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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.

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Using a 1-handed technique in infants <1yr and 2-handed technique in children >1yr resulted in deeper compressions, closer to AHA guideline recommendations, but compliance with rate and depth were mediocre regardless of technique.

Source
The effect of hand position on chest compression quality during CPR in young children: Findings from the Videography in Pediatric Resuscitation (VIPER) collaborative. Resuscitation. 2023 Apr;185:109741. doi: 10.1016/j.resuscitation.2023.109741. Epub 2023 Feb 16.

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Among Medicaid-enrolled children, rates of outpatient follow-up after discharge from the ED for a mental health (MH) diagnosis are low, particularly for children who are Black, have fee-for-service (vs. capitated) coverage, and without previous outpatient mental health visits.

Source
Follow-up After Pediatric Mental Health Emergency Visits. Pediatrics. 2023 Mar 1;151(3):e2022057383. doi: 10.1542/peds.2022-057383.

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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.

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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.

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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.

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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.

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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.