Back to School: ABC’s of the Pediatric ER, Part 2

We are back with Part 2 – Check out Part 1 here!

It’s that time of year again – backpacks are packed, buses are rolling, and learners everywhere are heading back to school. Here at HipPEMcrates, we’re going back to school too – with a PEM twist.
We’ve put together an ABCs of the Pediatric ER, but this isn’t your average alphabet list. Each letter highlights a high-yield reference or resource – from landmark studies to FOAM favorites. Along the way we’ll call out some of the best work from our PEM colleagues across the web – like PEMBlog, Don’t Forget the Bubbles, and the PEM Rules podcast – because back-to-school season is the perfect reminder that none of us learn in isolation.
So sharpen your pencils (or stethoscopes), and let’s run through the ABCs of PEM – one study, one resource, one pearl at a time.

N

Neuropsychiatric Syndromes in Pediatrics – such as (Can I say it? Can I?)….PANDAS. This Clinical Report from the AAP (summarized here from JournalFeed) provides a comprehensive overview of the topic.

O

Ondansetron to go? Our recent post summarizes a recent study that suggests that a short supply of ondansetron for home use after an ED visit appears to be both effective and safe.

P

Penicillin allergy listed in chart – is it legit? A recent study suggests that we can use the PEN-FAST score to identify low-risk patients in an outpatient setting. Check out JournalFeed’s review of the publication.

Q

Questions about clinical care? Looking for references for a lecture? If you’re not using OpenEvidence yet, be sure to check it out!

R

Resistance from antibiotics – uh oh! How can we do better with antibiotic stewardship? Check out PEM Rules’ latest podcast episode on the topic.

S

STI screening in the ED – is targeted or universal screening better? This recent study, also summarized in a great PEMBlog post, takes a look at this question.

T

Testing for bacterial infection in 61-90 day old infants – a tricky decision, made easier by a recent PECARN study, summarized in this PEMBlog post.

U

Ultrasound to diagnose clavicle fractures not seen on x-ray – an interesting case report from Pediatric Emergency Care.

V

Very intriguing cases, think you can figure out the diagnosis? Check out the latest edition of AAP’s Emergiquiz!

W

What you need to know about pediatric blood transfusions, on this episode of The Cribsiders.

X

Tranexamic Acid (TXA) use in pediatrics – this Pediatric EM Morsels blog post will give you the lowdown (please forgive me, not much starts with an X!)

Y

YouTube has some great PEM content – from guidance to doing common ED procedures, to some levity about our field, to chats with some of the legends of Pediatric Emergency Medicine.

Z

Zebras in the ED – cases we rarely see but always are on the lookout for. The PEM Zebras podcast talks to clinicians about the rare presentations and diagnoses that they have seen.


Dr. Joshua Belfer, MD, is a Pediatric Emergency Medicine physician at the Children’s Hospital of Philadelphia, and is the Founder and Editor-in-Chief of HipPEMcrates. He can be reached at HipPEMcrates@gmail.com.

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