What I’m reading: Discharge education, dosing errors, and parental language

By |2016-12-14T12:56:58-05:00September 18th, 2013|Article Reviews|

Interesting prospective study out of Philadelphia where Samuels-Kalow et al looked at dosing errors after discharge. 145/210 parent-child dyads that were discharged home after initial screening completed a post-discharge phone interview. The interviewer was bilingual. The investigators found that: 46 patients (23%) had an acetaminophen dosing error Spanish-speaking parents were significantly more likely to have a dosing error (OR=3.7; 95% [...]

What I’m reading: Pneumonia testing and disposition is really different across the US

By |2016-12-14T12:56:58-05:00August 4th, 2013|Article Reviews, Infectious Diseases|

Variation in Emergency Department Diagnostic Testing and Disposition Outcomes in Pneumonia Florin et al. Pediatrics August, 2013 This study is a retrospective cohort of children aged 2 months to 18 years seen in the ED with a diagnosis of community acquired pneumonia. The data came from 36 hospitals via a large database (Pediatric Health Information System). Outcomes included: Diagnostic testing [...]

Nursemaid’s elbow: Is one reduction maneuver superior?

By |2013-08-03T03:54:08-04:00August 3rd, 2013|Article Reviews, Orthopedics|

I recently had a discussion with a group of colleagues after we saw our third nursemaid's of the night. They wanted to know whether or not I thought that one maneuver was better than the other. I explained that I had been taught flexion supination, but changed my ways after reading the following article. And yes, I realize that it [...]

Tech Tuesdays: Rise of the machines?

By |2016-12-14T12:56:59-05:00July 30th, 2013|Article Reviews, Tech|

Really straightforward one this week. I just wanted to share an interesting article from BMJ Quality & Safety. It turns out that just about 1 in 4 errors in ORs were caused by machines. In a review of multiple studies the authors noted that "failures of equipment/technology accounted for a median 23.5% (IQR 15.0%–34.1%) of total errors." Each procedure saw [...]

Briefs: Let’s be blunt (about abdominal trauma)

By |2016-12-14T12:57:04-05:00April 25th, 2013|Article Reviews, Briefs, Trauma|

Though readily available, and the reference standard for diagnosing intraabdominal injuries (IAI) the radiation exposure from a CT is not benign - especially in children. Ultrasound in trauma (FAST) is a valuable tool - but moreso in adults as children may have physiologic free fluid and injuries that will not require surgery as compared to grown ups with similar findings. [...]

Briefs: Fractures Suspicious for Child Abuse

By |2016-12-14T12:57:06-05:00November 8th, 2012|Article Reviews, Briefs, Radiology|

Fractures in any infant or toddler are concerning, but not all fractures are equally associated with non-accidental trauma (NAT). A 2008 systemic review from BMJ reviewed over 30 studies concerned with all manner of fractures in children under 18 years of age. The following was noted: Fractures resulting from abuse were more common in infants (<12 months) and toddler's (age 1-3 [...]

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