The proportion of patients with skin and soft tissue abscesses that are sedated is low, according to one study. Females and patients with employer-based insurance were more likely to be sedated, whereas older patients and African American patients were less likely to be sedated. Uspal et al, Hosp Pediatr, 2015 A retrospective study of febrile infants under 3 months of aguish [...]
It goes without saying that a clinical prediction rule, and for that matter an associated online tool (one of which in particular we'll get to in a minute) is only as good as your initial clinical judgment and as practical as the environment in which you work. These types of rules also need to be grounded in solid methodology with [...]
Over the past several weeks I posted brief reviews of the Top Ten Articles Presented at the 2014 AAP NCE in San Diego. You can check out links to all of the individual posts here, along with the main take home point for each article. [...]
And so it is with great lament and crocodile tears that we have reached the end of my series on the top ten articles presented at the recent AAP NCE in San Diego. It took me a bit of time to get there, but I think that the journey was worth it. Look for a compilation post in the near future. Links PubMed Pediatrics [...]
Continuing onward with the next in the top ten articles presented at the recent AAP NCE in San Diego is a study of the use of hypertonic saline (HTS) in bronchiolitis. I'll stray a bit form the usual format in that this paper was presented in a point counterpoint fashion. I've also posted on this topic previously as a part [...]
Let's check out another in the top ten articles presented at the recent AAP NCE in San Diego. This study examined the relationship between time to antibiotics and morbidity and mortality in pediatric sepsis. Links PubMed Critical Care Medicine The bottom line Early administration of antibiotics in sepsis reduces mortality. What they did The authors performed a retrospective observational study of 130 children [...]
Continuing onward with the top ten articles presented at the recent AAP NCE in San Diego is a randomized control trial comparing lorazepam versus diazepam for pediatric status epilepticus. Links PubMed JAMA The bottom line Lorazepam and diazepam are equally efficacious and safe choices for the treatment of status epilepticus in pediatric patients. What they did The authors conducted a [...]
Continuing onward with the top ten articles presented at the recent AAP NCE in San Diego is yet another secondary analysis of the original PECARN study on clinically important TBI (ciTBI). This time looking at children with isolated loss of consciousness (LOC). The outcomes were ciTBI which resulted in death, neurosurgery, intubation for >24 hours, or hospitalization for ≥2 nights and a comparison [...]
Back into the fray once more we go - or should I say back into the colon goes the ileum... Yes, the third article in the top 10 from the 2014 AAP NCE focuses on intussusception. Back when I was an intern™ after a child was reduced with air contrast enema they were subsequently admitted for 24 hours to the [...]
Let's move on to the next in the series of top ten articles presented at the 2014 AAP NCE in San Diego. Again, I'll review the article and briefly and highlight how you can use the results in the ED. By now, most of us have acknowledged that ultrasound is a fantastic imaging modality for the diagnosis of acute appendicitis. It is not, however the [...]
