50 Words – February 2018

This is a new feature on PEMBlog. I will be summarizing recent articles in 50 words (or less). I know that all of you are busy, so I wanted to give a quick synopsis of current literature, and offer you a chance to see what’s out there. I highly encourage you to look at the individual studies to see what conclusions you’ll draw on your own of course.

Powell EC, Mahajan PV, Roosevelt G, Hoyle JD Jr., Gattu R, Cruz AT, Rogers AJ, Atabaki SM, Jaffe DM, Casper TC, Ramilo O, Kuppermann N; Febrile Infant Working Group of the Pediatric Emergency Care Applied Research Network (PECARN).

Ann Emerg Med, 2018

In a secondary analysis of a prospective observational study of febrile infants <60 days the prevalence of bacteremia was 3.1% (47/1,515) <28 days and 1.1% (37/3,246) 29-60 days. E. coli and GBS were the most common pathogens. Bacterial meningitis was seen in 1.3% of <28 days, and 0.2% 29-60 days.

Rosenfeld-Yehoshua N, Barkan S, Abu-Kishk I, Booch M, Suhami R, Kozer E

Eur J Pediatr, 2018

A systematic review showed that the risk of SBI  was only slightly higher in older children if the temp is >40C, but in infants <3mo the OR was 6.3 (95% CI 4.44; 8.95). This review was limited by a small pool of adequate studies, and heterogeneous methods.

Mogensen CB, Wittenhoff L, Fruerhøj G, Hansen S

BMC Pediatr, 2018

This cross-sectional study defined fever >38C and noted that an ear thermometer was significantly better than temporal. The 95% limit for agreement for ear was +/-1C  and temporal -1.2 to +1.5C. ear is OK for screening, temporal not – rectal is best 6 mos-5 years.

DiBrito SR, Cerullo M, Goldstein SD, Ziegfeld S, Stewart D, Nasr IW

J Pediatr Surg, 2018

A single center retrospective review of 5,306 trauma patients evaluated reliability between field and ED GCS. Pearson’s correlation was greatest for age <3 years (0.95 SD=2.4). The verbal score was least reliable.

Chumpitazi CE, Camp EA, Bhamidipati DR, Montillo AM, Chantal Caviness A, Mayorquin L, Pereira FA

Am J Emerg Med, 2018

A prospective study of patients undergoing procedural sedation compared fasting > and <6 hours for solids. There was no difference in rates of vomiting. This backs up what we know. You can fast as short as 2-3 in the right patient.

Meet me at the 2018 PEM Fellows Conference in Washington, DC this weekend

In just a couple of days I’ll be attending the 2018 Pediatric Emergency Medicine Fellows Conference in Washington, DC. The conference will be held at the Crystal City Hilton which is adjacent to Regan International Airport. I’ll be presenting two workshops, one Sunday, February 25th and the other on Monday the 26th – full details below. If you’d like to chat about online learning, #FOAMed, podcasts or anything else I won’t be hard to find. The PEM Fellows Conference is a great platform for getting to know some of the titans in our field (and meeting folks like me).

Time Management and Personal Wellness = Are they related?

Javier Gonzalez del Rey, MD, MEd; Connie McAneney, MD, MS & Brad Sobolewski, MD, MEd

Sunday, February 25, 2018

9:15 to 10:30AM & 10:45AM to 12PM

Washington III

During this workshop, participants will be able to understand different barriers and common mistakes incorporated in daily routines that affect productivity. Attendees will be able to walk through a “typical” day, identify distractions, personal barriers and potential solutions which will then allow them to complete an action plan to take home.

Activating Adult Learners: Getting out of the PowerPoint Rut

Emily Willner, MD; Pavan Zaveri, MD, MEd & Brad Sobolewski, MD, MEd

Monday, February 26, 2018

9:15 to 10:30AM & 10:45AM to 12PM

Crystal Ballroom

Formal education in medicine often uses lecture-based sessions to teach. However, the ubiquitous PowerPoint lecture is not the best way to engage and activate adult learners. Knowledge of adult learning theory principles (andragogy) can help guide development of learning activities in medical education. This session will introduce fellows to the basics of andragogy and provide specific strategies to apply these in their own teaching. Fellows should bring a lecture-style PowerPoint that they have already prepared. A portion of the workshop will be dedicated to re-organizing their lecture into a non-lecture-based session covering the same material.

A podcast on Dental Infections

To tell you the tooth you’ll probably see quite a few kids with dental related complaints in the Pediatric Emergency Department. This can range from cavities to invasive infections. Brush up on all things dental infections in this episode of PEM Currents. And yes, those puns were intentional. I must’ve flossed my mind!

PEMBlog Briefs: Odontogenic Infections 

Sandor et al. Antimicrobial Treatment Options In the Management Of Odontogenic Infections. Journal of the Canadian Dental Association, 1998.

You can listen to the entire episode right here


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