PECARN – Selectively CT Pediatric Head Injury
You need to know this decision rule cold. Before doing a head CT on any child, think through this decision aid first
C-spine Clearance in Kids Under 3 Years
C-spine injury is rare in children under 3 years. GCS < 14, GCS (eye) of 1, MVC mechanism, or age between 2- 3 years were associated with c-spine injury.
How to Tell a Septic Hip from Transient Synovitis
These 4 predictors are somewhat helpful in distinguishing transient synovitis of the hip from septic arthritis. Note the limitations of the Kocher Criteria when using it in practice, and err on the side of orthopedic consultation and/or admission.
Nitrous Oxide and Intranasal Fentanyl for Sedation
Intranasal fentanyl and N2O was a rapid way to perform pediatric sedation with no IV, but more patients cried, grimaced, and kicked during the procedure; and 12% vomited.
Why We Give Dexamethasone for Mild Croup
Dexamethasone is beneficial for mild croup, not just moderate to severe.
Pros and Cons – Ultrasound or Rapid MRI for Appy
Both ultrasound and rapid MRI are viable initial imaging options in young patients with suspected appendicitis. But in this study, MRI led to increased length of stay and significantly increased ED charges.
Need a Kid’s Weight? Just Ask Mom
If you need to know the child's weight, just ask the parent. It was the most accurate weight estimate in this prospective comparison study.
NOT (non-op treatment) for Appendicitis
Non-operative treatment is an option for pediatric acute appendicitis. But I don't plan to recommend it to patients.
Which Kids Need Abdominal CT in Trauma
These 6 criteria may help when considering the imaging strategy for children with blunt abdominal trauma.
Ketofol for Kids
Ketamine/propofol had no advantage over ketamine alone for procedural sedation in pediatric patients.