October 2021

Is PECARN Safe to Use Under 3 Months?

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In pediatric patients with blunt head injury, PECARN traumatic brain injury (TBI) low-risk criteria accurately identified infants <3 months of age at low-risk for clinically important TBIs (ciTBI), BUT these low-risk infants had a higher rate of findings on CT (TBI-CT). Use caution in these young ones.

ECG Diagnosis of Wide Complex Tachycardia

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Several ECG features can help differentiate ventricular tachycardia (VT) from supraventricular tachycardia with aberrancy. When in doubt, assume wide complex tachycardia is VT, especially for patients with history of coronary artery disease or structural heart disease.

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