Core Content by Michael Mojica, MD

Journal Review

Apneic Oxygenation Reduces Hypoxemia During Endotracheal Intubation in the Pediatric Emergency Department

Filed Under: Tags: , , July 5th, 2019 Leave a Comment

Oxygenation is particularly important in children undergoing endotracheal intubation. They have higher oxygen consumption than adults and become hypoxemic more quickly with rapid sequence intubation. Apneic oxygenation (AO) is the process of providing a high flow rate of oxygen through a standard nasal cannula prior to endotracheal intubation (ETI) without bag-valve mask ventilation.
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Core

Retropharyngeal Abscess

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A review of this rare and life-threatening pediatric illness.
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Post

PEM Guides Version 6.0 (2019)

PEM Guides Tags: Michael Mojica, MD 4 Comments

The new 2019 PEM Guide has been released! 183 PEM topics covered concisely in this free, point of care reference.

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Access the Apple Book

“PEM (Pediatric Emergency Medicine) Guides was developed as an online,
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Journal Review

Levetiracetam versus Phenytoin for Second-Line Treatment of Convulsive Status Epilepticus in Children (ConSEPT): An Open-Label, Multicentre, Randomised Trial

Filed Under: Tags: , , June 21st, 2019 Leave a Comment

Status epilepticus is associated with significant morbidity and mortality. Benzodiazepines are recommended as first line agents but their efficacy is approximately 50%. The most commonly recommended 2nd line agents are Phenytoin and Fosphenytoin.
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Core

The Critically Ill Infant

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An overview of how to approach the critically ill infant
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Journal Review

PECARN: Febrile Neonate Decision Rule Derivation and Internal Validation

Filed Under: April 12th, 2019 Leave a Comment

The evaluation and management of febrile neonates remains controversial. Approximately, 10% of these patients will have a serious bacterial infection (SBI). Identification of the febrile neonate at low risk for serious bacterial infection could allow for a reduction in the rates of lumbar puncture,
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Journal Review

Accuracy of the Age-Adjusted Quick SOFA Score in Children

Filed Under: Tags: , , , February 20th, 2019 Leave a Comment

The sepsis 3 guidelines recommended the use of the Sepsis Related Organ Failure Assessment (SOFA) score for early identification of sepsis in adults (Singer 2016, PMID: 26903338). An abbreviated version of SOFA (Quick SOFA or qSOFA) includes variables available at the bedside in the ED (systolic BP,
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Journal Review

Predicting Escalated Care in Infants With Bronchiolitis

Filed Under: Tags: , , February 13th, 2019 Leave a Comment

Bronchiolitis is the most common lower respiratory tract infection and the most common cause of admission in infants. Approximately 10% will require some airway support. The ability to identify those at risk for escalation of care would allow for appropriate disposition decisions.
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Michael Mojica, MD

Michael Mojica, MD

Associate Editor - Pediatrics

Michael is the fellowship director and the director of education in Pediatric Emergency Medicine at NYU/Bellevue. He is most interested in evidence based clinical practice, teaching with simulation and faculty and resident development in education. He is also the editor of the PEM guides and pediatric topic reviews.