Amazing and Awesome Rounds
I never realized how physiologically and literally a rupturing abdominal aortic aneurysm (AAA) resembled a bomb inside someone’s abdomen. That was my initial thought as I began my busy evening…
SIM Serendipity
The pediatric emergency department (ED) was in the midst of its early morning ritual. There were no patients waiting to be seen. I wanted to help wake up the residents…
The Effect of Bedside Ultrasonographic Skin Marking on Infant Lumbar Puncture Success: A Randomized Controlled Trial
Study objective Lumbar puncture is a commonly performed procedure, although previous studies have documented low rates of successful completion in infants. Ultrasonography can visualize the anatomic landmarks for lumbar puncture…
Update: Does Rocuronium Create Better Intubating Conditions Than Succinylcholine for Rapid Sequence Intubation?
Take-Home Message Succinylcholine is superior to rocuronium in providing excellent intubating conditions for emergency rapid sequence intubation. Methods Data Sources The authors searched the Cochrane Central Register of Controlled Trials…
Optimal Volume of Administration of Intranasal Midazolam in Children: A Randomized Clinical Trial
Study objective The optimal intranasal volume of administration for achieving timely and effective sedation in children is unclear. We aimed to compare clinical outcomes relevant to procedural sedation associated with…
Ipsilateral Plastic Deformation Monteggia and Galeazzi-Type Fracture in a Child: A Case Report
A 7-year-old boy attended the emergency department after falling from a climbing frame onto his outstretched left wrist. On examination, there was mild swelling to the left elbow and tenderness…
Emergency Department Airway Management of Severe Angioedema: A Video Review of 45 Intubations
Study objective Angioedema is an uncommon but important cause of airway obstruction. Emergency airway management of angioedema is difficult. We seek to describe the course and outcomes of emergency airway…
Interpretation of Cerebrospinal Fluid White Blood Cell Counts in Young Infants With a Traumatic Lumbar Puncture
Study objective We determine the optimal correction factor for cerebrospinal fluid WBC counts in infants with traumatic lumbar punctures. Methods We performed a secondary analysis of a retrospective cohort of…
Ultrasonography for Infant Lumbar Puncture: Time to Pop the Champagne?
SEE RELATED ARTICLE, P. 610 . Procedural guidance or assistance using ultrasonography allows visualization of anatomic landmarks. One example is for central venous access, in which ultrasonographic guidance improves procedural…
Ultrasound Guidelines: Emergency, Point-of-Care and Clinical Ultrasound Guidelines in Medicine
Section 1 – Introduction Ultrasound (US) has become an integral modality in emergency care in the United States during the last two decades. Since the last update of these guidelines…
