Happy EMS Week and EMS for Children Day 2026! Part of National EMS Week, #EMS for Children Day highlights the distinctive physiological and psychological aspects of caring for children. Thank you for your partnership and all you do to treat children. #EMSC

After much anticipation, the PRoMPT BOLUS study results are officially out! Swipe through to learn about the major results and what this means for clinicians treating pediatric patients with suspected #septicshock. #sepsis @nkuppermann @FranBalamuth @PERC_network @PREDICT_network

🚨 Hot off the press! 🚨 Introducing the PRoMPT BOLUS study results — a landmark trial evaluating the safety & efficacy of normal saline vs. balanced fluids in suspected pediatric septic shock 🌍 9,000+ children 🏥 47 sites 🌎 5 countries And the winner is… 👇 www.nejm.org/doi/full/10....

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

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

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

🚨 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

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....

🤖 #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

#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

#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

#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...

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

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

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

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...

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

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...

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

📢 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

📊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...

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....

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

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

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....

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

🚨 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

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...

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

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

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/...

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

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...

🌬️ >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

#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

🚑 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.

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

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

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

"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...."

#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....

🚨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

💉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

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

📣 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