Though the PEMPix presentation is scheduled for Saturday 9/16/17 at the AAP NCE in Chicago there were so many great cases this year that I decided to share three of them online prior to the conference. This is the second case "Big Circle." All three cases will also be available at PEMPix.com.
Here are some thoughts on the utility of facial X-Rays and a link to a good review.
The 4th article in the AAP NCE top 10 of 2016 is a secondary analysis of that PECAN TBI paper everyone has been talking about.
Go ahead and diagnose constipation based on your history and physical exam. Don't order an X-Ray if you don't need one. Read on for more in this PEMBlog exposé.
Children with closed head injury who are reported as acting abnormally by their guardian, with no other concerning findings are low risk for clinically important TBI.
If you recall from my previous post we were considering when to get a head CT on a pediatric patient with a closed head injury, and specifically how to approach this with the family. In general I find that its best to be honest and [...]
I ended up seeing three patients, all of whom presented by smacking their heads on hard surfaces. I've changed their names and ages to protect the innocent, and to avoid the wrath of Hungry Hungry HIPAA. 10 year old after a bike accident The first [...]
Why we do what we do has returned - this time focusing on the use of ultrasound in appendicitis, which has become the test de rigeur these days in most Pediatric Emergency Departments. I won't belabor the point on how important it is to correctly diagnose [...]
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 [...]
Next up from the top ten articles presented at the recent AAP NCE in San Diego is a secondary analysis from the PECARN head injury study published in Lancet in 2009. I'm sure that most have you have seen a child who hit their head with vomiting [...]