Core Content by Michael Mojica, MD

Journal Review

Pulmonary Complications of Opioid Overdose Treated with Naloxone

Filed Under: Tags: , , , , , March 6th, 2020 Leave a Comment

Pulmonary complications after opioid overdose include: non-cardiogenic pulmonary edema, aspiration pneumonia/pneumonitis and acute respiratory distress syndrome. Multiple mechanisms have been proposed for these complications. These complications have been described in opioid overdose both with and without Naloxone administration.
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PEMCARS (Pediatric Emergency Medicine Critical Article Review) V3.0, 2019

PEM Guides Tags: Michael Mojica, MD Leave a Comment

The new version of the PEM CARS iBook (V3.0, 2019) has been released! 200 comprehensive, critical article reviews on PEM literature available for free.

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Congratulations and many thanks to the NYU/Bellevue Pediatric Emergency Medicine fellows and faculty that have put in a considerable amount of effort to make this happen.  
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Journal Review

Effects of Tranexamic Acid on Death, Disability, Vascular Occlusive Events and Other Morbidities in Patients with Acute Traumatic Brain Injury (CRASH-3): A Randomised, Placebo-Controlled Trial

Filed Under: Tags: , November 22nd, 2019 Leave a Comment

Head trauma is a leading cause of trauma related morbidity and mortality worldwide. Tranexamic acid (TXA) inhibits fibrinolysis and can decrease ongoing hemorrhage. In the CRASH-2 Trial, TXA given within 3 hours of injury was shown to decrease mortality from major extracranial injury (CRASH 2 Investigators,
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Journal Review

Cervical Spine Injury Risk Factors in Children with Blunt Trauma

Filed Under: Tags: , August 16th, 2019 Leave a Comment

Pediatric cervical spine injuries (CSI) are rare (1-2%) after blunt trauma. Decision rules to identify adults at low risk of cervical spine injury have been developed (NEXUS criteria (Hoffman, NEJM 2000,
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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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Retropharyngeal Abscess

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A review of this rare and life-threatening pediatric illness.
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PEM Guides Version 6.0 (2019)

PEM Guides Tags: Michael Mojica, MD 5 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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“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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Michael Mojica, MD

Michael Mojica, MD

Associate Editor - Pediatrics

Michael is 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.