Pediatric EM Morsels

OCTOBER 27, 2023

Rosenburg 2010] B-L system is designed for 12yo and younger, patients up to 80 lbs, height 46-143 cm [Meguerdichian 2012] Estimates the 50%ile weight for height (Length vs Ideal Body Weight). Sinha 2012] It is useful in the prehospital setting , correlating well with actual weight and ED Broselow weight.

Pediatrics 238

Pediatrics Resuscitation Documentation/Coding Wellness 238

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 69

Emergency Department EKG/ECG 69

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

The Trauma Pro

JUNE 9, 2023

World J Surg 36:260-265, 2012. Rarely, a laparotomy (or laparoscopy) may be needed to assist for very large and complex injuries. References: Management of Delayed Presentation of a Right-Side Traumatic Diaphragmatic Rupture. Delayed Discovery of Diaphragmatic Injury After Blunt Trauma: Report of Three Cases. Surg Today 35:407-410, 2005.

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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

The Trauma Pro

JUNE 14, 2024

Radiology 265(3):678–693, 2012. PMID: 35830194; PMCID: PMC9280606. CT findings of traumatic bucket-handle mesenteric injuries. Am J Radiol 209:W360-@364, 2017. Multidetector CT of blunt abdominal trauma.

Operations 147

Operations Radiology Radiology Hospitals 147

Emergency Medicine Journal

JUNE 20, 2024

They conducted a longitudinal analysis of the average level of all cause and avoidable admissions and funding reductions between 2012 and 2017. They found that the most deprived areas had.

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PEMBlog

APRIL 24, 2024

Retrospective use has been shown to be valid and reliable in one cross-sectional study ( Beslow 2012 ).This Review the tool at MD Calc, the direct link is – [link] – MD Calc Pediatric NIH Stroke Scale Important notes The overall true predictive value of the Pediatric NIH stroke scale continues to be studied.

Stroke 59

Stroke Pediatrics Blood Transfusions Radiology 59

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

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.

Pediatrics 247

Pediatrics Airway Management Wellness Operations 247

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 115

EKG/ECG Outcomes 115

Emergency Medicine Journal

JULY 24, 2023

Methods A retrospective analysis using the Healthcare Cost and Utilization Project State Emergency Department Databases (2012–2017) for individuals aged 18–59 who visited any ED in Florida, Massachusetts and New York was conducted. million ED visits in the baseline year (2012). million patients, who accounted for 4.5

Emergency Department 40

Emergency Department Outcomes 40

PEMBlog

AUGUST 7, 2023

Pediatrics September 2012; 130 (3): 576–584. 2012-1671 Katz ES, Marcus CL. Schechter , Stephen Howard Sheldon , Karen Spruyt , Sally Davidson Ward , Christopher Lehmann , Richard N. Shiffman; Diagnosis and Management of Childhood Obstructive Sleep Apnea Syndrome. 10.1542/peds.2012-1671 Elsevier Saunders. 197-210; 2005.

Pediatrics 52

Pediatrics 52

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

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

The Trauma Pro

MARCH 8, 2024

We instituted a trauma team EMS timeout process in 2012, which persists to this day. Should EMS utilize a standardized handoff at the arrival of trauma patients versus the current process without a standardized handoff to help reduce clinical complications, handoff errors, medical errors, and preventable adverse events?

EMS 147

EMS Wellness 147

Don't Forget the Bubbles

NOVEMBER 29, 2023

A 2012 study on paediatric patients showed that approximately 42% were intubated without medications, and 2% were intubated with paralysis only in the ED. Pediatric Emergency Care 28(11): p 1129-1131, November 2012. | What are the only exceptions? Pediatric Endotracheal Intubations for Airway Management in the Emergency Department.

Airway Management 134

Airway Management Emergency Department Resuscitation Psychiatric 134

ALiEM

JANUARY 8, 2024

2012 Jul;51(7):1278-84. Epub 2012 Feb 29. The diagnostic utility of anti-melanoma differentiation-associated gene 5 antibody testing for predicting the prognosis of Japanese patients with DM. Rheumatology (Oxford). doi: 10.1093/rheumatology/ker518. PMID: 22378718. Moghadam-Kia S, Oddis CV, Sato S, Kuwana M, Aggarwal R.

Academics 60

Academics Hospitals Outcomes 60

Don't Forget the Bubbles

AUGUST 23, 2023

2012) “Professional burnout, vicarious trauma, secondary traumatic stress, and compassion fatigue”. 2012) “Implementation of a Rapid Post-Code Debrief Quality Improvement Project in a Community Emergency Department Setting”. Newell, J. & & MacNeil, G. Best Practices in Mental Health. 2 (57-68). O Malley P. 134 (1), pp.

Emergency Department 98

Emergency Department Resuscitation Documentation/Coding Best Practices 98

Don't Forget the Bubbles

MARCH 18, 2024

2012 Mar 19 [cited 2023 Nov 30];55(1):33–41. coliO157 and factors influencing the development of typical haemolytic uraemic syndrome: a retrospective cohort study, 2009–2012. 2012 Jul 19 [cited 2023 Nov 30];345:e4565. Clinical Infectious Diseases [Internet]. Disease severity of Shiga toxin-producingE. 2016 Jan;6(1):e009933.

Dehydration 57

Dehydration Infectious Diseases Seizures Pediatrics 57

Don't Forget the Bubbles

OCTOBER 11, 2023

An informal survey of North American Society of Paediatric Gastroenterology, Hepatology, and Nutrition (NASPGHAN) members in Spring 2012 identified significant morbidity in >80 magnet ingestions, which resulted in 39 endoscopies, 26 surgeries, 26 bowel perforations, and three bowel resections. 2012 Sep 1;55(3):239-42.

Pediatrics 112

Pediatrics Operations Radiology Radiology 112

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 80

Operations Ultrasounds Outcomes Fractures 80

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

ALiEM

OCTOBER 16, 2023

2012 Oct;12(10):808-15. Epub 2012 May 25. Treatment includes parenteral antibiotics and prompt consultation of medical and surgical subspecialists to identify the infectious source as well as mitigate against systemic spread and/or thrombus propagation. References Kuppalli K, Livorsi D, Talati NJ, Osborn M. Lancet Infect Dis.

Wellness 60

Wellness Academics Emergency Department Hospitals 60

RebelEM

FEBRUARY 8, 2023

Surv Ophthalmol 2012; 57(5):448-462. Epidemiology: Most frequent cause of corneal blindness in the United States Most common source of infectious blindness in the Western world. Herpes simplex epithelial and stromal keratitis: an epidemiologic update. PMID: 3652623 Wilhelmus KR et al. Cochrane Database Syst Rev 2010; (12): CD002898.

EMS 52

EMS 52

EMDocs

JULY 13, 2024

2012 May;27(5):1368-74. Epub 2012 Mar 14. Favorable infertility outcomes following anti-tubercular treatment prescribed on the sole basis of a positive polymerase chain reaction test for endometrial tuberculosis. Hum Reprod. doi: 10.1093/humrep/des076. PMID: 22419745. Morens, David. 2024, [link] Accessed 7 February 2024.

OB/GYN 63

OB/GYN EMS Sepsis Fluid Resuscitation 63

Taming the SRU

APRIL 26, 2023

Intensive Care Med 2012. Klein Klouwenberg PM, Ong DS, Bonten MJ, Cremer OL. Classification of sepsis, severe sepsis and septic shock: the impact of minor variations in data capture and definition of SIRS criteria. Pileggi DJ, Cook AM. Neuroleptic Malignant Syndrome. Ann Pharmacother 2016. Rublee C, Dresser C, Giudice C, et al.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Emergency Department Stroke Sepsis 52

PEMBlog

MAY 24, 2023

2012 Jan;109(3):27-32. 2012 Feb;13(1):35-40. For more information, please visit HRSA.gov To learn more about the Emergency Medical Services for Children Innovation and Improvement Center visit [link] Email km@emscimprovement.center Follow on Twitter @EMSCImprovement References Berzlanovich AM, Schöpfer J, Keil W. Dtsch Arztebl Int.

Emergency Department 59

Emergency Department Pediatrics Psychiatric Administration 59

Don't Forget the Bubbles

JANUARY 17, 2024

Mirza and Sheikh reported perhaps the first unfortunate case in 2012. In 2012, one brand of SAP beads – Water Balz – was recalled by the U.S. 2012 Jan;3(1):6. Around 80% of those reported pass spontaneously, with another 10-20% requiring endoscopic removal and only 1% requiring surgical intervention. Krisch et al.

Pediatrics 108

Pediatrics Poisoning Ultrasounds Dehydration 108

PDC Healthcare

OCTOBER 22, 2020

Founded in 2012 by two emergency medicine physicians, Ideal Option’s mission is to provide underserved populations with low-barrier access to evidence-based addiction treatment – […].

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ALiEM

MARCH 1, 2024

link] Published November 19, 2012. In: Knoop KJ, Stack LB, Storrow AB, Thurman R. The Atlas of Emergency Medicine, 5e. McGraw Hill; 2021. link] Gurwood AS. Cut at the root. Review of Optometry. Accessed January 2023.

Dislocations 60

Dislocations Academics Ultrasounds Hospitals 60

Downeast Emergency Medicine

JUNE 7, 2021

2012 Sep;30(7):1134-40 References Fields JM et al. 2012 Sep;30(7):1134-40. The effect of vessel depth, diameter and location on ultrasound-guided peripheral catheter longevity. Am J Emerg Med. The effect of vessel depth, diameter and location on ultrasound-guided peripheral catheter longevity. Am J Emerg Med. Pubmed ]

Ultrasounds 52

Ultrasounds Wellness 52

ACEP Now

SEPTEMBER 11, 2023

5 Pediatric discharges were reported by 2,784 hospitals in 2000 and the number of reporting hospitals increased to 4,179 in 2012. From these data, the authors looked at five reporting periods—2000, 2003, 2006, 2009, and 2012—and identified ARF case incidences of 0.63, 0.77, 0.64, 0.51, and 0.52, respectively, per 100,000 children.

Pediatrics 52

Pediatrics Poisoning Hospitals Emergency Department 52

Emergency Medicine Journal

NOVEMBER 28, 2023

Method and Design This was a cohort study of adults attending EDs in the NHS Lothian region of Scotland between 2012 and 2019, using linked records including ED attendance records, hospital discharge records, cancer registry and national death records. Multimorbidity was defined as two or more Elixhauser conditions.

Emergency Department 40

Emergency Department Outcomes Hospitals 40

Don't Forget the Bubbles

FEBRUARY 12, 2024

The Lancet. 2005 Jul 2;366(9479):37-43. Sheikh A, Hurwitz B, van Schayck CP, McLean S, Nurmatov U. Antibiotics versus placebo for acute bacterial conjunctivitis. Cochrane Database of Systematic Reviews. Kapoor VS, Evans JR, Vedula SS. Interventions for preventing ophthalmia neonatorum. Cochrane database of systematic reviews. cks.nice.org.uk/topics/conjunctivitis-infective/management/management-in-primary-care/

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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 77

Academics Outcomes 77

PEMBlog

OCTOBER 16, 2023

2012 Jan;5(1):67-70. Her imaging also revealed an incidental ovarian teratoma that was also resected. References Bajaj SK, Misra R, Thukral BB, Gupta R. OHVIRA: Uterus didelphys, blind hemivagina and ipsilateral renal agenesis: Advantage MRI. J Hum Reprod Sci. doi: 10.4103/0974-1208.97811. PMID: 22870020; PMCID: PMC3409925.

Ultrasounds 69

Ultrasounds Emergency Department Pediatrics 69