Pediatric EM Morsels

JUNE 14, 2024

Tavasoli 2018, Wolf 2012) More common in adults; children comprise 20% of total cases (Pidcock 2007, Wang 2019) Bimodal age distribution (Absoud 2016) Children < 5 years Children > 10 years Symptoms evolve over 2-4 days and peak at 5-6 days (Absoud 2016) ATM may occur alone OR as part of another disorders (e.g. 27,11 (2012): 1426-36.

Pediatrics 144

Pediatrics EMS Outcomes 144

The Trauma Pro

APRIL 9, 2024

J Trauma 72(3):576-584, 2012. My next post will flesh out the details. Reference: Evaluation of multidetector computed tomography for penetrating neck injury: A prospective multicenter study.

Operations 223

Operations Shock 223

RebelEM

DECEMBER 17, 2024

Am J Resp Crit Care Med 2012; 185(10): 1088-1095. Acetaminophen for Fever in Critically Ill Patients with Suspected Infection. NEJM 2015; 373(23): 2215-24. PMID: 26436473 Schortgen F et al. Fever control using external cooling in septic shock: a randomized controlled trial. PMID: 22366046 Sunden-Culberg J et al.

Sepsis 75

Sepsis Shock EMS Emergency Department 75

The Trauma Pro

MAY 31, 2024

2012 Mar;37(3):132-48. The use of tall man characters is now so pervasive that they are just part of the background. But a very important part. Now you (and I) know! Reference:Tall man letters are gaining wide acceptance. PMID: 22605902; PMCID: PMC3351881.

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ALiEM

NOVEMBER 22, 2024

2012 Sep;28(9):842-4. The classic “bullseye sign” was seen on this patient’s ultrasound. References Mandeville K, Chien M, Willyerd FA, Mandell G, Hostetler MA, Bulloch B. Intussusception: clinical presentations and imaging characteristics. Pediatr Emerg Care. doi: 10.1097/PEC.0b013e318267a75e. 0b013e318267a75e.

Ultrasounds 73

Ultrasounds Pediatrics Academics Hospitals 73

Pediatric EM Morsels

JULY 19, 2024

Since the original morsel ( way back in 2012 ), the literature has shown that there are a few extra ingredients that we can add to our morsel recipe when we care for children with post-tonsillectomy hemorrhage.

Airway Management 293

Airway Management Pediatrics Wellness Operations 293

Taming the SRU

OCTOBER 31, 2024

Ann Emerg Med 2024; Study Design Validation of the qPS4 was performed as part of a retrospective cohort study of pediatric patients presenting to a tertiary academic emergency department between the ~9 year study period (01/01/2012 - 12/31/2021).

Sepsis 94

Sepsis Shock Pediatrics Administration 94

Dr. Smith's ECG Blog

MAY 5, 2024

Pendell Meyers had not started medical school by summer of 2012, but he had read every one of my blog posts over the preceding 4 years. By the summer of 2012, he could read an ECG for OMI better than any doctor I knew. Such proficient interpreters include health care assistants and EKG technicians. He was a paramedic at the time.

EKG/ECG 127

EKG/ECG Wellness 127

Taming the SRU

JUNE 20, 2025

2012): 231-280. NCJ-183781, US Department of Justice, Washington, DC 2005. Capaldi, Deborah M., A systematic review of risk factors for intimate partner violence." Partner abuse 3.2 Bonomi AE, Anderson ML, Reid RJ, et al. Medical and psychosocial diagnoses in women with a history of intimate partner violence. Arch Intern Med 2009; 169:1692.

Domestic Violence 52

Domestic Violence Emergency Department Documentation/Coding Incident Reporting 52

Emergency Live

MARCH 20, 2024

Established by the United Nations General Assembly in 2012, this observance aims to promote happiness as a fundamental right for every individual. […] The post Happiness and health, a perfect combination appeared first on Emergency Live.

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The Trauma Pro

FEBRUARY 16, 2024

J Trauma 72(1):302-305, 2012. Although I am a little concerned that the authors’ results were so perfect, it’s certainly worth a try! Reference: Percutaneous extraction of deeply-embedded radiopaque foreign bodies using a less-invasive technique under image guidance.

Wellness 147

Wellness 147

RebelEM

SEPTEMBER 13, 2023

Both conditions can range in severity from benign to life threatening (Wilkerson 2012). 2012; 14(11). Hereditary Angioedema (presents in childhood) and Acquired C1 Inhibitor Deficiency (adulthood) Both involve abnormalities in the level or function of the C1 inhibitor. J Allergy Clin Immune Tract 2017; 5(5): 1402-9. EBMedicine.net.

Allergic Reactions 103

Allergic Reactions Airway Management Anaphylaxis Emergency Department 103

ACEP Now

JUNE 11, 2025

2012 May;8(2):152-157. Curr Cardiol Rev. 2021;17(4):e230421186875. Strayer, RJ, Shearer PL, Hermann LK. Screening, evaluation, and early management of acute aortic dissection in the ED. Curr Cardiol Rev. Does this patient have an acute thoracic aortic dissection? 2002;287(17):2262.​

Ultrasounds 59

Ultrasounds Operations Wellness Hospitals 59

Sensible Medicine

JUNE 19, 2025

Way back in 2012, when Vinay and I published A medical burden of proof: Towards a new ethic , we built our arguments on Primum non nocere , which we referred to as ‘the most fundamental principle of medicine.’ I have always accepted it as a guide for medical practice. ’ In this essay, Dr.

Academics 124

Academics 124

EMDocs

DECEMBER 1, 2024

2012 Jun 30;43(2):175-80. MMWR Morb Mortal Wkly Rep. 2003;52(50):1209-1211. Accessed August 19, 2024. Peniche Lara G, Dzul-Rosado KR, Zavala Velázquez JE, Zavala-Castro J. Murine Typhus: Clinical and epidemiological aspects. Colomb Med (Cali). Gershman, Mark D., and Sarah L.

EMS 94

EMS Infectious Diseases Shock Airway Management 94

ACEP Now

NOVEMBER 7, 2024

To begin, a 2012 prospective pediatric study found a failure rate of 16.9 Sometimes it is; most often it’s not. While we often evaluate the shunt for malfunction, is there a particular time window where shunt malfunction is more common? percent) required shunt revision.

Pediatrics 59

Pediatrics Poisoning Research Outcomes 59

ACEP Now

DECEMBER 8, 2024

For quick comparison, ED visits in 2012 were about 131 million, which was 424 visits per 1,000 population. The Centers for Disease Control and Prevention (CDC) estimates of emergency department (ED) visits for 2022 were recently released. 1 It was the highest volume ever reported by the CDC, at 155.4 Click to enlarge.

CDC 52

CDC Emergency Department Hospitals 52

AENJ: Current Issue

APRIL 15, 2025

This case also highlights the hs-TnI superior sensitivity in detecting or excluding subtle myocardial injuries that may arise from conditions like acute cholecystitis (Babic et al.,

EKG/ECG 75

EKG/ECG Emergency Department 75

Don't Forget the Bubbles

AUGUST 9, 2023

2012 Aug;97(8):2732-40. Epub 2012 Jun 20. J Clin Endocrinol Metab. 99:2697–703. doi: 10.1210/jc.2014-1761 Crisafulli, C., Subclinical hypothyroidism in children: is it always subclinical? Ital J Pediatr 44 , 25 (2018). link] Gharib H, Tuttle RM, Baskin HJ, Fish LH, Singer PA, McDermott MT. J Clin Endocrinol Metab. doi: 10.1210/jc.2012-1663.

Ultrasounds 98

Ultrasounds Pediatrics Wellness 98

Dr. Smith's ECG Blog

JUNE 5, 2024

Uncontrolled coronary spasm may be associated with serious arrhythmias , including cardiac arrest ( Looi et al — Postgrad Med, 2012 ; Tan et al — Eur Heart J Case Rep, 2018 ; Chevalier et al — JACC, 1998 ; Rodriguez-Manero — EP Europace, 2018 ). As a result — an ICD may need to be considered in selected cases.

EKG/ECG 126

EKG/ECG Outcomes 126

PEMBlog

OCTOBER 11, 2023

Epub 2012 Nov 19. Tasian GE, Bagga HS, Fisher PB, McCulloch CE, Cinman NM, McAninch JW, Breyer BN. Pediatric genitourinary injuries in the United States from 2002 to 2010. 2013 Jan;189(1):288-93. doi: 10.1016/j.juro.2012.09.003. 2012.09.003. PubMed PMID: 23174237; PubMed Central PMCID: PMC3565612. Guttmann I, Kerr HA. Blunt bladder injury.

Fractures 98

Fractures Pediatrics 98

RebelEM

JANUARY 24, 2024

You will notice the squeeze will cause no motion if there is a full rupture/tear, and diminished motion if there is a partial tear Performance Characteristics ( Garras 2012 ) Sensitivity Specificity (+) LR (-) LR 96-100% 93-100% 13.7 Clin Orthop Relat Res 2012; 470(8): 2268-2273. Coll Antropol. 2007; 31:279-284. Bone Joint Surg Am.

Operations 100

Operations Ultrasounds Fractures Outcomes 100

Don't Forget the Bubbles

AUGUST 2, 2023

in 2012 of 19 children with CRPS treated with CBT and physical therapy showed that 89% eventually had full symptom resolution. carried out a retrospective chart review of children with CRPS presenting to a paediatric Chronic Pain Clinic in Canada over a 5-year period (2012 to 2016). A small, retrospective review by Brooke et al.

Psychiatric 98

Psychiatric Pediatrics Outcomes Academics 98

Taming the SRU

OCTOBER 28, 2024

2012 Mar-Apr;11(2):58-63. Pneumomediastinum and pneumopericardium following blunt thoracic trauma: much ado about nothing? Eur J Trauma Emerg Surg. 2019 Oct;45(5):927-931. PubMed] 15. Return to collision sport after pneumomediastinum. Curr Sports Med Rep. PubMed] 16. Iteen AJ, Bianchi W, Sharman T. Pneumomediastinum. Updated 2023 May 1].

COPD 97

COPD Pediatrics Emergency Department Ultrasounds 97

AENJ: Current Issue

MAY 8, 2024

However, typical NSVT presentation in the emergency department (ED) includes palpitations, near-syncope, dizziness, skipped beats, chest pain, and/or dyspnea (Katritsis et al., In some instances, NSVT can present with elevated or slightly elevated troponin from demand ischemia.

Emergency Department 72

Emergency Department EKG/ECG 72

ACEP Now

MAY 10, 2025

Local anesthetics review of pharmacological considerations Anesth Prog 2012:59(21:90-101 quiz 102-103. Pawa A Chin KJ Local anesthetic systemic toxicity current perspectives Local Reg Anh 2018:11:35-44. Becker DE, Reed KL. Vasiques F. Behr ALL Weinberg G, Ori C, Di Gregorio G. 2015:40(6):698-705.

Administration 87

Administration Advances Cardiac Life Support (ACLS) Seizures Ultrasounds 87

PEMBlog

MAY 1, 2025

One review identified about 129 cases of parvovirus-related neurologic complications between 1970 and 2012, with encephalitis making up about two-thirds of those cases. These include encephalitis, Guillain-Barr syndrome, and brachial plexopathy. So how do we diagnose Parvovirus B19?

Pediatrics 83

Pediatrics Urgent Care Wellness Hospitals 83

Sensible Medicine

JUNE 28, 2023

In 2012, outgoing editor-in-chief, Dr. Harlan Krumholz, titled this essay in Hitchens-esque fashion: A Note to My Younger Colleagues…Be Brave. Then I found this: Ultimately, our success as a profession will depend on our ability to engage in debate, acknowledge different opinions, and seek answers through science.

Academics 103

Academics Outcomes 103

Ken Grauer, MD

FEBRUARY 13, 2023

NOTE: References I used for my above discussion of BiDirectional VT were — Ali et al ( J Coll Phys and Surgeons Pakistan 23(5):347-349, 2013 ) — and — Femenia, Baranchuk et al ( Indian Pacing Electrophysiol J 12(2):65-68, 2012 ).

EKG/ECG 195

EKG/ECG Poisoning 195

EMDocs

JANUARY 11, 2025

2012 May-Jun;13(3):283-289. [link] Wu CH, Huang CC, Wang LJ, Wong YC, Wang CJ, Lo WC, Lin BC, Wan YL, Hsueh C. Value of CT in the Discrimination of Fatal from Non-Fatal Stercoral Colitis. Korean J Radiol. link] Sacerdote, M., Limback, J., & Zhu, J. Fecal Impaction and Nonperforated Stercoral Colitis: Red Flags for Poor Outcomes.

EMS 91

EMS Sepsis Shock Fluid Resuscitation 91

ALiEM

SEPTEMBER 1, 2023

2012 Oct;55(7):930-9. Epub 2012 Jun 19. Cheng NC, Yu YC, Tai HC, Hsueh PR, Chang SC, Lai SY, Yi WC, Fang CT. Recent trend of necrotizing fasciitis in Taiwan: focus on monomicrobial Klebsiella pneumoniae necrotizing fasciitis. Clin Infect Dis. doi: 10.1093/cid/cis565. PMID: 22715175.

Academics 64

Academics Hospitals 64

RebelEM

FEBRUARY 28, 2025

leaving the nail in place and just trephinating for drainage) ( Seaberg 1991 , Roser 1999 , Batrick 2003, Dean 2012 ). Though there arent large trials, the existing evidence supports conservative management (i.e.

Outcomes 58

Outcomes Pediatrics Emergency Department EMS 58

Cook County EM Blog

JANUARY 17, 2025

In this case, the patient likely suffered from myocardial contusion given his presentation. What do the EAST guidelines say regarding the treatment of BCI?

Pediatrics 52

Pediatrics EKG/ECG Hospitals Research 52

PulmCCM

JULY 7, 2024

The statement relaxes only slightly SCCM’s 2012 guidelines that advised tighter glucose control based on the incorrect findings of early intensive glucose control trials. In April 2024, the Society of Critical Care Medicine (SCCM) issued new guidelines for glycemic control in critically ill patients.

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52

Ken Grauer, MD

MARCH 12, 2023

For those wanting a more advanced review regarding AFlutter — Check Out this article by García-Cosío F et al ( Clinical Approach to ATach and AFlutter , Rev Esp Cardiol 65(4):363-375, 2012).

EKG/ECG 195

EKG/ECG Administration Wellness 195

Sensible Medicine

DECEMBER 11, 2023

This is a picture I made in 2012. Current thinking holds that the way to ablate AF is to electrically isolate the muscle bundles going in and out of the pulmonary veins. Think of it as building an electric fence around the pulmonary veins. We use different energy sources to ablate the tissue. The colored tubes are the PVs. It is an absolute.

Operations 122

Operations Hospitals 122

RebelEM

FEBRUARY 24, 2025

Oct 2012; PMID: 23043910 Kumar A, et al. Respiratory variations of inferior vena cava diameter to predict fluid responsiveness in spontaneously breathing patients with acute circulatory failure: need for a cautious use.

Ultrasounds 72

Ultrasounds Shock Fluid Resuscitation Resuscitation 72