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PEM Updates

@PEMUpdates

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Joined October 2012
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A critical assessment of time-to-antibiotics recommendations in pediatric sepsis dlvr.it/TDVxBk
A Critical Assessment of Time-to-Antibiotics Recommendations in Pediatric Sepsis - PubMed

A Critical Assessment of Time-to-Antibiotics Recommendations in Pediatric Sepsis - PubMed

The Pediatric Surviving Sepsis Campaign Guidelines recommend delivery of antibiotics within 1 hour for children with septic shock and, for those without shock but with sepsis-related organ dysfunct...

pubmed.ncbi.nlm.nih.gov
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Evaluation of Intranasal Fentanyl and Midazolam Among Inpatient Pediatric Patients dlvr.it/TDVxBj
Evaluation of Intranasal Fentanyl and Midazolam Among Inpatient Pediatric Patients - PubMed

Evaluation of Intranasal Fentanyl and Midazolam Among Inpatient Pediatric Patients - PubMed

This study suggests that IN fentanyl and midazolam were administered to pediatric inpatients undergoing routine procedures without serious adverse drug reactions being reported. Although these...

pubmed.ncbi.nlm.nih.gov
157
Effectiveness of Direct Admission Compared to Admission Through the ED: A Stepped-Wedge Cluster-Randomized Trial dlvr.it/TDVxBg
Effectiveness of Direct Admission Compared to Admission Through the Emergency Department: A...

Effectiveness of Direct Admission Compared to Admission Through the Emergency Department: A...

Compared with ED admission, DA appears equally safe and acceptable to families, and may be associated with a significantly shorter time to initial therapeutic management with modestly longer time to...

pubmed.ncbi.nlm.nih.gov
113
Development of the National Prehospital Pediatric Readiness Project assessment dlvr.it/TDVxBf
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Derivation of a clinical decision rule for termination of resuscitation in non-traumatic pediatric out-of-hospital cardiac arrest dlvr.it/TDVxBc
Derivation of a clinical decision rule for termination of resuscitation in non-traumatic pediatric...

Derivation of a clinical decision rule for termination of resuscitation in non-traumatic pediatric...

We derived a clinical prediction rule with high specificity and positive predictive value in prehospital settings utilizing Advanced Life Support (ALS) providers which may inform termination of...

pubmed.ncbi.nlm.nih.gov
90
How Super Is Supertrack? Expediting Care of Fast-track Patients through a Pediatric ED dlvr.it/TDVxBW
How Super Is Supertrack? Expediting Care of Fast-track Patients through a Pediatric Emergency...

How Super Is Supertrack? Expediting Care of Fast-track Patients through a Pediatric Emergency...

We improved the flow of Supertrack patients by decreasing their length of stay and increasing how many were discharged within their anticipated timeframe. Limitations included an unexpected surge in...

pubmed.ncbi.nlm.nih.gov
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Navigating the risks of pediatric head trauma: the role of imaging and radiation safety dlvr.it/TDVxBR
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Comparison of Interfacility Transfer of Critically Ill Pediatric Patients by Helicopter Versus Ground Ambulance in a Remote and Rural Domain dlvr.it/TDVx9z
Comparison of Interfacility Transfer of Critically Ill Pediatric Patients by Helicopter Versus...

Comparison of Interfacility Transfer of Critically Ill Pediatric Patients by Helicopter Versus...

HEMS reduced transport times compared with GEMS. However, there was a higher incidence of cardiac arrest requiring cardiopulmonary resuscitation during transfer and hypotension upon arrival.

pubmed.ncbi.nlm.nih.gov
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A Study of Skeletal Survey Disparity in Pediatric Head Injury in the ED dlvr.it/TDVx9h
A Study of Skeletal Survey Disparity in Pediatric Head Injury in the Emergency Department - PubMed

A Study of Skeletal Survey Disparity in Pediatric Head Injury in the Emergency Department - PubMed

The objective of this study was to evaluate disparities in skeletal survey (SS) use for pediatric. head injury patients in the emergency department (ED). This was a multi-site retrospective. cohort...

pubmed.ncbi.nlm.nih.gov
62
Utility of interleukin-6 to identify serious bacterial infections in febrile infants aged ≤60 days dlvr.it/TDVx8w
Utility of interleukin-6 to identify serious bacterial infections in febrile infants aged ≤60 days...

Utility of interleukin-6 to identify serious bacterial infections in febrile infants aged ≤60 days...

Interleukin-6 showed high sensitivity and NPV, which might assist in identifying SBIs early in febrile infants. However, IL-6 was not shown to be superior to CRP and further studies are needed to...

pubmed.ncbi.nlm.nih.gov
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Practice variation in the management of pediatric intussusception: a narrative review dlvr.it/TDCccB
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Salbutamol safety in children under 2 years of age with acute wheezing: a meta-analysis of randomised controlled trials dlvr.it/TDCcc9
Salbutamol safety in children under 2 years of age with acute wheezing: a meta-analysis of random...

Salbutamol safety in children under 2 years of age with acute wheezing: a meta-analysis of random...

Inhaled salbutamol can be safely used in children under 2 years of age with acute wheeze with the administration via a metered-dose inhaler being potentially safer than a nebulised formulation....

pubmed.ncbi.nlm.nih.gov
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Severe respiratory syncytial virus infection in children: burden, management, and emerging therapies dlvr.it/TDCcc8
Severe respiratory syncytial virus infection in children: burden, management, and emerging therap...

Severe respiratory syncytial virus infection in children: burden, management, and emerging therap...

The global burden of respiratory syncytial virus (RSV) lower respiratory tract infection (LRTI) in young children is high. The RSV prevention strategies approved in 2023 will be essential to lowering...

pubmed.ncbi.nlm.nih.gov
79
Risk of Urinary Tract Infection and Bacteremia in Infants Infected With COVID-19 dlvr.it/TDCcc7
Risk of Urinary Tract Infection and Bacteremia in Infants Infected With COVID-19 - PubMed

Risk of Urinary Tract Infection and Bacteremia in Infants Infected With COVID-19 - PubMed

Infants with fever found to have COVID-19 had lower risks of UTI and bacteremia.

pubmed.ncbi.nlm.nih.gov
75
Echocardiograms and bed placement in patients with multisystem inflammatory syndrome in children dlvr.it/TDCcc6
Echocardiograms and bed placement in patients with multisystem inflammatory syndrome in children -...

Echocardiograms and bed placement in patients with multisystem inflammatory syndrome in children -...

Cardiac involvement is a known complication of MIS-C; however, our study yields no evidence in favor of obtaining echocardiograms in the ED to ensure appropriate bed placement. While this modality...

pubmed.ncbi.nlm.nih.gov
66
The prevalence of Legg-Calvé-Perthes disease among paediatric patients with transient synovitis of the hip: a systematic review and meta-analysis dlvr.it/TDCcc5
The prevalence of Legg-Calvé-Perthes disease among paediatric patients with transient synovitis of...

The prevalence of Legg-Calvé-Perthes disease among paediatric patients with transient synovitis of...

Our study revealed that among paediatric patients with transient synovitis of the hip, routine X-ray follow-up of the hips after 6 weeks to rule out Legg-Calvé-Perthes disease is warranted only in...

pubmed.ncbi.nlm.nih.gov
80
Non-Operative Management of Uncomplicated Appendicitis in Children: Can Patients Be Discharged From the Emergency Department? dlvr.it/TDCcc3
Non-Operative Management of Uncomplicated Appendicitis in Children: Can Patients Be Discharged From...

Non-Operative Management of Uncomplicated Appendicitis in Children: Can Patients Be Discharged From...

A protocol offering non-operative management of appendicitis with an option for outpatient management was feasible and safe. Outpatient management was associated with shorter ED/hospital stays than...

pubmed.ncbi.nlm.nih.gov
67
Closing the Trauma Performance Improvement Loop With In-situ Simulation dlvr.it/TDCcc1
Closing the Trauma Performance Improvement Loop With In-situ Simulation - PubMed

Closing the Trauma Performance Improvement Loop With In-situ Simulation - PubMed

High-fidelity pediatric trauma simulations enhance provider comfort, knowledge, and experience in trauma scenarios. By integrating high-fidelity trauma simulations to address clinical issues identi...

pubmed.ncbi.nlm.nih.gov
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Nirsevimab and Acute Bronchiolitis Episodes in Pediatric EDs dlvr.it/TDCcbw
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Measuring Overcrowding in a Large Academic Tertiary Care Pediatric ED dlvr.it/TDCcbB
Measuring Overcrowding in a Large Academic Tertiary Care Pediatric Emergency Department - PubMed

Measuring Overcrowding in a Large Academic Tertiary Care Pediatric Emergency Department - PubMed

Modified NEDOCS is positively associated with ED LOS, LWBS, and 72-hour return visits, consistent with adult data. Further investigation is needed to elucidate the association between mNEDOCS and...

pubmed.ncbi.nlm.nih.gov
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