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Presenting to the ED with a febrile infant is stressful, and parents are usually most disturbed by the need for LP or hospitalization, both of which are generally unexpected. Parents want to be involved in shared decision making; however, discussions should be tailored individually to the family and to the strength of the medical recommendation.

Source 
Parental Preferences and Shared Decision-Making for the Management of Febrile Young Infants. Pediatrics. 2024 Oct 1;154(4):e2024066420. doi: 10.1542/peds.2024-066420. PMID: 39285842; PMCID: PMC11422194.

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Dual therapy with both ibuprofen and acetaminophen or in alternating regimens may be superior to monotherapy for treating fever in children. Ibuprofen also appears superior to acetaminophen at 4 hours when both are used as monotherapy but similar at 6 hours. 

Source 
Short-term Dual Therapy or Mono Therapy With Acetaminophen and Ibuprofen for Fever: A Network Meta-Analysis. Pediatrics. 2024 Oct 1;154(4):e2023065390. doi: 10.1542/peds.2023-065390. PMID: 39318339.

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Mental practice, a cognitive rehearsal technique from sports psychology, can enhance skill retention and competency in emergency medicine, particularly for high-acuity, low-frequency procedures.

Source
Mental Practice: Applying Successful Strategies in Sports to the Practice of Emergency Medicine. Ann Emerg Med. 2024 Aug;84(2):159-166. doi: 10.1016/j.annemergmed.2023.12.011. Epub 2024 Jan 18. PMID: 38244027.

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Pediatric volvulus is associated with a high morbidity and mortality rate but remains a challenging diagnosis. This review highlights pearls and pitfalls of diagnosis and management.

Source
High risk and low incidence diseases: Pediatric digestive volvulus. Am J Emerg Med. 2024 Aug;82:153-160. doi: 10.1016/j.ajem.2024.06.012. Epub 2024 Jun 14. PMID: 38908340.

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Advanced imaging, including ultrasound, MRI, and CT, is an important tool for diagnosing children in the emergency department. This policy statement provides guidance to help clinicians optimize the use of these diagnostic tools.

Source
Optimizing Advanced Imaging of the Pediatric Patient in the Emergency Department: Policy Statement. Ann Emerg Med. 2024 Aug;84(2):e13-e23. doi: 10.1016/j.annemergmed.2024.03.023. PMID: 39032991.

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Maintaining a high suspicion for botulism is crucial in making a prompt diagnosis and in reducing morbidity and mortality. This review highlights pearls and pitfalls of diagnosis and management.

Source
High risk and low prevalence diseases: Botulism. Am J Emerg Med. 2024 Aug;82:174-182. doi: 10.1016/j.ajem.2024.06.018. Epub 2024 Jun 20. PMID: 38925095.

Please don't skip this 😬...

Tell us what you think about a potential new JF summary that incorporates AI, and see if you can tell which post was written by AI vs written by me. We will share these findings with the whole audience, but we need a bunch more responses to make sure these data are meaningful.

Many thanks,
Clay

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In a cohort of afebrile infants with pustular or vesicular rashes, none were diagnosed with serious bacterial infection attributable to a skin source, though some were ultimately diagnosed with herpes simplex virus (HSV).

Source
Management of Pustules and Vesicles in Afebrile Infants ≤60 Days Evaluated by Dermatology. Pediatrics. 2024 Jul 1;154(1):e2023064364. doi: 10.1542/peds.2023-064364. PMID: 38910522.

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There are an increasing number of water bead related injuries in children, with the majority occurring in children less than five. While most cases can be treated and released from the ED, water bead injury can be serious and even deadly.

Source
Pediatric water bead-related visits to United States emergency departments. Am J Emerg Med. 2024 Jul 28:84:81-86. doi: 10.1016/j.ajem.2024.07.048. Online ahead of print. PMID: 39096713

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In a cohort of febrile infants, the performance of WBC, ANC, and CRP decreased in patients with less than 2 hours of fever; PCT remained similar.

Source
Performance of Febrile Infant Algorithms by Duration of Fever. Pediatrics. 2024 May 1;153(5):e2023064342. doi: 10.1542/peds.2023-064342. PMID: 38563061.

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This new review summarizes the current evidence regarding diagnosis and management of mild TBI in children.

Source
Contemporary diagnosis and management of mild TBI (concussions): What you need to know. J Trauma Acute Care Surg. 2024 Jun 1;96(6):865-869. doi: 10.1097/TA.0000000000004297. Epub 2024 May 2. PMID: 38696496.