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PEM Updates

@PEMupd

Cutting-edge research, clinical pearls & guidelines in Pediatric Emergency Medicine. Curated by experts. Stay sharp, stay current. #PEM #FOAMed #PEMUPDATES

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Joined April 2025
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PediEM Journal Club Invitation (15) ⭐️ 🎙 Topic: Beyond the ABCs: High-Stakes Decisions in Pediatric Trauma 👨‍⚕️ Guest Speaker: Prof. Joe Nemeth, Emergency Medicine and Trauma Consultant at McGill University 👩‍⚕️ Moderator: Dr. Fawziah Alsalmi
Image from PEM Updates (@PEMupd)
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New Article: Comparative Efficacy and Safety of Corticosteroids vs. No Corticosteroids in Septic Shock Intensive Care Unit Patients: A Systematic Review and Meta-Analysis ift.tt/GoLCSsi #PEM #FOAMed #PEMUPDATES
Comparative Efficacy and Safety of Corticosteroids vs. No Corticosteroids in Septic Shock Intensive...

Comparative Efficacy and Safety of Corticosteroids vs. No Corticosteroids in Septic Shock Intensive...

Corticosteroid therapy in adults with septic shock was associated with a reduction in 28-day mortality and with accelerated shock reversal, with no evidence of publication bias. The direction of...

pubmed.ncbi.nlm.nih.gov
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New Article: Validity Evidence for the Competency-Based Leadership Assessment Resource (CLAR) Tool in Assessing Pediatric Fellows ift.tt/ZjBqSgW #PEM #FOAMed #PEMUPDATES
Validity Evidence for the Competency-Based Leadership Assessment Resource (CLAR) Tool in Assessing...

Validity Evidence for the Competency-Based Leadership Assessment Resource (CLAR) Tool in Assessing...

The validity evidence for the CLAR tool supports use in formative assessment of pediatric fellows.

pubmed.ncbi.nlm.nih.gov
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New Article: Complex arrhythmias in the absence of severe valvulitis: a paediatric case of acute rheumatic fever ift.tt/WGdc2eV #PEM #FOAMed #PEMUPDATES
Complex arrhythmias in the absence of severe valvulitis: a paediatric case of acute rheumatic fever...

Complex arrhythmias in the absence of severe valvulitis: a paediatric case of acute rheumatic fever...

A 15-year-old boy was admitted to the emergency department with arthralgia of the knee. He was diagnosed with acute rheumatic fever based on clinical examination, electrocardiography, echocardiogra...

pubmed.ncbi.nlm.nih.gov
42
New Article: Effect of armed conflict on measles surveillance and zero-dose vaccination status in Tigray, Ethiopia, 2018-2024 ift.tt/sHESjBo #PEM #FOAMed #PEMUPDATES
Effect of armed conflict on measles surveillance and zero-dose vaccination status in Tigray,...

Effect of armed conflict on measles surveillance and zero-dose vaccination status in Tigray,...

The conflict was associated with a near-complete collapse of measles surveillance, marked changes in the age distribution of reported cases, and an increased proportion of zero-dose measles cases....

pubmed.ncbi.nlm.nih.gov
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New Article: WSES-PSOGI-SICO evidence-infomed guidelines on surgical emergencies in patients with peritoneal surface malignancies: a systematic review, meta-analysis, and structured expert consensus ift.tt/MAsqPjb #PEM #FOAMed #PEMUPDATES
WSES-PSOGI-SICO evidence-infomed guidelines on surgical emergencies in patients with peritoneal...

WSES-PSOGI-SICO evidence-infomed guidelines on surgical emergencies in patients with peritoneal...

Despite the low certainty of available evidence, integration of systematic review findings with expert consensus provides a structured international framework to support decision-making in emergency...

pubmed.ncbi.nlm.nih.gov
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New Article: Timing of the Adrenaline Administration in Witnessed Pediatric Out-of-Hospital Cardiac Arrest: Retrospective, National Cohort Study in Japan, Using a 2014-2020 Dataset ift.tt/cwgT4pt #PEM #FOAMed #PEMUPDATES
Timing of the Adrenaline Administration in Witnessed Pediatric Out-of-Hospital Cardiac Arrest:...

Timing of the Adrenaline Administration in Witnessed Pediatric Out-of-Hospital Cardiac Arrest:...

In the JAAM-OHCA registry, with pediatric data from 2014 to 2020, we failed to identify an association between earlier adrenaline administration and greater probability of 1-month survival or...

pubmed.ncbi.nlm.nih.gov
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New Article: Establishing a core outcome set for use in trials of severe acute paediatric asthma exacerbation (2-17 years): study protocol for an international co-design Delphi survey - a Paediatric Emergency Research Network study initiative ift.tt/sUegq1I #PEM #FOAMe…
Establishing a core outcome set for use in trials of severe acute paediatric asthma exacerbation...

Establishing a core outcome set for use in trials of severe acute paediatric asthma exacerbation...

Establishing a core outcome set for use in trials of severe acute paediatric asthma exacerbation (2-17 years): study protocol for an international co-design Delphi survey - a Paediatric Emergency...

pubmed.ncbi.nlm.nih.gov
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New Article: Predictors of severe measles outcomes in hospitalized patients in Jerusalem, 2025 ift.tt/rjylsaU #PEM #FOAMed #PEMUPDATES
Predictors of severe measles outcomes in hospitalized patients in Jerusalem, 2025 - PubMed

Predictors of severe measles outcomes in hospitalized patients in Jerusalem, 2025 - PubMed

Despite high access to medical care in this urban setting, measles caused substantial morbidity and mortality. Respiratory compromise, severe dehydration, and bacteremia identified patients at...

pubmed.ncbi.nlm.nih.gov
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New Article: Noninferiority of Implementing a Telephone Follow-Up Based Pathway After Uncomplicated Pediatric Appendectomy: A Retrospective Cohort Study ift.tt/e2fXztL #PEM #FOAMed #PEMUPDATES
Noninferiority of Implementing a Telephone Follow-Up Based Pathway After Uncomplicated Pediatric...

Noninferiority of Implementing a Telephone Follow-Up Based Pathway After Uncomplicated Pediatric...

Implementation of a telephone-based follow-up pathway after uncomplicated pediatric appendectomy was noninferior for 30-day related ED visits, while improving overall follow-up completion and...

pubmed.ncbi.nlm.nih.gov
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New Article: Prone positioning and high-frequency oscillatory ventilation in early paediatric acute respiratory distress syndrome (PROSpect): an international, two-by-two factorial, response-adaptive, phase 3, randomised controlled trial ift.tt/7HCr65c #PEM #FOAMed #PE…
Prone positioning and high-frequency oscillatory ventilation in early paediatric acute respiratory...

Prone positioning and high-frequency oscillatory ventilation in early paediatric acute respiratory...

US National Institutes of Health/National Heart, Lung, and Blood Institute.

pubmed.ncbi.nlm.nih.gov
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New Article: Rehabilitation of Swallowing and Language Ability in Patients With Severe Acquired Brain Injury: An Online International Survey ift.tt/Zcumsx2 #PEM #FOAMed #PEMUPDATES
Rehabilitation of Swallowing and Language Ability in Patients With Severe Acquired Brain Injury: An...

Rehabilitation of Swallowing and Language Ability in Patients With Severe Acquired Brain Injury: An...

https://doi.org/10.23641/asha.34741404.

pubmed.ncbi.nlm.nih.gov
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New Article: A Painful Presentation: Lipschütz Ulcer in an Adolescent With Recent Mononucleosis ift.tt/Yg0xrv7 #PEM #FOAMed #PEMUPDATES
A Painful Presentation: Lipschütz Ulcer in an Adolescent With Recent Mononucleosis - PubMed

A Painful Presentation: Lipschütz Ulcer in an Adolescent With Recent Mononucleosis - PubMed

Lipschütz ulcer is a rare, nonsexually transmitted genital ulceration most commonly affecting nonsexually active adolescent females after systemic viral illness, particularly Epstein-Barr virus...

pubmed.ncbi.nlm.nih.gov
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New Article: Global, Regional, and National Burden of Bone Cancers, 1990 to 2023, With Forecasts to 2050: A Systematic Analysis for the Global Burden of Disease Study 2023 ift.tt/JaGVehg #PEM #FOAMed #PEMUPDATES
Global, Regional, and National Burden of Bone Cancers, 1990 to 2023, With Forecasts to 2050: A...

Global, Regional, and National Burden of Bone Cancers, 1990 to 2023, With Forecasts to 2050: A...

In this systematic analysis, the burden of bone cancer varied by age, geography, and time, underscoring global disparities. These findings provide valuable insights to inform health system planning...

pubmed.ncbi.nlm.nih.gov
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New Article: Epidemiological Study on Tranexamic Acid Use in Pediatric Blunt Liver and Spleen Injuries in Japan: A Multicenter Cohort Study ift.tt/cxkIAQj #PEM #FOAMed #PEMUPDATES
Epidemiological Study on Tranexamic Acid Use in Pediatric Blunt Liver and Spleen Injuries in Japan:...

Epidemiological Study on Tranexamic Acid Use in Pediatric Blunt Liver and Spleen Injuries in Japan:...

This nationwide study highlights current TXA practices in pediatric blunt abdominal trauma. No statistically significant associations between TXA administration and mortality or transfusion require...

pubmed.ncbi.nlm.nih.gov
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New Article: Fidget and Sensory Toys for Anxiety and Emotional Regulation in Children: A Scoping Review With Implications for Pediatric Perioperative Care ift.tt/zb5WYuP #PEM #FOAMed #PEMUPDATES
Fidget and Sensory Toys for Anxiety and Emotional Regulation in Children: A Scoping Review With...

Fidget and Sensory Toys for Anxiety and Emotional Regulation in Children: A Scoping Review With...

Current evidence does not support the routine use of fidget toys to improve attention or academic performance in educational settings. Evidence from healthcare and procedural settings suggests that...

pubmed.ncbi.nlm.nih.gov
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New Article: FPSA, a potential risk factor for thyroid nodules by gender: A cohort study in China ift.tt/zlcin2e #PEM #FOAMed #PEMUPDATES
FPSA, a potential risk factor for thyroid nodules by gender: A cohort study in China - PubMed

FPSA, a potential risk factor for thyroid nodules by gender: A cohort study in China - PubMed

BackgroundThe global prevalence of thyroid nodules is rising, prompting heightened clinical concern given their potential for malignant transformation. Although tumor markers are routinely assessed...

pubmed.ncbi.nlm.nih.gov
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New Article: Leveraging Primary Care Resources Through Quality Improvement to Increase Follow-up After Mental Health Emergency Department Visits ift.tt/2p64DdM #PEM #FOAMed #PEMUPDATES
Leveraging Primary Care Resources Through Quality Improvement to Increase Follow-up After Mental...

Leveraging Primary Care Resources Through Quality Improvement to Increase Follow-up After Mental...

Increasing access to pediatric primary care and implementing timely postdischarge follow-up calls can improve follow-up within a large healthcare system for patients discharged from the ED for MBH...

pubmed.ncbi.nlm.nih.gov
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New Article: Demographics and Infection Sources in Coding-Defined Sepsis at a Romanian County Emergency Hospital: A Retrospective Single-Center Study ift.tt/V2Ql6gs #PEM #FOAMed #PEMUPDATES
Demographics and Infection Sources in Coding-Defined Sepsis at a Romanian County Emergency Hospit...

Demographics and Infection Sources in Coding-Defined Sepsis at a Romanian County Emergency Hospit...

Over a full calendar year at this Romanian county clinical emergency hospital, sepsis predominantly affected older patients managed by general surgery and urology, with urinary and abdominal sources...

pubmed.ncbi.nlm.nih.gov
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New Article: Remote patient monitoring and caregiver education for children with failure to thrive: a quasi-experimental study ift.tt/jR58vSQ #PEM #FOAMed #PEMUPDATES
Remote patient monitoring and caregiver education for children with failure to thrive: a quasi-ex...

Remote patient monitoring and caregiver education for children with failure to thrive: a quasi-ex...

An RPM program integrated with caregiver education demonstrated feasibility in supporting proactive management of pediatric FTT. The intervention supported weight monitoring in this medically complex...

pubmed.ncbi.nlm.nih.gov
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New Article: Case Report: EAdi-guided ventilatory management leads to successful extubation in a pediatric myasthenic disorder ift.tt/M1azU6n #PEM #FOAMed #PEMUPDATES
Case Report: EAdi-guided ventilatory management leads to successful extubation in a pediatric...

Case Report: EAdi-guided ventilatory management leads to successful extubation in a pediatric...

Monitoring of diaphragmatic electrical activity (EAdi) may provide real-time insight into neural respiratory drive, but data in pediatric myasthenic disease are scarce. We report a 2-year-old girl...

pubmed.ncbi.nlm.nih.gov
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