Procedures Archives

HipPEMcrates Mailbag, Vol. 2: Febrile Infants, Pneumonia Pearls, and the Future of PEM

Welcome to the second edition of the HipPEMcrates Mailbag – where we continue to explore common questions from the Pediatric Emergency Department. These are the topics that come up during busy shifts, the clinical pearls shared during signout, and the thoughtful questions from learners that prompt us to pause and review the evidence behind our […]

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Not Just ABCs: 3 Overlooked Trauma Essentials

Clinical Scenarios, Procedures, The 3, Trauma

Even the most experienced trauma teams can overlook the basics in the chaos of a resus. These pearls focus on three simple but critical steps – ones that improve communication, prevent missed injuries, and keep care consistent. Let’s get sharper. These pearls are based on video and patient reviews done at the Children’s Hospital of

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

Advice, Procedures, Respiratory, Toxicology, Trauma

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

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Back to School: ABC’s of the Pediatric ER, Part 1

Advice, Procedures, Respiratory, Toxicology, Trauma

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

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3 Blog Posts You Should Read This Weekend

Procedures, Radiology, The 3, Trauma

Whether you’re stretched out on a beach chair, posted up poolside, or just catching some late-summer sun in your backyard, here are a few quick reads worth dipping into this weekend. Nothing too heavy – just a few posts to sharpen your brain while you work on your tan. Each one was written by colleagues

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A is for Airway, but also…

Procedures, Respiratory, Trauma

An infant is rushed back to your resuscitation bay, sats are dropping, the triage nurse knew she needed to bring him right back before even getting a history. In those first crucial moments in the bay, your differential is broad and your heart rate might be ticking up higher than your patient’s. A bit of

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Ketamine: Your Go-To for Pediatric ED Sedation

Procedures, Sedation

A 5-year-old boy arrives in the emergency department after sustaining a left forearm fracture. His review of systems is notable for upper respiratory symptoms, including a cough. His past medical history includes asthma, and he currently takes Albuterol and Flovent at home. He has no known drug allergies, has never undergone sedation before, and has

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Facial Laceration Repairs: Tips and Tricks

Procedures

Special thanks to Dr. Andrew Hashikawa, MD, MS for working with Dr. Bauman on this post. Pediatric facial lacerations are frequently encountered in acute care settings and present a unique set of challenges compared to adult cases. These often include: Below are a few tips to mitigate these challenges. 1. Challenge: Traditional laceration repair methods

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JournalFeed: Midazolam Misses the Mark? Procedural Anxiety in Kids

JournalFeed, Procedures, Sedation

Spoon Feed In a cohort of 102 children receiving intranasal midazolam in the ED for a laceration repair, nearly half exhibited extreme procedural anxiety. IN midazolam isn’t a silver bullet for procedural anxietyThis cross-sectional study examined the incidence of extreme procedural anxiety despite intranasal midazolam (INM) administration in children undergoing laceration repair and identified predictors of

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