This #WomensHistoryMonth, we recognize the women who shape healthcare, as clinicians, researchers, educators, leaders, & advocates. Their innovation, compassion, and persistence have transformed patient care and strengthened our systems. We’re better because of their impact. 🩺💙
This clear video from @childrensphila with Dr. Joanna Parga-Belinke & Dr. Cheryl Bettigole discusses what's happening w/ #Medicaid coverage among children and outlines steps to help families.
x.com/ChildrensPhila...
📊 New-onset motion sickness post-injury was linked to higher symptom burden, more missed school, and persistent symptoms—suggesting a role for early screening & vestibular-focused care.
🔗 pubmed.ncbi.nlm.nih....
What should motion sickness tell us about kids with concussion? 🤢🧠
@PEMatCHOP faculty Drs. Corwin & Arbogast, with Dr. Tina Master, studied concussion outcomes in kids w/ motion sickness.
A 12 y/o presents to the ED with HA, nausea, difficulty concentrating. You ultimately diagnosis him with concussion. What are your recs re: physical activity?
1️⃣ Strict rest for 72 hours
2️⃣ No activity until cleared
3️⃣ Light aerobic activity
4️⃣ Other
📊 Show results
Pearl #3: Early steroids can blunt #asthma progression—even without a prior asthma diagnosis.
Dexamethasone tabs are crushable, long-acting, and cost-effective.
Pearl #2: Suction is core therapy for bronchiolitis—but many EDs lack infant devices.
Use what you have, and ask families what works at home—it may prevent a transfer or admission.
Pearl #1: Beware the O₂ sat.
A normal O₂ sat in a child in respiratory distress ≠ they’re okay.
A low O₂ sat in distress is often a late and concerning finding
Conversely, a brief sat of ~89% in a well-appearing infant with bronchiolitis may be acceptable. Context matters
More faculty representation from Advancing Emergency Care in Critical Moments hosted by
@pcomeducation.bsky.social
👏
This time Dr. Eva Delgado spoke Pediatric Respiratory Emergencies:
Asthma, bronchiolitis, and the ever-present “astha-litis.”
A few clinical pearls below 👇
Why is this happening?
🍬 Copycat packaging that mimics popular candy brands
⚠️ Highly concentrated THC in edibles
👶 Curious kids who can’t tell the difference
If THC products are present in the home:
🔒Store out of reach & sight
🔑Keep them locked
🚫Never store near food
#tox
📈 There has been a 14-fold increase in edible marijuana ingestions among children under 6 years old.
These cases are showing up more often in emergency departments—and some are severe.
tinyurl.com/candyTHC
Many of our faculty participated in “Advancing Emergency Care in Critical Moments” hosted by
@PCOMeducation
PEM Fellow Dr. Priya Shah spoke about a growing—and preventable—risk: children unintentionally ingesting THC products. 🧵⬇️
Don't miss out on this upcoming #Transport Conference!
Topics will include respiratory support, ECMO, and more!
chop.cloud-cme.com Last day to register is 3/18, conference is 3/26
Neonatal listeriosis treatment:
➡️ Start IV ampicillin + gentamicin
➡️ Treat parenterally only
➡️ Once clinically improved and CSF is sterile, stop gentamicin
➡️ Complete 14–21 days of ampicillin monotherapy
Given maternal ingestion of raw milk + fever, vomiting, diarrhea, and preterm delivery, you should be concerned for listeriosis. 🚩
That said, other infectious etiologies must always be considered in both mother and newborn.
Thank you for all who participated! Let's discuss!
6ABC reached out to @PEMatCHOP to talk more about glass straws and injuries in kids. Dr. Lauren VonHoltz discussed with them - listen here!
In a 3-center study of 738 infants started on HFNC in the ED, tachypnea + hypoxemia predicted escalation within 24h (AUC 0.75).
Promising, needs validation.
🔗 pubmed.ncbi.nlm.nih....
Dr. Zorc and #PEM fellow Dr. Rothstein contributed to this recent paper. HFNC use in infant bronchiolitis is rising—but who will worsen?
Don't miss out on this upcoming #Transport Conference!
Topics will include respiratory support, ECMO, and more!
chop.cloud-cme.com Last day to register is 3/18, conference is 3/26
Pregnant pt at 34 weeks presents w/ fever, vomiting, & diarrhea → preterm delivery. History reveals recent raw milk use for “health benefits”. What key antibiotic must be included in the newborn's tx?
1️⃣ Vancomycin
2️⃣ Ceftriaxone
3️⃣ Ampicillin
4️⃣ Erythromycin
📊 Show results
As temps drop, Carbon Monoxide risk rises. A timely reminder to educate patients, recognize symptoms early, and advocate for prevention. CO poisoning is preventable. 🔔
Read more about it here 👇
injury.research.chop...
#PEM #carbonmonoxidepoisoning
🔗 pubmed.ncbi.nlm.nih....
#POCUS #PEM #PedsEM #MedEd #Ultrasound
Dr. Rempell asks "How many scans does it take to master POCUS for pediatric skin & soft tissue infections?" in this latest publication.
This study of 3,400+ ultrasounds shows accuracy improves with experience—~29 scans to reach 90% accuracy and ~80 for 95%.
Congratulations to #PEM Fellow Dr. Bianca Nfonoyim Bernhard for receiving a CHOP Global Health Pilot Grant for her project:
"Breath of Life Cameroon: Implementing Bubble Continuous Positive Pressure (bCPAP) for Children in Respiratory Distress”
www.chop.edu/centers...
🔴 <28°C + circulation → Active internal rewarming
➡️ Pleural / gastric / bladder lavage
🔴 <28°C + arrest → ECMO if available
📈 If rewarming <1°C/hr → intensify care
🧠 Treat causes: hypoglycemia, sepsis, toxins
#PEM #ECMO #PatientSafety
🟢 Mild (32–35°C):
✔️ Dry, remove wet clothes
✔️ Forced-air warming
✔️ Warm IV fluids / oral if stable
🟡 Moderate (28–32°C):
✔️ Forced air + warm O₂
✔️ Warm IV bolus
⚠️ Watch for afterdrop & shock
Monitor continuously. Always support ABCs.
#PedsResus #CriticalCare
Rectal and esophageal probes both have their place. Consider the clinical scenario.
🔹 Rectal: widely available, easy to place—but lags during rewarming
🔹 Esophageal: best real-time core temp (intubated pts), reflects cardiac temp
In critical cases → consider 2 central sites for accuracy.
Thank you to those who participated! Let's talk about temperature monitoring and treatment in #hypothermia
Seems timely as Philadelphia has been nothing but COLD the past few weeks.
