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 [...]
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 [...]
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, [...]
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 [...]
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 [...]
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: [...]
A two year old male presents with intermittent episodes of abdominal pain that last for 20 minutes each. In between he is fine - in fact he is tearing up a book in your office/urgent care/ED. He's probably constipated you think to yourself. But my [...]