A review of this rare and life-threatening pediatric illness.
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Core Content by Michael Mojica, MD
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PEM Guides Version 7.0 (2020)
The new 2020 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
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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Journal Review
PECARN: Febrile Neonate Decision Rule Derivation and Internal Validation
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
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
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 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.