PEM Review 005 – 19th May 2015

PEMgeek3

Welcome FOAMed fans. Here’s the cream of the crop for this week from the PEM world:

STROKE // TESTICULAR TORSION // INTUBATION // STATS // COMMUNICATION // PAIN // DERM

stroke     1. CHILDHOOD STROKE In recognition of Paediatric Stroke Awareness month (May) here is a video case report from @mayoclinicEM – a reminder that stroke can happen at ANY age, and if we don’t suspect it, we may be missing a window of opportunity…

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               2. TWIST AND SHOUT All about testicular torsion – a quick run through of the anatomy, pathophysiology and presenting features. Plus – do you know how to attempt manual detorsion if there is absolutely no access to a surgeon? from paediatricem.blogspot.com

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    3. Since it’s (thankfully) not all that common to have to intubate children in the ED, videos like this have an important role to play in keeping our skills sharp. 7 minutes, what have you got to lose. @PEMtweets

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bump  4. BUMPED HEADS – who do you reassure/send home, when do you CT? Here’s a breakdown of the various ‘rules’ that guide clinical decision making when a child presents with head injury. The PECARN study of 2009, based on over 42,000 children, has been found to have the greatest validity (which is interesting as it is not what the NICE guideline is based on!) From @Cochrane_Child

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p val     5. F- THE P-VALUE? PEM docs of the near future are likely to be increasingly involved in research, so this caught my eye as I am trying to brush up on basic statistics. It is a massive credit to the author (@pulmcrit) that this post is so readable – not being a natural mathematician, to put it mildly, this is the closest I’ve come to really understanding the P-value (and simultaneously I’m being encouraged to doubt its value?! Weak grasp of stats slips through my fingers again…)

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fragile    6. ‘I WISH THINGS WERE DIFFERENT’ this is such an essential read for anyone who is someday going to have to have the worst nightmare conversation with a dying patient’s family. It is aimed at doctors treating adult patients, however there are plenty of pearls that are transferable to paediatric practice. This should be shared, and shared widely. Thank you @epmonthly

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       7. PAINFUL TRUTHS? Podcast of the week  by far, a brilliant reminder of why it is so important to manage pain in kids as well as we possibly can. Did you know that inadequate pain management can lead to long term consequences on pain threshold? Credit to @pedscases

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lime    8. GREEN FINGERED, RED HANDED I’m glad I stumbled across this in time for summer – next time a well-appearing kid comes to the ED with a strange rash, take a detailed history and think of phytophotodermatitis!  Several different plants can be culprits.

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Thanks for reading, please get in touch if you have something to share, and come back next week!

@PEMgeek

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