Spoon Feed
Epinephrine administration via metered-dose inhaler (MDI) for the treatment of croup in children may be a safe and effective alternative to nebulization.
Source
Epinephrine metered-dose inhaler for pediatric croup. Acad Emerg Med. 2023 Feb;30(2):144-146. doi: 10.1111/acem.14616. Epub 2022 Dec 7.
Spoon Feed
This study supports the notion that an early return to school (RTS), results in faster recovery from concussion symptoms versus prolonged absences.
Source
Association Between Early Return to School Following Acute Concussion and Symptom Burden at 2 Weeks Postinjury. JAMA Netw Open. 2023 Jan 3;6(1):e2251839. doi: 10.1001/jamanetworkopen.2022.51839.
Spoon Feed
There is rarely any need to repeat potassium testing when the laboratory reports hyperkalemia on a hemolyzed sample in a child with a normal blood urea nitrogen (BUN) and creatinine (Cr).
Source
Hyperkalemia in a Hemolyzed Sample in Pediatric Patients: Repeat or Do Not Repeat? Pediatr Emerg Care. 2023 Jan 1;39(1):e1-e5. doi: 10.1097/PEC.0000000000002857. Epub 2022 Sep 29.
Spoon Feed
We have witnessed a seasonally uncharacteristic increase in invasive infections and scarlet fever due to group A strep (GAS). Early recognition and low threshold for antibiotics should be used to prevent severe disease.
Source
Resurgence of group A streptococcal disease in children. BMJ. 2023 Jan 10;380:p43. doi: 10.1136/bmj.p43.
Spoon Feed
As compared with standard oxygen therapy, high flow oxygen was associated with increased length of hospital stay in pediatric patients with hypoxemic respiratory failure.
Source
Effect of Early High-Flow Nasal Oxygen vs Standard Oxygen Therapy on Length of Hospital Stay in Hospitalized Children With Acute Hypoxemic Respiratory Failure: The PARIS-2 Randomized Clinical Trial. JAMA. 2023;329(3):224-234.
Spoon Feed
Well-appearing neonates with incidentally noted hypothermia at a routine visit are at a low risk for serious infection and may not warrant a full sepsis evaluation.
Source
Jain SB, Anderson T, Mikhail D, Banerjee R, Arnold DH. Serious infections are rare in well-appearing neonates with hypothermia identified incidentally at routine visits. Am J Emerg Med. 2022 Dec 13;65:1-4. doi: 10.1016/j.ajem.2022.12.008. Epub ahead of print.
Spoon Feed
There is no definitive low temperature threshold that predicts severe bacterial infections in hypothermic infants. Clinical judgment and adjunct diagnostics are important considerations.
Source
Temperature threshold in the screening of bacterial infections in young infants with hypothermia. Emerg Med J. 2022 Nov 17;emermed-2022-212575. doi: 10.1136/emermed-2022-212575. Online ahead of print.
Spoon Feed
These are the top articles from 2022. Enjoy!
Spoon Feed
Early administration of oseltamivir in children hospitalized for influenza reduced length of stay, decreased 7-day readmission, need for critical care, and ECMO or death.
Source
Association of Early Oseltamivir with Improved Outcomes in Hospitalized Children with Influenza, 2007-2020. JAMA Pediatr. 2022 Nov 1;176(11):e223261. DOI: 10.1001/jamapediatrics.2022.3261.
Spoon Feed
Physical exam for pediatric skull fracture has poor sensitivity. Avoid overconfidence in exam as a screening tool.
Source
Physical Examination Sensitivity for Skull Fracture in Pediatric Patients with Blunt Head Trauma: A Secondary Analysis of the National Emergency X-Radiography Utilization Study II Head Computed Tomography Validation Study. Ann Emerg Med. 2022 Oct 31;S0196-0644(22)01031-9. doi: 10.1016/j.annemergmed.2022.08.442. Online ahead of print.
