News and Blogs

Intranasal Fentanyl: A Breath of Fresh Air in Sickle Cell Pain Management

Intranasal Fentanyl: A Breath of Fresh Air in Sickle Cell Pain Management

Introduction Sickle cell disease (SCD) and the associated vaso-occlusive episodes (VOEs) remain a significant health challenge, particularly among children. Additionally, the National Heart, Lung, and Blood Institute recommended that parenteral opioids be given within 30 minutes from triage or 60 minutes from emergency department (ED) registration. Realistically, these are challenging benchmarks to meet, partly because […]

JUST RELEASED: A New PECARN Clinical Decision Rule Minimizes Unnecessary Imaging   for Pediatric Cervical Spine Injuries

JUST RELEASED: A New PECARN Clinical Decision Rule Minimizes Unnecessary Imaging for Pediatric Cervical Spine Injuries

Introduction Each year, more than 8 million children in the U.S. are evaluated in emergency departments (EDs) following blunt trauma, but less than 1% are diagnosed with cervical spine injuries (CSI). Computed tomography (CT) scans are often used to evaluate for CSIs. This exposes children to ionizing radiation increasing their lifetime risk of cancer. A […]

Neutropenia/procalcitonin

Neutropenia/procalcitonin

Introduction Each year, U.S. emergency departments face the challenge of evaluating around 200,000 infants aged 60 days and younger, with 8-10% having serious bacterial infections, including the serious categories of bacteremia and bacterial meningitis. The PECARN febrile infant working group previously derived a clinical prediction rule to identify febrile infants at low risk for serious […]