Category: Article of the Week

Persistent postconcussive symptoms – hot off the presses

Zemek R, et al. Clinical risk score for persistent postconcussion symptoms among children with acute concussion in the emergency department. JAMA. 2016;315(10): 1014-1025. Background: Approximately 33% of patients with concussion experience symptoms longer than 2 weeks in duration. There are no validated tools to predict children at high risk for prolonged symptoms. Objective: To devise […]

AOTW Part Deux : Skin Glue for Peripheral IVs

Bugden, S et al. Skin glue reduces the failure rate of emergency department-inserted peripheral venous catheters: a randomized controlled trial. Annals of Emergency Medicine. 2015 Dec 31. pii: S0196-0644(15)01535-8 (epub ahead of print) 33-69% of peripheral IVs eventually fail due to infection, phlebitis, occlusion, or dislodgment. A novel approach is use of medical grade cyanoacrylate […]

AOTW: Pink Eye

Is it “pink eye” or is it an “eye infection”? Effect of “Pink Eye” Label on Parents’ Intent to Use Antibiotics and Perceived Contagiousness An article published in Clinical Pediatrics this month looked at parents’ perception of acute viral conjunctivitis. A vignette was presented to parents about a child with viral conjunctivitis and parents were […]

AOTW: Doctors Behaving Badly

“Integrity is doing the right thing, even when no one is watching.” CS Lewis This quote has stayed with me since high school, when it was used by one of my teachers in a futile attempt to keep her students from acting out while she had to leave the room.  The recent stories in media […]

AOTW: The Risk of Admission

Super interesting article with a CNCM first author (Dr. Stockwell of the PICU)! A Trigger Tool to Detect Harm in Pediatric Inpatient Settings The authors developed a novel pediatric trigger tool to determine rates of harm in hospitalized patients.  The tool searched the medical record for high risk words, phrases or orders (for example, naloxone […]