Work from the 2020 Section Grant “Managing Childbirth and Newborn Resuscitation Toolkit for the EMS Provider” has been completed. Section members Denise Whitfield, MD, MBA, and Marianne Gausche-Hill, MD, were jointly awarded this grant to complete work products on behalf of the Pediatric Emergency Medicine Section and Emergency Medical Services- Prehospital Care Section.
A video toolkit was developed consisting of 3 educational programs to serve as a resource for the individual paramedic looking for continuing education, a framework for educators hosting training for EMS personnel, and a just-in-time resource for providers caring for patients in the field.
Adam Garibay, MD; Kelly Winters, MSN, RN, CPNP, CNS ; Tabitha Cheng, MD,; Supriya Sharma, MD; Manpreet Singh, MD, MBE
Pediatric Emergency Department, Department of Emergency Medicine, Harbor-UCLA Medical Center
Case Presentation: Tongue Depressor
A 5-year-old male presented to the pediatric ED due to a growth on the tip of his tongue. The patient’s mother was worried as the mass had been increasing in size and was bleeding, causing decreased oral intake. Further history revealed progressive tongue swelling and increasing growth of the mass over a three-month period. Upon further questioning, it was presumed that the mass formed after a traumatic injury where he bit his tongue. Prior to this visit he presented to three other EDs and was unable to receive a referral to Otolaryngology due to insurance issues.read more
Chloe Knudsen-Robbins University of Pittsburgh Medical Center
Nelson Bansil CHOC Children’s
A 13-year-old-female with a past medical history of Crohn’s disease, presented to the Pediatric Emergency Department (PED) with 8 hours of headache, left eye pain and periorbital swelling. She denied trauma or fevers.
Exam demonstrated left periorbital swelling with ecchymosis and tenderness to palpation. Swelling prevented assessment. Intra-ocular pressure (IOP) was unobtainable.
Emergent ophthalmology consult was obtained and a lateral canthotomy with cantholysis was performed in the PED. CT of the orbits showed left periorbital swelling with diffuse enlargement of the recti muscles. Diagnosis was determined to be most consistent with orbital compartment syndrome (OCS) secondary to orbital inflammatory pseudotumor (OIP) as a complication of IBD.read more
Rob Grell, MD Division of Pediatric Emergency Medicine Department of Pediatrics Emory University School of Medicine
7-month-old male with no past medical history presented to the Pediatric Emergency Department (PED) for 4 months of rash and decreased urine output. Mom reports that she had initial sought medical care 4 months ago, but despite treatment and repeated reassurance, the rash has worsened. Over the last 24 hours prior to presentation, the rash became firm, indurated, and more edematous. The rash was initially localized to the diaper region, but recently spread inferiorly to the lower extremities and superiorly to the abdomen. Mom reports failure of treatment with topical steroids and only transient improvement when treated with oral steroids. Working diagnosis at the time of presentation was granuloma gluteale infantum.read more
Evan Laveman, M.D. ; Kelly Kelley, MSN, RN, ; Christopher Redgate, MD, MS,
Pediatric Emergency Department, Department of Emergency Medicine, Harbor-UCLA
Case Presentation: Helluva Uvula
A 16-year-old male with no past medical history presented to the Pediatric Emergency Department (PED) for 4 months of nasal congestion worsening over the past month. He immigrated from Honduras with his father 20 days ago and over this time noticed a decreased ability to breath through his nose. Most troubling, he started to develop foul smelling nasal discharge mainly through his left nare. His only medical contact had been at a U.S. clinic when he first arrived where he was prescribed a nasal spray and cetirizine with no relief. He felt moderate sinus pressure but denied weight loss, fevers, chills, headache or vision changes.read more