NJ-PEM-JC
@jc_pemThe truth is out there. Authors suggest further research into this. Open discussion. All PEM-interested are invited
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Second question: If < 20% pna in kids have bacterial detection, how would this affect sample size determination in study of symptoms relating to abx treatment length? @JAMAPediatrics @JAMANetwork @NewJerseyAAP bit.ly/3wyPhU2
First question: Diagnostic gold standard? Clinical dx = no bueno Don't need a study to predict no effects. Short- vs Standard-Course Outpatient Antibiotic Therapy for Community-Acquired Pneumonia in Children ja.ma/3uKlyFt via @JAMAPediatrics part of @JAMANetwork
*FREE FEATURE ARTICLE* Echocardiographic Parameters and Mortality in Pediatric Sepsis: A Systematic Review and Meta-Analysis @f_g_sanfilippo et al: ow.ly/SRMo50DUUtK Editorial Su et al: ow.ly/oJ6r50DUUDU #PedsICU #Sepsis #POCUS @WFPICCS @SCCM
Peds study population found to have respiratory virus 65% of time, and rads disagreed w/EM doc pna dx 30% of time... Is it surprising that short course abx did ok? When is "watch n wait" study for CAP going to drop? @NewJerseyAAP @ASiv7475 @toddflorin1 jamanetwork.com/journals/jamap…
PCCM Notes, Methods, and Statistics, an introduction to the series by our Editor In Chief @RobertCTasker with a free article. Writing for PCCM: The 3,000-Word Structured Clinical Research Report: ow.ly/VWAj50DUVrN #PedsICU #Research @SCCM @WFPICCS
In pediatric nail avulsion injuries, assuming no underlying displaced fracture or nail bed lac, do you.... @NJACEP @NewJerseyAAP @TheSGEM @PedEMMorsels @ASiv7475 #FOAMem #PEM doi.org/10.1177/175319…
Use of Honey Versus Standard Care for Hospital-Acquired... journals.lww.com/pccmjournal/Ab… 🙏 Thank you @WFPICCS HARD manufacturing grant # Kevin Courier @ Paolo Biban - it’s finally published .. One of the important contributions from @aiims_newdelhi #PedsICU
Hello hive. We are doing a PEM journal club on VL vs DL in Pediatric intubations (onlinelibrary.wiley.com/doi/10.1111/ac…) and would love to get some community input on intubation experiences. #FOAMed @NJACEP @ASiv7475 #FOAMped surveymonkey.com/r/PEMJCairway
We are back! March 3rd - One a little @freakonomics-y, the other on tech w/tubes. #FOAMped #FOAMed @ASiv7475 @NJACEP Financial influence in head CT bit.ly/HeadCTmotivati… VL v DL in PL...no Peds. bit.ly/VLDLpedsintub
What is the accuracy of point-of-care ultrasound (#POCUS) for dx of pneumonia in children? Learn more from the Brass Tacks review article via @AcademicEmerMed - bit.ly/31LfKfH Read more from @thenntgroup - bit.ly/31PjnkP #NNTuesday #FOAMed #FOAMus #FOAMped
This will be our next #PedsICU JC! I’d like to give people a little time to read and some space for @SCCM The JC will be on Tuesday, Feb 25 It will be an all day format like the previous two Spread the word! @ACHPRPICU @JHPICUFellows @WFPICCS @PICJournalWatch @PedCritCareMed
HOT OFF THE PRESS: Paeds #Sepsis Int’l Consensus *⬆️lactate❌=⬆️shock *daily Abx review➡️deescalate *✅fluid bolus, buffered>0.9%NS (evidence WEAK) *❌bolus if system w no ICU *adren/norad first line❓periph ❓vasopressin❓steroids *PARDS⬆️PEEP❓prone link.springer.com/article/10.100…
In case you missed it!-spread the word! The long-awaited Int'l #Pediatric #Sepsis Guidelines are out & FREE for download! #FOAMed #FOAMcc #FOAMPeds #PedsICU Executive Summary: ow.ly/NdVc50yiYxa Full Guidelines: ow.ly/KzYC50yiYxe Podcast: ow.ly/a82t50yiYxb
Cough medicine for children is less about medicine and more about marketing, as studies show they are ineffective and even unsafe, @DrJenniferShu tells @NPR Try honey - but only in kids age 1 and older. npr.org/sections/healt…
It is not too late to get the flu vaccine! Around 80% of all flu cases occur in January, February, and March. Children 6 months of age and up should get the flu vaccine to reduce their risk. #FightFlu
Does a 500mL fluid bolus prevent peri-intubation cardiovascular collapse in critically ill adults? Probably NOT. @DenverEMed residents Dr. Serpico and Engeln dissect the PrePARE trial in @TheLancet @PCCRG @serpicoEM
Nice review, would make for a great QI initiative
Don’t forget to check out my most recent post. It answers a practical question about a common problem in the ED - should you do an LP if a child has a complex febrile seizure? pemcincinnati.com/blog/you-dont-…
Thanks everyone for a great PEM Journal Club 2019! Dates for 2020 coming soon. @NJACEP @NewJerseyAAP #FOAMed #FOAMpem
1/ Cognitive Bias in Clinical Medicine I love teaching #MedStudents about #CognitiveBias & #DiagnosticErrors & so thought I would create my debut #tweetorial on cognitive biases in clinical medicine 🧑🏻⚕️👩🏽⚕️👨🏼⚕️ 🤔Now which bias that?! #MedTwitter
Friendsgiving, but PEM journal-club style... Join us 12/3 @ Piattino's, Summit NJ 6:30-9:30p. DM RSVP #FOAMem #FOAMpem @NJACEP @NewJerseyAAP @ASiv7475 Articles: bit.ly/Crash3 bit.ly/DelayedPICU
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