The Blog

Thanks for dropping by! We have curated an incredible collection of the best articles from the leading Emergency Medicine, Tactical Medicine, Prehospitial Medicine, Austere & Remote Medicine authors, as well as Survival Medicine gurus and many others!

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As always, all credit is given to the original author and origin publication.

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Tactical Medicine News

PEM Pearls: An Approach to Infant Apnea

by Carolina Ornelas-Dorian, MD
Sep 26, 2022
A 2-day-old female born at 41 weeks presents to the Emergency Department (ED) for an episode of apnea. Her parents noticed she stopped breathing, w...
Tactical Medicine News

PEM Pearls: To Scan or Not to Scan? CT Abdomen in Children with Blunt Torso Trauma

An 18-month-old female with no past medical history is brought in by ambulance after a motor vehicle collision (MVC) at highway speed, restrained i...
Tactical Medicine News

PEM Pearls: Intranasal Medications in the Pediatric ER

Fiona is a 6 year old female who presents to your emergency department after falling onto her left hand while racing on the playground. X-ray of th...
Tactical Medicine News

PEM Pearls: Metered-Dose Inhaler versus Nebulizer

An 8-year-old is brought in by her parents with shortness of breath and wheezing. She’s been receiving her “rescue inhaler” at home and continues ...
Tactical Medicine News

PEM Pearls: Chest Radiographs for Shortness of Breath

Figure 1: Photo by Tim Bish on Unsplash Paramedics bring in a 5-month-old boy in respiratory distress. He’s crying furiously and has normal tone...
Tactical Medicine News

PEM Pearls: 5 Tips to Demystify Amoxicillin in Pediatric Infections

Amoxicillin is a penicillin derivative antibiotic against susceptible gram positive and gram negative bacteria. It has reasonable coverage for ...
Tactical Medicine News

PEM Pearls: Ultrasound for Diagnosing Occult Supracondylar Fractures

Supracondylar humerus fractures are the most common type of elbow fracture in pediatric patients, most often seen in a fall on an outstretched ...
Tactical Medicine News

PEM Pearls: Red Flags for Child Abuse – Case 2

Fractures are a common sign of abuse. It is impossible to tell from an x-ray alone whether or not a fracture is due to abuse. Fractures of the extr...
Tactical Medicine News

PEM Pearls: Red Flags for Child Abuse – Case 1

Child abuse is a common cause of pediatric morbidity and mortality. In 2015, over 650,000 children were found to be victims of maltreatment and ove...
Tactical Medicine News

PEM Pearls: Regional Facial Nerve Blocks

Regional nerve blocks of the face and ear can be a wonderful choice of analgesia in a child, particularly for wounds that need to be repaired. The ...
Tactical Medicine News

PEM Pearls: Pediatric Lung Ultrasound for Diagnosing Pneumonia | The Wave of the Future

The standard for diagnosing pneumonia is a combination of the clinical history, physical examination, and chest x-ray (CXR) findings. However, lung...
Tactical Medicine News

Pediatric Trick of the Trade: Finger Immobilization Technique

A 3 year-old boy presents with a deep laceration of the distal phalanx, through the nail bed, after slamming his fingers in a car door. He is cryin...
Tactical Medicine News

PEM Pearls: Treatment of Pediatric Diabetic Ketoacidosis and the Two-Bag Method

Insulin does MANY things in the body, but the role we care about in the Emergency Department is glucose regulation. Insulin allows cells to take up...
Tactical Medicine News

PEM Pearls: Search & Rescue of Ear Foreign Bodies – Picking the Right Tool

While ear foreign bodies can happen at any age, the majority occur in children less than 7 years of age.1 The younger the patient, the less likely ...
Tactical Medicine News

PEM Pearls: 2017 AAP Section of EM’s Guide to Pediatric Community Acquired Pneumonia

Pediatric community-acquired pneumonia (CAP) is an acute, common, and potentially serious infection of the pulmonary parenchyma in children. In Nov...
Tactical Medicine News

PEM Pearls: Pediatric Sepsis Management – Understanding the Basics

Just as in adults, pediatric sepsis is a complex topic with continued research. In the United States, there are an estimated 75,000 cases per year ...
Tactical Medicine News

PEM Pearls: Calming techniques while repairing a laceration

Most children who come into the Emergency Department present with pain or experience pain during their ED stay.1,2,3 Pain and distress during a pro...
Tactical Medicine News

PEM Pearls: Brief Resolved Unexplained Events (BRUE)

A 2-month old boy was brought in by his mother after an episode of the child’s face turning blue and a pause in breathing. Mom reports this lasted ...
Tactical Medicine News

PEM Pearls: Perfecting your pediatric lumbar puncture using ultrasound

A lumbar  puncture (LP) is a common procedure that every emergency physician must master. Pediatric LPs can be challenging for even the most experi...
Tactical Medicine News

PEM Pearls: This may hurt! How to manage pediatric anxiety in the ED

Pain and anxiety in the emergency department (ED) are two of the most common things we see in children. Pediatric patients, whether first time vis...
Tactical Medicine News

PEM Pearls: The nonvisualized appendix quandary on ultrasound

A 10-year old girl presents with progressively worsening right lower quadrant pain for the last 2 days. She reports having chills and feeling warm....
Tactical Medicine News

PEM Pearls: Prolonged Fever in Pediatric Patients – When should you worry?

Febrile pediatric patients are ubiquitous in emergency departments (ED) around the country.  Parents agonize over the presence, height, and persist...
Tactical Medicine News

PEM Pearls: Hydrocortisone stress-dosing in adrenal insufficiency for children

During your shifts in the pediatric ED, you may encounter a few patients with adrenal insufficiency or adrenal crisis. Some of the most common caus...
Tactical Medicine News

PEM Pearls: Pediatric Concussions

A 9-year boy was hit in the head during a soccer game and was out for a few seconds. He regained consciousness quickly, but was repetitive for EMS....
Tactical Medicine News

PEM Pearls: Assessing Radiation Risk in Children Getting CT Imaging – Managing Risk and Making Medical Decisions

The Case: A 5 year old girl presents to the ED with approximately 24 hours of suprapubic and RLQ abdominal pain. Vital signs are: Temp 38.2 C, ...
Tactical Medicine News

PEM Pearls: Cardiac causes of pediatric chest pain

Children with chest pain commonly present to the emergency department. Both the child and family members may think their symptoms are due to a seri...
Tactical Medicine News

PEM Pearls: Migraine Treatment for Pediatric EM Patients

You are working your evening shift at the pediatrics emergency department, and you walk into a darkened patient room with a distressed mother and h...
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