PECARN - Pediatric Emergency Care Applied Research Network
@pecarn.bsky.social
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PRoMPT BOLUS results are coming!!! Led by Drs. Balamuth, Weiss & Kuppermann, this international study evaluated NS vs. balanced fluids in the treatment of pediatric
#sepsis
Results come out on Friday, April 25
@pasmeeting.bsky.social
This trial was a collaboration btw PECARN, PERC, & PREDICT
about 19 hours ago
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What fluids should we use for initial resuscitation in pediatric
#sepsis
?
#PRoMPTBOLUS
sought to answer that question and the results are being revealed in just 10 days!!! Stop by @PASMeeting Room 210 C West to hear the result debut. Publication to follow.
#PASMeeting
#PECARN
#PEM
#EM
6 days ago
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Pediatric Readiness Saves Lives! New guidelines means a new nationwide assessment. Learn what’s new and get ready for the next Pediatric Readiness assessment for EDs, opening March 2026!
https://pedsready.org/
@emscimprovement
3 months ago
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🚨 New #PECARN Blog 🚨 “The End of Routine Lumbar Punctures for Febrile Infants ≤28 Days.” Michelle Lin, MD reviews new evidence shaping care for young infants. Read more 👉🏼
pecarn.org/pecarn_ne...
#PECARN
#PRIME
#Pediatrics
#EM
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The End of Routine Lumbar Punctures for the Febrile Infant 28 Days and Younger?
For decades, the teaching in pediatric emergency medicine has been consistent: “Young febrile infants (0-28 days) with fevers get a full sepsis workup.” This traditionally means blood, urine, and cerebrospinal fluid (CSF) cultures, followed by admission and antibiotics. The fear of missing bacterial meningitis—a devastating infection—has driven this aggressive approach. But is a lumbar puncture […]
https://pecarn.org/pecarn_news/the-end-of-routine-lumbar-punctures-for-the-febrile-infant-28-days-and-younger/
3 months ago
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New multicenter study in Pediatrics: When #PECARN decision rules are used for pediatric head & abdominal trauma, disparities in CT use largely disappear. Standardized tools MATTER! #headtrauma #PEM @AmerAcadPeds @nkuppermann
pubmed.ncbi.nlm.nih....
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3 months ago
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🤖 #AI meets pediatric #sepsis! New @PECARNTeam study shows machine learning models can be trained & validated to predict sepsis and #septicshock in kids—paving the way for earlier recognition & intervention. 🔗
pubmed.ncbi.nlm.nih....
#AI
#sepsis!
#septicshock
#PECARN
#PRIME
4 months ago
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#PECARN CSI = pediatric-specific, EMS-validated, safer. 💪 Protect spines. 🚫 Avoid over-immobilization. Next: real-world rollout & education. #EMS #PediatricTrauma #PECARN #CHaMP #GLACiER 🔗
journals.lww.com/jtr...
#PECARN
5 months ago
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#PECARN moves prehospital care from reflex to reason. 🚗 Not every fender bender = collar. 👦🏾 Not every kid = scan. Evidence, not habit. #EMS #EvidenceBased #CHaMP #GLACiER 🔗
journals.lww.com/jtr...
#PECARN
5 months ago
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#PECARN flags risk with 9 total factors: 🔹 Neck pain or tenderness 🔹 Neuro deficit or altered mental status 🔹 Major head or torso trauma No factors? → Skip the collar. #CSpine #EMS #CHaMP #GLACiER 🔗
journals.lww.com/jtr...
5 months ago
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Kids don’t compartmentalize trauma — energy moves through the body. #PECARN sees the whole mechanism, not just one symptom. #PediEMS #TraumaCare #CHaMP #GLACiER 🔗
journals.lww.com/jtr...
#PECARN
#PediEMS
5 months ago
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Traditional rules looked only at neck findings. #PECARN adds major head or torso injury — acknowledging that big energy transfer can hurt the spine even without neck pain. #PediatricTrauma #EMS #CHaMP #GLACiER 🔗
journals.lww.com/jtr...
#PECARN
5 months ago
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If #PECARN were used prehospital: 📉 SMR 41.5% → 37.7% 📉 Longboard use 17% → 9.8% 💡 Fewer collars, less discomfort, same spine safety. #Trauma #EMSResearch #CHaMP #GLACiER 🔗
journals.lww.com/jtr...
#PECARN
#Trauma
#EMSResearch
#CHaMP
#GLACiER
#CHaMP
#GLACiER
5 months ago
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This isn’t a hospital rule retrofitted for the field. It was tested by EMS, in real prehospital environments, across 18 sites. #EMS #PrehospitalCare #CHaMP #GLACiER 🔗
journals.lww.com/jtr...
6 months ago
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Developed from 22,000+ pediatric trauma cases, now validated with EMS data. ✅ Sensitivity: 88.5% ✅ Negative predictive value: 99.7% ➡️ Accurate and safe. #PECARN #PediEMS #CHaMP #GLACiER 🔗
journals.lww.com/jtr...
#PECARN
6 months ago
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Before #PECARN, we relied on adult rules — - NEXUS - Canadian C-Spine Rule 👩🏽 👉🏼 👦🏻 They work for adults but weren’t built or validated for children. #EMS #EvidenceBased #CHaMP #GLACiER 🔗
journals.lww.com/jtr...
6 months ago
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Every child in trauma gets a collar “just in case,” but most don’t need one. #PECARN gives EMS a pediatric-specific rule to decide who truly needs spinal motion restriction (SMR). #PediEMS #TraumaCare #CHaMP #GLACiER 🔗
pecarn.org/pecarn_ne...
🔗
journals.lww.com/jtr...
#PECARN
6 months ago
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📢 New Article! Can AI spot which kids are at risk for sepsis before they become ill? A @PECARNteam study led by Dr. Alpern shows machine learning models can predict #sepsis using EHR data—before it occurs 🔗
pubmed.ncbi.nlm.nih....
#sepsis
@LurieChildrens @ChildrensPhila
#AI
#PRIME
6 months ago
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📊In >98k teen ED visits, targeted gonorrhea & chlamydia screening found +2.59/1,000 visits and universal screening +1.81/1,000 compared with usual care. More cases detected = more teens treated. #PECARN #HOMERUN 👉🏼
pemcincinnati.com/bl...
🔗
jamanetwork.com/jour...
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Targeted and Universal Screening Boost Gonorrhea and Chlamydia Detection in the Pediatric ED
This post is a summary and discussion of the following article from JAMA Pediatrics: Reed JL, Palmer CA, Casper TC, et al. Gonorrhea and Chlamydia Screening for Adolescents and Young Adults in Emergency Departments. JAMA Pediatr. Published online September 08, 2025. doi:10.1001/jamapediatrics.2025.2139
https://pemcincinnati.com/blog/targeted-and-universal-screening-boost-gonorrhea-and-chlamydia-detection-in-the-pediatric-ed/
6 months ago
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Where should research go next to improve pediatric pain care ❓ This consensus study highlights priorities like optimizing ED analgesia, reducing disparities, preventing opioid misuse, and improving long-term outcomes for kids in pain. #HOMERUN #PECARN 🔗
pubmed.ncbi.nlm.nih....
6 months ago
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Good news for injured kids 🚑 Emergency & surgery teams showed strong agreement on pediatric C-spine findings w/ 64% agreement on clinical suspicion & 74% on imaging decisions Read more on PEMBlog:
http://bit.ly/483Jys3
🔗
pubmed.ncbi.nlm.nih....
@nkuppermann @JCLeonardMDMPH
#HOMERUN
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Interrater Reliability in Pediatric Cervical Spine Assessment: Can EM Docs and Surgeons Agree?
Introduction Evaluating children with blunt trauma for cervical spine injury (CSI) is a high-stakes and high-variability process. While CSI is rare, the consequences of missed injuries are serious, and so is the harm from overuse of imaging, especially CT. The PECARN CSI prediction rule is a promising tool
http://bit.ly/483Jys3
6 months ago
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Protecting adolescent health ❤️📱 Confidential surveys + smart EHR alerts improved STI screening in the ED. Over 6k teens participated and providers acknowledged alerts 82% of the time. 🔗
pubmed.ncbi.nlm.nih....
#HOMERUN
7 months ago
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Kids in pain deserve better ❤️🩹 Experts identified the top 10 research questions to improve pain care for children in the ED, including better ED and home pain relief, integrative treatments, equity, opioid safety, and more. #PECARN #HOMERUN 🔗
pubmed.ncbi.nlm.nih....
7 months ago
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How well do EM and surgical teams agree on pediatric cervical spine assessment ❓ This PECARN study found moderate to substantial agreement on key findings and imaging decisions. Read more on PEMBlog:
http://bit.ly/483Jys3
🔗
pubmed.ncbi.nlm.nih....
#HOMERUN
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Interrater Reliability in Pediatric Cervical Spine Assessment: Can EM Docs and Surgeons Agree?
Introduction Evaluating children with blunt trauma for cervical spine injury (CSI) is a high-stakes and high-variability process. While CSI is rare, the consequences of missed injuries are serious, and so is the harm from overuse of imaging, especially CT. The PECARN CSI prediction rule is a promising tool
http://bit.ly/483Jys3
7 months ago
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🚨 Hot off the #PECARN press! 👶An approach to fever in the 61-90d infant Study evaluated: 🧪 ~5k infants w/ blood + urine drawn (17 EDs) ➡️ 2% invasive bacterial infection (IBI) • 1.9% bacteremia (no meningitis) • 0.1% meningitis 👉
pubmed.ncbi.nlm.nih....
#PECARN
@nkuppermann
#PRIME
7 months ago
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Thanks for participating! Correct answer: A - no imaging The new PECARN c-spine imaging clinical algorithm provides guidance about who should get imaging & what kind - taking into account 9 clinical risk factors ✨Mechanism of injury is not included
www.mdcalc.com/calc/10552/p...
add a skeleton here at some point
10 months ago
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A 12 y/o M presents after an MVC, +airbag deployment. He experienced "whiplash". He has a mild HA, no neck pain. Exam: GCS 15, nml neuro exam, no neck pain, +full ROM. What imaging do you order? 1️⃣
No Imaging
2️⃣
Neck XR
3️⃣
CT Neck
4️⃣
Other
📊 Show results
10 months ago
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Did you know @pecarn.bsky.social has a blog? Current posts include: 🧠 AI for community perspectives in clinical trials 💨 Magnesium dosing in pediatric asthma 🩸 Arginine for sickle cell disease pain treatment Check out
pecarn.org/news
for the latest!
#PedsEM
11 months ago
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Who doesn't love using @mdcalc.com to make decisions during a shift? 🤔 This new calculator incorporates @pecarn.bsky.social rules for cervical spine #imaging. Check it out at:
www.mdcalc.com/calc/...
11 months ago
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reposted by
PECARN - Pediatric Emergency Care Applied Research Network
The Lancet Child & Adolescent Health
11 months ago
In our June issue: Predicting paediatric pneumonia severity in the emergency department: a multinational prospective cohort study of the Pediatric Emergency Research Network 🔗
buff.ly/HcZcAEd
#MedSky
#PedSky
#IDSky
#Pneumonia
@pecarn.bsky.social
Todd Florin
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Predicting paediatric pneumonia severity in the emergency department: a multinational prospective cohort study of the Pediatric Emergency Research Network
We developed accurate, pragmatic severity risk prediction models among children with CAP. After future external validation, these models have the potential to provide individualised risk assessments t...
https://buff.ly/HcZcAEd
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PECARN’s @julmagana.bsky.social joins the Kids Considered podcast to discuss pediatric cervical spine injuries—how to recognize, evaluate, and talk about risk with families. Share with your friends, family & patients! 🎧
health.ucdavis.edu/b...
11 months ago
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🌬️ >1 million children present to U.S. EDs yearly with #asthma 💉 When albuterol, ipratropium, & steroids aren’t enough, IV magnesium sulfate (MgSO₄) is considered ❔ But what dose? Is it safe? This @pecarn.bsky.social study asks those ❔'s
onlinelibrary.wiley....
#asthma
11 months ago
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#AI & Community Perspectives & Clinical Trials? This study explores how large language models (LLMs) can support the Exception from Informed Consent (EFIC) process in emergency research—when traditional consent isn’t possible
www.nature.com/artic...
#AI
Dr. @aaronkornblithk
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Analyzing patient perspectives with large language models: a cross-sectional study of sentiment and thematic classification on exception from informed consent
Scientific Reports - Analyzing patient perspectives with large language models: a cross-sectional study of sentiment and thematic classification on exception from informed consent
https://www.nature.com/articles/s41598-025-89996-w
11 months ago
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🚑 Happy
#EMSWeek
from all of us at PECARN! We’re proud to collaborate with our EMS partners who deliver critical, life-saving care every day. Your dedication to pediatric emergency care makes all the difference.
11 months ago
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Pain stinks - how do you optimize pediatric #pain management? A @PECARNteam workgroup is working helping kids in pain in the #ED ✨Step #1:Understand the issues ✨Action #1:29 experts identified 10 priority research topics Read here:
onlinelibrary.wiley....
#pain
11 months ago
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Pain stinks - how do you optimize pediatric #pain management? A @PECARNteam workgroup is working helping kids in pain in the #ED ✨Step #1:Understand the issues ✨Action #1:29 experts identified 10 priority research topics Read here:
onlinelibrary.wiley....
#pain
11 months ago
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Caring for a physically abused child is complex EMSC developed resources to help navigate these situations including ✨History taking tips ✨Concerning PE findings ✨Initial eval & management ✨Communication strategies ✨Dispo
https://bit.ly/3N3RSMO
#PEAKChildAbuse
#NAT
11 months ago
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"Which kids with blunt trauma are getting collared in the field and why? PECARN is at it again... 🧵 @EMSCImprovement @traumadoctors @NAEMSP
pubmed.ncbi.nlm.nih....
"
12 months ago
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#AI & clinical trials? This study shows how large language models (ie GPT-4) can support EFIC* to identify sentiment & themes in community interviews LLM had agreement w/ human reviewers-may help investigators/ethics boards “hear” the community at scale
pubmed.ncbi.nlm.nih....
about 1 year ago
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🚨Adverse events from procedural #sedation are rare - occurring <1% of the time. High-quality care can mitigate the risk of adverse outcomes. Review these resources from @EMSCImprovement Pediatric Education and Advocacy Kit (PEAK): Procedural Sedation
https://bit.ly/4hBpjo2
#sedation
about 1 year ago
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💉How prepared is your ED to handle pediatric pain, anxiety & stress during procedures? Best practices and resources exist to ensure a smooth
#sedation
from EMSC Improvement
bit.ly/4hBpjo2
#PEAKProceduralSedation
#EmergencyPreparedness
about 1 year ago
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Safe & effective procedural #sedation for pediatric patients is essential for high-quality #emergency care 📣New PEAK: Procedural Sedation Resources from the Emergency Medical Services for Children Program
https://bit.ly/4hBpjo2
#sedation
#emergency
@emscimprovement
#PEAKProceduralSedation
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Pediatric Education and Advocacy Kit (PEAK): Procedural Sedation
The mission of the EIIC is to optimize outcomes for children across the emergency care continuum by leveraging quality improvement science and multidisciplinary, multisystem collaboration.
https://bit.ly/4hBpjo2
about 1 year ago
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📣 Hi! We're new around here and excited on Bluesky! We'll be sharing
#PECARN
🧪 Research 📅 Upcoming work 🎓 Investigator spotlights 🤝 Collaborations We're excited to use Bluesky to continue to advance the care of acutely ill & injured children!
#pedsky
#medsky
#EMedsky
about 1 year ago
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