#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