6-year-old with progressive facial edema + hematuria (UA +blood), mild ↑Cr. If you could only pick ONE next test, which would best clarify the diagnosis? 🧠 Explain your thinking below 1️⃣ Renal/bladder US 2️⃣ ASO titer 3️⃣ Triglycerides 4️⃣ EBV serology 📊 Show results

The impact of accessible, low‑cost innovation in global health is unmistakable. Training clinicians in Ghana with Annenberg Hotkeys—a free, low‑bandwidth telesimulation platform—was associated with a reduction in pediatric sepsis mortality from 36% to 10%.

Over/undertriage in pediatric behavioral health ED visits is common—and not equitable. ⚖️ In >78K visits, 57% were overtriaged & 8.5% undertriaged, with differences by age, race/ethnicity & language.

Congrats to Dr. Eron Freidleander, who was instrumental in getting an Executive Order in for expanding protections for people with disabilities and autism.

The answer is out! For the treatment of suspected pediatric #septic shock, the fluid of choice is... Both!

Congratulations to Dr. Eva Delgado who was elected to the Perelman School of Medicine, University of Pennsylvania Beta Chapter of Alpha Omega Alpha (AΩA), the medical honor society. She's been officially inducted at the AΩA Induction Ceremony as of April of this year.

Results of the SECURE trial are out! Dr. Danielle Cullen & team examined how social risk screening impacts caregiver desire for & engagement with resources. A resource menu—without screening—better elicited needs. 🔗 pubmed.ncbi.nlm.nih....

Congratulations to Dr. Elizabeth Sanseau who gave Pediatric Grand Rounds at CHOP. Her talk, entitled, "The CHOP Indigenous Health Unit (IHU): Relationship, Responsibility, and Reimagining Pediatric Care"

The @pecarn.bsky.social is publishing the results of the PRoMPT BOLUS trial this week! @pematchop.bsky.social is so proud of Dr. Fran Balamuth - Co-PI and enjoy enrolling patients over the past five years to answer this important clinical question

Congratulations to Dr. Elizabeth Sanseau who gave Pediatric Grand Rounds at CHOP. Her talk, entitled, "The CHOP Indigenous Health Unit (IHU): Relationship, Responsibility, and Reimagining Pediatric Care"

Thank you for all those who participated. Turns out - PRoMPT BOLUS aimed to more definitively answer this question. The results are coming out this week!

Congratulations to Dr. Daniel Corwin who has received the NIH Early Stage Investigator Award! This award recognizes early career prevention scientists who have made outstanding research contributions and are poised to become future leaders in prevention research.

Congratulations to Dr. Josh Belfer who gave Pediatric Grand Rounds at Lenox Hill Hospital. His talk, entitled, "The Digital Evolution of Pediatric Education". Northwell Health

Spotlight Wednesday is back with another mention for the CHOP Child Life Team! Today we have Erica Darrows, one of CHOP's Child Life Clinical Experts. Here are her thoughts on the most rewarding part of her role:

#PEM #QOW 7 y/o M presents w/ vitals: T39 | HR 175 | RR 42| BP 82/38 | SpO2 91% RA. Has crackles throughout left lung fields & you're concerned about sepsis. What fluids do you use for initial resus? 1️⃣ 20cc/kg NS 2️⃣ 20cc/kg LR 3️⃣ 20cc/kg NaHCO3 4️⃣ Other 📊 Show results

CHOP's Transport team hosted a regional Educational Conference at the Hub on March 26, 2026. #Transport #PEM

Spotlight Wednesday is back and here to shoutout the CHOP ED Child Life Team! We are excited to highlight Grace Villone, one of our Child Life Specialists here at CHOP.

March was #SocialWorkMonth, a time to recognize the incredible impact social workers have across healthcare and our communities 💙

Happy Trans Day of Visibility from the PEM at CHOP team!

Today is Purple Day! You can show support by wearing purple to raise Epilepsy Awareness.

Thank you everyone for participating in last week's QOW - the patient had Dengue - let's discuss!

March is Child Life Month! #ChildLife specialists are an essential part of the healthcare team @PEMatCHOP#ChildLifeensuring our patients are able to handle whatever comes their way when they're being cared for in the ER.

Mounting health care costs are an increasing concern for patients and their families. Yet physician trainees receive little formal education in high-value care.

Our Section of Advocacy & Health Equity hosts quarterly “Open Forum” sessions—bringing together voices from diverse communities to share perspectives and improve how we deliver care. 🧵✨

A 10 y/o F returns from Hyderabad w/ fever, fatigue, & diffuse joint pain. She has petechiae at a blood draw site. Labs show anemia & thrombocytopenia. Which mosquito-borne illness is most concerning? 1️⃣ Malaria 2️⃣ Yellow Fever 3️⃣ Dengue Fever 4️⃣ Chikungunya 📊 Show results

When an infant has a fever, the stakes are high—& the decisions aren’t always straightforward. Dr. Belfer joined @PCOMeducation for Advancing Emergency Care in Critical Moments to discuss: "When Cute Turns Critical – Clinical Dilemmas in the Management of Febrile Infants.” 🍼⚠️

Thank you for participating! For years we told patients with concussion to rest until symptoms fully resolve. But evidence is challenging that advice. Carefully monitored light aerobic exercise may actually help adolescents recover faster. jamanetwork.com/journals/jam...

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...

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

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 👇

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#TransportLast day to register is 3/18, conference is 3/26

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!

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#TransportLast 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

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...

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.

Proud to see Dr. Angie Ellison as part of this outstanding team advancing pediatric PE care 📊👏 This study shows how clinical pathways and PERTs can improve evaluation, coordination, and outcomes for rare but high-risk conditions.

Did you catch this new study in Pediatrics? When #PECARN decision rules are used for pediatric head & abdominal trauma, racial and ethnic disparities in CT use largely disappear. Standardized tools MATTER! #headtrauma #PEM pubmed.ncbi.nlm.nih....