The Skeptics' Guide to EM

JULY 17, 2018

Validation of the Pediatric NEXUS II Head Computed Tomography Decision Instrument for Selective Imaging of Pediatric Patients with Blunt Head Trauma. Validation of the Pediatric NEXUS II Head Computed Tomography Decision Instrument for Selective Imaging of Pediatric Patients with Blunt Head Trauma.

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Taming the SRU

FEBRUARY 5, 2024

Several definitions have been set forth for this common injury, with perhaps the most well accepted definition being introduced by the Centers for Disease Control and World Health Organization. For pediatric patients, we recommend using the PECARN Pediatric Head Injury Algorithm. JAMA Pediatr.

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The Skeptics' Guide to EM

JUNE 17, 2023

Intranasal fentanyl and discharge from the emergency department among children with sickle cell disease and vaso-occlusive pain: A multicenter pediatric emergency medicine perspective. She is a Professor of Pediatrics and Interim Chief of the Section of Pediatric Emergency Medicine at the Medical College of Wisconsin.

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Emergency Medicine Cases

AUGUST 24, 2021

Just as pediatric patients are not small adults, geriatric patients are not just old adults. When can anticoagulation medications be safely resumed after an older person has sustained a minor head injury? What is the utility of the Shock Index in older patients? and many more.

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Emergency Medicine Cases

MAY 9, 2017

Management of the pediatric trauma patient is challenging regardless of where you work. How do you clear the pediatric c-spine? Are atropine and fentanyl recommended as pre-induction agents in the pediatric trauma patient? Is tranexamic acid recommended in early pediatric trauma like it is in adults? and many more.

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Pediatric Education

APRIL 7, 2024

The mother was given head injury instructions and asked to monitor for any additional problems that arose for his nose or mouth too. Discussion Facial trauma is common and accounts for about 11% of all pediatric emergency room visits. Pediatric Nasal and Septal Fractures. playing, sports, car accidents, etc.).

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Pediatric EM Morsels

JULY 21, 2023

We have mentioned the Glasgow Coma Scale in multiple delicious morsels: Minor closed head injuries in <3 month olds and in the rebaked morsel , Blunt cerebrovascular injury , Cerebral edema in DKA , Pediatric Trauma Pitfalls , and Carbon monoxide poisoning.

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Emergency Medicine Cases

NOVEMBER 5, 2019

The post EM Quick Hits 10 – TXA CRASH-3, CJEM Cellulitis, Double Defib, Serratus Anterior Block, PARC score, Toxic Shock Syndrome appeared first on Emergency Medicine Cases.

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ACEP Now

AUGUST 25, 2023

The Pediatric Pain Management Standard 1 for children was published this year to provide guidance to health organizations on how to deliver equitable and quality pain management across hospital settings. IN fentanyl has been safely used to treat pain in pediatric patients. It offers a way to deliver analgesia without IV access.3,

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Emergency Medicine Cases

JUNE 13, 2017

The post Episode 97 EM Literature Review 2016 from EMU & Whistler Conferences appeared first on Emergency Medicine Cases.

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The Skeptics' Guide to EM

MAY 22, 2021

One of the issues that comes up with minor head injuries is do we need to get advanced imaging. We looked at the Canadian CT Head Rule (CCHR) published by Dr. Ian Stiell in the Lancet 2001 on SGEM#106. The SGEM has also covered the issue of getting CT scans in pediatric patients with minor head injuries.

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Head Injuries Research Emergency Department Pediatrics 52

EMDocs

MARCH 2, 2024

4] Epidemiology: Pneumocephalus is seen in almost all post-craniotomy cases, whereas the incidence of pneumocephalus seen in trauma involving head injury varies between 3.9% There is no evidence that steroids (D) are beneficial in head injury.  An Pediatr (Engl Ed). 2019 Int J Crit Illn Inj Sci. 2017

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EB Medicine

SEPTEMBER 20, 2019

Kirelik is the Medical Director of the Rocky Mountain Pediatric OrthoONE Center for Concussion and is an attending pediatric emergency medicine physician at the Rocky Mountain Hospital for Children in Denver, Colorado. The Canadian CT Head Rule for patients with minor head injury. 2009;374(9696):1160-1170.

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Emergency Department Head Injuries Pediatrics Hospitals 40

EMDocs

JULY 11, 2023

Pediatric patients: Post circumcision bleed, head bleeds, bruises. PECARN Pediatric Head Injury/Trauma Algorithm, Canadian CT Head Injury Rule, Ottawa Knee and Ankle Rules) do not apply to those with hemophilia and should not guide management. Mild hemophilia can be undiagnosed for years. Kitchens CS.

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Head Injuries Pediatrics Dislocations CDC 60

ACEP Now

JULY 6, 2023

Added benefit would accrue when a pediatric patient avoids CT images, thereby decreasing the potential risk for a subsequent cancer. Pediatric Emergency Care Applied Research Network head injury clinical prediction rules are reliable in practice. Risk of brain tumor induction from pediatric head CT procedures.

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Head Injuries Emergency Department Research Pediatrics 52

The Skeptics' Guide to EM

MARCH 12, 2022

JAMA Pediatrics 2021 Guest Skeptic: Dr. Catherine Varner is an Assistant Professor and Clinician Investigator in the Department of Family and Community Medicine at the University of Toronto. Background: Concussions or mild traumatic brain injury (mTBI) are commonly diagnosed in the Emergency Department (ED).

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The Skeptics' Guide to EM

AUGUST 5, 2023

Comparison of PECARN, CATCH, and CHALICE rules for children with minor head injury: a prospective cohort study. He is a […] The post SGEM#412: I Can’t Choose…from all the Head Injury Prediction Rules first appeared on The Skeptics Guide to Emergency Medicine. So, should we CT scan children with minor head injury?

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Head Injuries Pediatrics Outcomes Fractures 40

RebelEM

AUGUST 24, 2023

Pediatrics. Pediatrics. Pediatrics. Relative rest (activities of daily living and reduced screen time) is indicated for the first 12-48 hours, followed by light-intensity physical activity (walking or stationary cycling while avoiding the risk of contact, collision, or fall) as tolerated. 2023 May 1;151(5):e2022059592.

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Outcomes Pediatrics Research Hospitals 70

PHEM Cast

MARCH 3, 2019

Trench entrapment: is ketamine safe to use for sedation in head injury? ketamine for sedation of pediatric patients receiving emergency department orthopedic procedures. Emerg Med J. 2004 May 1;21(3):275–80. Ketamine in prehospital care. Emerg Med J. 2004 May 1;21(3):351–4. Gunning M, Perkins Z, Quinn T. Emerg Med J. versus i.m.

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Pediatric Emergency Playbook

JANUARY 1, 2016

Abusive head injury is the most common cause of death from child abuse. Up to 30% of infants with abusive head injury may be misdiagnosed on initial presentation. Pediatr Diabetes. Pediatrics in Review. Pediatr Diabetes. Louwers et al. Radiographics. 2006; 26(5):1485-500. 2006 Apr;7(2):75-80.

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Dr. Smith's ECG Blog

JULY 22, 2012

A 6 yo girl had significant trauma from an MVC, with head injury (initial GCS 10, but no intracranial bleeding) and mild orthopedic injuries. Inpatient stay : She quickly awoke and was observed for a couple days, treated for minor orthopedic injuries, and recovered well from the head injury.

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Don't Forget the Bubbles

JUNE 30, 2023

Whilst you were busy managing head injuries and drownings, Ranulf had been out with a group of boys from school this evening. Balanced hemostatic resuscitation for bleeding pediatric trauma patients: A nationwide quantitative analysis of outcomes. J Pediatr Surg. Pediatr Surg Int. 2022 Dec;57(12):986-993.

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EM Curious

APRIL 29, 2015

WHEN KIDS FALL OUT PEDIATRIC SYNCOPE [PODCAST]: An in depth look into pediatric syncope, delving into etiologies of sudden cardiac death in children and who should get further work up. Listen to the two part podcast featuring Dr. Andy Sloas & pediatric cardiology expert Dr. Buck Kyle @ PEM ED. Read on here @ ALiEM.

Head Injuries 52

Head Injuries EMS Pediatrics CPR 52

Taming the SRU

JUNE 6, 2023

mg/kg of IBW Seek to match a patient's minute ventilation with TV and RR after intubation Intentionally match patient's intrinsic RR noted prior to intubation Note that healthy lungs can handle 8 mL/kg, based on IBW, if that is useful for compensation Secure your ETT Thomas Tube Holder is a new ETT holder on Air Care for ETT down to size 6.5

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