et al. The role of trauma scoring in developing trauma clinical governance in the Defence Medical Services. Phil Trans R Soc. Doi: 1098/rstb.2010.0232 2010.0232 Wise et al. EMJ; 2005: 22-24. Morrison et al.

Resuscitation 52

Resuscitation Shock Ultrasounds CPR 52

The Skeptics' Guide to EM

JANUARY 20, 2024

The American Academy of Pediatrics ( AAP ) released guidelines for the management of febrile infants and children 2 to 24 months back in 2011 [2]. UTIs are one of the most common bacterial infections in childhood that we see in the emergency department [1].

Pediatrics 67

Pediatrics Anaphylaxis Emergency Department Outcomes 67

PHEM Cast

NOVEMBER 28, 2022

Cochrane Database of Systematic Reviews 2011, Issue 3. British Journal of Anaesthesia, Volume 126, Issue 1,2021 [link] Henry DA, Carless PA, Moxey AJ, O’Connell D, Stokes BJ, Fergusson DA, Ker K. Anti‐fibrinolytic use for minimising perioperative allogeneic blood transfusion. DOI: 10.1002/14651858.CD001886.pub4. link] Ageron, FX.,

Blood Transfusions 52

Blood Transfusions Administration Research 52

ACEP Now

JANUARY 13, 2024

As a member of the Air Force, deployed to Afghanistan in 2011, I have seen war where I should have seen it—in a designated war zone. For example, the Journal of the American Medical Association recently reported that mental health related emergency room visits spiked between 2011 and 2020.

Emergency Department 52

Emergency Department Resuscitation Patient Safety Hospitals 52

Greater Sydney Area HEMS

FEBRUARY 20, 2024

2011; 106 : 732–737. [iv] The Lancet. 1965;286:614–7 [iii] Breschan C, Platzer M, Jost R et al. Consecutive, prospective case series of a new method for ultrasound-guided supraclavicular approach to the brachiocephalic vein in children. iv] Breschan C, Graf G, Jost R et al.

Ultrasounds 98

Ultrasounds Shock Research Operations 98

Pediatric EM Morsels

MAY 12, 2023

We last pondered this in 2011 Morsel , just a couple years after PECARN head injury data was published. While this fact can adversely affect anyone, it offers the greatest challenge for those who cannot protect themselves , like children less than 3 months of age !

Head Injuries 130

Head Injuries Fractures Pediatrics Research 130

EMDocs

FEBRUARY 12, 2024

Epub 2011 Dec 12. 2011 Aug;71(2 Suppl 3):S364-9. Epub 2011 Jun 9. Epub 2011 Sep 9. PMID: 15481299 (17) Rudkin SE, Kahn CA, Oman JA, Dolich MO, Lotfipour S, Lush S, Gain M, Firme C, Anderson CL, Langdorf MI. Prospective correlation of arterial vs venous blood gas measurements in trauma patients. Am J Emerg Med.

Emergency Department 94

Emergency Department Resuscitation COPD Shock 94

Pediatric Emergency Playbook

OCTOBER 1, 2017

2011; 7:491-500. Journal of Chemical Neuroanatomy; 2011; 42: 288–296. 2011; 58(11):1183–90 Fraser CD, Jaquiss RDB, Rosenthal DN et al. References Vagus Nerve Stimulators (VNS) Elliott RE, Rodgers SD, Bassani L et al. Vagus nerve stimulation for children with treatment-resistant epilepsy: a consecutive series of 141 cases.

Pediatrics 52

Pediatrics Seizures Stroke Ultrasounds 52

PulmCCM

NOVEMBER 11, 2021

In 2011, Meng and colleagues evaluated the effects of phenylephrine [100 – 200 mcg] and ephedrine [5 – 20 mg] boluses on cardiac output and cerebral oxygenation during post-induction hypotension [5]; esophageal Doppler was used to measure blood flow. Anesthesia & Analgesia 2011, 113(2):211-213.

Stroke 40

Stroke Sepsis Administration Wellness 40

Don't Forget the Bubbles

JANUARY 24, 2024

2017 May 25;376(21):2011-2020. Devinsky O, Cross JH, Laux L, Marsh E, Miller I, Nabbout R, Scheffer IE, Thiele EA, Wright S; Cannabidiol in Dravet Syndrome Study Group. Trial of Cannabidiol for Drug-Resistant Seizures in the Dravet Syndrome. N Engl J Med. doi: 10.1056/NEJMoa1611618. PMID: 28538134. Dilena R, Mauri E, Aronica E, et al.

Seizures 108

Seizures Pediatrics Outcomes Hyperthermia / Hypothermia 108

PulmCCM

JUNE 12, 2023

A study in NEJM in 2011 estimated that by age 65 years, more than 75% of physicians in internal medicine subspecialties and emergency medicine would be sued for malpractice, while virtually all physicians in high-risk specialties would face at least one lawsuit.

Hyperthermia / Hypothermia 105

Hyperthermia / Hypothermia Academics Documentation/Coding Outcomes 105

ALiEM

NOVEMBER 27, 2023

Gynecol Surg 8, 129–134 (2011). Ultrasonographic findings in Fitz-Hugh-Curtis syndrome: a thickened or three-layer hepatic capsule. Yeungnam Univ J Med 35(1), 127-129 (2018). Theofanakis, C.P., Kyriakidis, A.V. Fitz-Hugh–Curtis syndrome. link] van Dongen PW. Diagnosis of Fitz-Hugh-Curtis syndrome by ultrasound. 1993 Jul;50(2):159-62.

Ultrasounds 64

Ultrasounds Academics Operations OB/GYN 64

PHEM Cast

DECEMBER 1, 2017

Prehospital needle aspiration and tube thoracostomy in trauma victims: a six-year experience with aeromedical crews. The Journal of Emergency Medicine , 13 (2), 155–163. Beckett, A., Pannell, D., Acharya, S., Kirkpatrick, A., & Tien, H. Branco, B. Eckstein, M., Martin, M. The Journal of Trauma , 71 (5), 1099–103– discussion 1103. McClure, K.,

Academics 52

Academics Radiology Radiology Resuscitation 52

Sensible Medicine

JANUARY 22, 2024

The STICH trial, published in 2011, randomized about 1200 patients with impaired LV systolic function and severe coronary artery disease amenable to surgery to CABG or medicine alone. Modern heart surgery uses the left internal mammary artery whereas older surgery used mostly vein grafts. Let me show you a big modern trial.

Outcomes 116

Outcomes Research 116

ALiEM

JUNE 5, 2023

2011 Dec;1(6):496-501. Anthrax: A disease of biowarfare and public health importance. World J Clin Cases. 2015;3(1):20-33. doi: 10.12998/wjcc.v3.i1.20 Kamal SM, Rashid AK, Bakar MA, Ahad MA. Anthrax: an update. Asian Pac J Trop Biomed. doi: 10.1016/S2221-1691(11)60109-3. PMID: 23569822 ; PMCID: PMC3614207. Simonsen KA, Chatterjee K.

Infectious Diseases 102

Infectious Diseases CDC PPE Military 102

Don't Forget the Bubbles

MAY 29, 2023

Journal of Leadership & Organizational Studies [Internet] 2011:18:4:449–458. Internet] 2011:41(1):41-47. [Internet] 2007; 505:1181–1197. Roberts SJ, Scherer LL, Bowyer CJ. Job Stress and Incivility: What Role Does Psychological Capital Play? Schwappach DLB, Gehring K. PLoS ONE [Internet] 2014 9(8): e104720. Smokler LP, Malecha A.

Leadership 98

Leadership Patient Safety Academics Research 98

EMDocs

FEBRUARY 7, 2024

2011 Aug 02;108(3 Suppl):33B-41B. 2011;(203):53-74. Diabetes Metab. 2020 Apr;46(2):100-109. Davidson MH. Cardiovascular effects of glucagonlike peptide-1 agonists. Am J Cardiol. Gallwitz B. GLP-1 agonists and dipeptidyl-peptidase IV inhibitors. Handb Exp Pharmacol. Zheng SL, Roddick AJ, Aghar-Jaffar R, et al.

Allergic Reactions 74

Allergic Reactions Anaphylaxis Dehydration Wellness 74