EVMS & CHKD Pediatric EM Potpourri
This month JC welcomes our CHKD EM colleagues at a new venue and we are looking forward to another great evening. Rather than tackle a single subject, we thought it might be interesting to look at a range of topics. First, the PECARN group has published a widely cited clinical prediction rule that may identify infants at low risk for serious bacterial infections. Some suggest this could be a potentially “practice changing” article. A recent study on pediatric head injuries from the Annals of EM looked at clinical judgement vs. head injury decision rules and reported what I thought were some surprising findings. In addition, we will look at an RCT that compares intranasal ketamine to fentanyl in children with acute extremity injuries and we will close with a focus-group type study titled “Coming in Warm” that provides some excellent insights regarding effective communication strategies that may help cultivate empathy. Please take some time to review the articles and offer up your perspective.
Kuppermann N, et al A Clinical Prediction Rule to Identify Febrile Infants 60 Days and Younger at Low Risk for Serious Bacterial Infections. JAMA Pediatr. 2019 Feb 18. Critical Appraisal
Babl FE et al, Accuracy of Clinician Practice Compared With Three Head Injury Decision Rules in Children: A Prospective Cohort Study.Ann Emerg Med. 2018 Jun;71 (6):703-710. Critical Appraisal
Frey TM1 et al, Effect of Intranasal Ketamine vs Fentanyl on Pain Reduction for Extremity Injuries in Children: The PRIME Randomized Clinical Trial. JAMA Pediatr. 2019 Feb 1;173(2):140-146. Critical Appraisal
Pettit KE et al, Coming in Warm: Qualitative Study and Concept Map to Cultivate Patient‐centered Empathy in Emergency Care AEM Education and Training 2019; 3: 136– 144 February 2019 Critical Appraisal