April 2023
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Apr 14 2023
Should We Do Bougie First Intubation in Pediatrics?
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The use of a bougie for pediatric intubation was not associated with increased first pass success or increased complication rates compared to an endotracheal tube (ETT) with a stylet at an academic emergency department where operators are facile with the bougie.Source
The Pediatric Bougie for the First Tracheal Intubation Attempt in Critically Ill Children. Ann Emerg Med. 2023 Feb 23;S0196-0644(23)00030-6. doi: 10.1016/j.annemergmed.2023.01.016. Online ahead of print. -
Apr 13 2023
Is a Comprehensive Respiratory Panel Worth It?
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Comprehensive respiratory viral panel testing in pediatric ED patients adds cost, increases length of stay, and does not decrease antimicrobial use.Source
Use and Cost Analysis of Comprehensive Respiratory Panel Testing in a Pediatric Emergency Department. Pediatr Emerg Care. 2023 Mar 1;39(3):154-158. doi: 10.1097/PEC.0000000000002695. Epub 2022 Apr 12. -
Apr 12 2023
Propofol Dose (per kg) Drops From Infant to Teen
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The dose of propofol to achieve a desired level of sedation decreased linearly with increasing age in this extensive retrospective review of pediatric procedural sedations. -
Apr 11 2023
Does Ketamine Raise ICP in Children with TBI?
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This retrospective study of thirty-three pediatric patients with severe traumatic brain injury (sTBI) demonstrated no increase in intracranial pressure (ICP) after administration of ketamine.Source
Acute Effects of Ketamine on Intracranial Pressure in Children with Severe Traumatic Brain Injury. Crit Care Med. 2023 Feb 24; e005806 DOI: 10.1097 -
Apr 10 2023
Masking – The Cochrane Controversy
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We try really hard to spoon feed you good information that is scientifically accurate. We need to discuss the nuances of masking related to COVID and other respiratory viral illnesses.Source
Jefferson T, Dooley L, Ferroni E, Al-Ansary LA, van Driel ML, Bawazeer GA, Jones MA, Hoffmann TC, Clark J, Beller EM, Glasziou PP, Conly JM. Physical interventions to interrupt or reduce the spread of respiratory viruses. Cochrane Database Syst Rev. 2023 Jan 30;1(1):CD006207. doi: 10.1002/14651858.CD006207.pub6. -
Apr 07 2023
How to Manage the Difficult Pediatric Airway
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Anatomic and physiologic features specific to children can lead to difficulty during airway management. A good working knowledge of specific considerations and airway adjuncts can ensure proper airway management when a critical situation presents itself.Source
Management of the Difficult Airway. Pediatric Emergency Care. 2023 March;39(3):192-200. Doi: 10.1097/PEC.0000000000002916 -
Apr 06 2023
Critically Ill Kids – Influenza vs COVID-19
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A few notable demographic differences in critically ill children with influenza or COVID-19 were observed—influenza patients were younger, while COVID patients were more likely to be Black, Hispanic, and were more likely to be obese; a majority of both cohorts had one or more underlying medical condition.Source
Life-Threatening Complications of Influenza vs Coronavirus Disease 2019 (COVID-19) in US Children. Clin Infect Dis. 2023 Feb 8;76(3):e280-e290. doi: 10.1093/cid/ciac477. -
Apr 05 2023
How to Treat Thoracic Aortic Dissection
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Early identification and treatment of thoracic aortic dissection is paramount to patient survival and good clinical outcomes. Here's what you need to know. -
Apr 04 2023
It’s Getting…Crowded In Here
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Crowding in the Emergency Department (ED) can be attributed to systems failures across three different phases of ED care: input, throughput, and output of patients. This paper evaluates the reasons behind crowding and proposes solutions to mitigate this burdensome issue.Source
Crowding in the Emergency Department: Challenges and Best Practices for the Care of Children. Pediatrics. 2023 Feb 20;e2022060972. doi: 10.1542/peds.2022-060972. Online ahead of print. -
Apr 03 2023
SELECT2 RCT – Endovascular Thrombectomy for Large Ischemic Strokes
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Thrombectomy plus usual medical care in patients with a proximal large vessel occlusion (LVO), a large ischemic core, and last known well <24 hours from presentation improves functional outcomes compared to medical care alone.Source
Trial of Endovascular Thrombectomy for Large Ischemic Strokes. N Engl J Med. 2023 Feb 10. doi: 10.1056/NEJMoa2214403. Online ahead of print.