⏳ Does a longer ED stay increase the risk of death? 📖 annemergmed.com/article/S019…

Every second counts in cardiac arrest. This study found that retaining EMS equipment for initial ED rhythm analysis was associated with substantially shorter times to both rhythm analysis and defibrillation in patients with OHCA. Could a simple workflow change help teams deliver lifesaving care faster? Check it out at annemergmed.com #EmergencyMedicine #EM #CardiacArrest #OHCA #CPR #Resuscitation #EMS #EmergencyDepartment #Defibrillation #FOAMed #MedED #MedTwitter @Dr_DRoll @danieljafari

This study suggests that extracorporeal cardiopulmonary resuscitation (ECPR) may be associated with improved outcomes in selected children with out-of-hospital cardiac arrest. Because the number of children who received ECPR was small, these findings should be interpreted as hypothesis-generating and support further prospective—and ideally randomized—evaluation of pediatric ECPR. Check it out! Link in Bio #EmergencyMedicine #EM #Pediatrics #PEM #Peds #CriticalCare #CritCare #EMS #MedED #FOAM #FOAMed #EBM

Watchful waiting: The Power of Patience: High-Impact Insights on Pediatric Abdominal Trauma Observation 🩺🛡️ Can a little extra time in the ED save a child from unnecessary radiation? ⏱️ This massive study of 7,442 children proves that observation is a game-changer for blunt abdominal trauma, but it’s important to understand the full picture,. 💪🏾Why this study is a heavyweight (Strengths): -Massive Scale: This was a rigorous prospective multicenter cohort study involving children across six level-1 trauma centers,. -Precision Modeling: Researchers used multivariable logistic regression to adjust for critical factors like age, clinician suspicion, and PECARN risk variables,. -Proven Safety: The study successfully showed reduced CT use—especially in intermediate-risk cases—without an increase in missed injuries,. -Standardized Training: Enrolling clinicians underwent standardized training to ensure consistent documentation of clinical findings. ⚠️ Know the fine print (Limitations): -Setting Matters: The study was conducted in pediatric-specific EDs, so the results might differ in general community hospitals with less pediatric trauma experience. -Unstructured Observation: There was no set protocol for the observation period; the duration, lab tests, and ultrasound use were left to clinician discretion. -Older Kids Skew: The study population skewed toward older children, who are often easier to evaluate for abdominal pain and tenderness than younger ones. -Cost-Effectiveness: No specific cost-effectiveness analysis was conducted for abdominal trauma observation in this study. 🤓The Bottom Line: Choosing to observe rather than scan can safely lower CT utilization with a minimal median increase in ED stay of only 27 minutes. 🔗 Read the full paper here: annemergmed.com/article/S019… #PediatricTrauma #EmergencyMedicine #EvidenceBasedMedicine #ERDoctor #MedicalResearch 📚Reference: Ishimine P, et al. Emergency Department Observation and Computed Tomography Use in Children With Blunt Abdominal Trauma. Annals of Emergency Medicine. 2026