June 2023
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Jun 16 2023
How Many PECARN-Negative Kids Have ICH or Fracture on CT?
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This database review of pediatric head trauma patients who had CT identified GCS 3-8 as an exam finding associated with intracranial hemorrhage (ICH); age, gender, and GCS were also associated with facial or skull fracture. It also found significant imaging results may exist in PECARN-negative patients.Source
Risk Factors Associated with Traumatic Brain Injury and Implementation of Guidelines for Requesting Computed Tomography After Head Trauma Among Children in France. JAMA Netw Open. 2023 May 1;6(5):e2311092. doi: 10.1001/jamanetworkopen.2023.11092. -
Jun 15 2023
Infants 8-60 Days With COVID – What’s the Risk of SBI?
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Infants who tested positive for SARS-CoV-2 were less likely to have UTI, bacteremia, and bacterial meningitis.Source
Prevalence of Urinary Tract Infection, Bacteremia, and Meningitis Among Febrile Infants Aged 8 to 60 Days With SARS-CoV-2. JAMA Netw Open. 2023 May 1;6(5):e2313354. doi: 10.1001/jamanetworkopen.2023.13354. -
Jun 14 2023
Siblings of Children with Suspected Physical Abuse – When to Image
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Asymptomatic contact children of patients presenting with physical abuse are a vulnerable population who should be screened for traumatic injuries. This report details guidelines for radiologic screening. -
Jun 13 2023
Pediatric Mental Health Related Visits Are Through the Roof
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From 2011 to 2020, the number of mental health visits in pediatric EDs increased from 7.7% to 13.1% of all encounters, with a significant increase in the proportion of suicide-related visits.Source
National Trends in Mental Health-Related Emergency Department Visits Among Youth, 2011-2020. JAMA. 2023 May 2;329(17):1469-1477. doi: 10.1001/jama.2023.4809. -
Jun 12 2023
How to Improve STI Test Accuracy – Swab or Urine?
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Vaginal swabs are more accurate than urine samples in diagnosing Chlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis. These results support CDC recommendations that vaginal swabs are the preferred sample modality when testing for STIs in women.Source
Vaginal Swab vs Urine for Detection of Chlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis: A Meta-Analysis. Ann Fam Med. 2023 Mar-Apr;21(2):172-179. doi: 10.1370/afm.2942. -
Jun 09 2023
PE-SARD – Big Fail Predicting Bleeding Risk with PE
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PE-SARD failed to accurately predict risk of major or clinically relevant bleeding in patients ≥65 years with acute PE at 7 days or on longer follow-up.Source
Prediction of very early major bleeding risk in acute pulmonary embolism: an independent external validation of the PE-SARD Bleeding Score. J Thromb Haemost. 2023 May 4;S1538-7836(23)00347-1. doi: 10.1016/j.jtha.2023.04.025. Online ahead of print. -
Jun 08 2023
Prophylactic Antibiotics for Alcohol-Related Hepatitis?
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Prophylactic treatment of patients with severe alcohol-related hepatitis with amoxicillin-clavulanate did not reduce all-cause mortality when compared to placebo.Source
Effect of Prophylactic Antibiotics on Mortality in Severe Alcohol-Related Hepatitis: A Randomized Clinical Trial. JAMA. 2023 May 9;329(18):1558-1566. doi: 10.1001/jama.2023.4902. -
Jun 07 2023
Primary Spontaneous Pneumothorax – Needle or Not?
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Primary spontaneous pneumothorax (PSP) may be most cost-effectively managed by observation alone in the appropriate patient population. -
Jun 06 2023
Pediatric Resuscitation vs Adult – Cognitive Load and Quality
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In this cross-sectional simulation study of seven EMS agencies in Oregon, researchers found that resuscitation quality was significantly lower in pediatric out of hospital cardiac arrests (OHCA) compared to adult OHCA as measured by defect free resuscitations.Source
Comparison of Resuscitation Quality in Simulated Pediatric and Adult Out-of-Hospital Cardiac Arrest. JAMA Netw Open. 2023 May 1;6(5):e2313969. doi: 10.1001/jamanetworkopen.2023.13969. -
Jun 05 2023
Grandma Broke Her Neck? Prevalence of C-Spine Injuries from Ground Level Fall Over 65 Years
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This systematic review found that the prevalence of cervical spine injuries in patients 65 years or older after a ground level or low-level fall was between 3.8-4.1%.Source
Cervical spine injuries in adults ≥ 65 years after low-level falls - A systematic review and meta-analysis. Am J Emerg Med. 2023 May;67:144-155. doi: 10.1016/j.ajem.2023.02.008. Epub 2023 Feb 10.