That feeling when you're ≤28 days, meet @pecarn.bsky.social low risk criteria and avoid the LP. #MemeMonday #SGEMPeds buff.ly/z8rlKqn @thesgem.bsky.social #FOAMed #PedSky #MedSky

SGEM #508: How Low Can You Go? Rethinking Lumbar Punctures in Well-Appearing Febrile Infants thesgem.com/2026/04/sgem... #MedSky @dennisrenmd.bsky.social

SGEM #508: How Low Can You Go? Rethinking Lumbar Punctures in Well-Appearing Febrile Infants - The Skeptics Guide to Emergency Medicine Reference: Burstein B, et al. Prediction of Bacteremia and Bacterial Meningitis Among Febrile Infants Aged 28 Days or Younger. JAMA. Published online December 08, 2025. Date: April 3, 2026 Guest…

How Low Can You Go? Do all febrile infants ≤28 days need the LP? Dr. Margarita Ramos joins us to talk nerdy with authors, Drs. Burstein and Kuppermann buff.ly/z8rlKqn @pecarn.bsky.social @jama.com @thesgem.bsky.social @childrensnational.bsky.social @hme-mch.bsky.social
#SGEMPeds #PedSky #MedSky

Prediction of Bacteremia and Bacterial Meningitis Among Febrile Infants Aged 28 Days or Younger This pooled analysis examines the diagnostic accuracy of the updated Pediatric Emergency Care Applied Research Network prediction rule in identifying febrile infants 28 days or younger with…

Is it ok to skip the lumbar puncture in febrile infants ≤28 days? Maybe if they meet all of the @pecarn.bsky.social low risk criteria. #SGEMPeds returns this week to discuss the paper from @jama.com. buff.ly/1mCGBPU @thesgem.bsky.social #PedSky #MedSky #FOAMed

Although we all wish events like this would never happen, they are unfortunately becoming part of our reality. #disastermedicine #emergencypreparedness #masscasualty

We also tested #reunification, a critical component that helps ensure children are safely reconnected with their families. We were fortunate to partner with @luriechildrens.bsky.social and @pedspandemic.bsky.social to explore the use of rapid DNA in helping with the process of reunification.

Yesterday, @childrensnational.bsky.social participated in a citywide medical response and surge exercise that brought together teams from all over the hospital to prepare for the realities of a mass casualty incident. These exercises are about more than just capacity and coordination.

Appeal to Emotions
@dennisrenmd.bsky.social

Open the Front Door to Disaster Medicine We don’t have to look hard to see disasters in the headlines: earthquakes, floods, armed conflicts, mass-casualty incidents, wildfires, etc. Wherever you work around the world, these events can occur…

When I first tried to learn disaster medicine, I got lost in dense texts & acronyms. #FOAMed (esp. @emcrit.bsky.social IBCC) showed me what it could feel like, clear, concise, practical, .

So we built the Disaster Medicine Handbook: buff.ly/S4wfj6F

@pedspandemic.bsky.social #MedSky #PedSky

#CherryBlossoms

This SGEM Xtra episode goes to 11.
The 11th Edition of ATLS
thesgem.com/2026/03/sgem... #MedSky
@aineyoremd.bsky.social @mdaware.org @casinoshiftmd.bsky.social @acepnation.bsky.social

Excited to team up with @thesgem.bsky.social for our session at the Don't Forget the Bubbles conference in Glasgow and meet many #FOAMed friends. @andrewjtagg.bsky.social @tessardavis.bsky.social

Join us June 22-24, 2026.

Registration is open and places are going fast. #DFTB26

www.dftb26.com

Check out the infographic from Dr. @kirstychallen.bsky.social for this #SGEMPeds episode on #QI to improve the use of second-generation antihistamines. buff.ly/ySrn75r @thesgem.bsky.social #PedSky #FOAMe

1st or 2nd generation antihistamines for kids?
thesgem.com/2026/03/sgem... @dennisrenmd.bsky.social #medSky

1st or 2nd generation antihistamine?
thesgem.com/2026/03/sgem... #MedSky @dennisrenmd.bsky.social

#MemeMonday for this #SGEMPeds episode on increasing the use of 2nd gen antihistamines through #QI. buff.ly/ySrn75r @thesgem.bsky.social
#PedSky #MedSky #FOAMed

How Robert F. Kennedy Jr.’s Vaccine Agenda Risks a Resurgence of Deadly Childhood Plagues The health secretary is spreading doubts about vaccine safety and considering changes that could prompt manufacturers to flee the U.S. market. History has shown how plagues from the past can roar back...

How Robert F. Kennedy Jr.’s Vaccine Agenda Risks a Resurgence of Deadly Childhood Plagues
flip.it/TX_09T
@casinoshiftmd.bsky.social @dennisrenmd.bsky.social

Still reaching for Benadryl for allergies or hives? Think again. #SGEMPeds covers a #QI study trying to increase use of 2nd gen antihistamines. thesgem.com/2026/03/sgem... @thesgem.bsky.social #FOAMed #MedSky #PedSky

a man wearing a red sweater and tie is sitting on a couch and says mmhm ALT: a man wearing a red sweater and tie is sitting on a couch and says mmhm

Happy #MatchDay! Be proud of your hard work and thankful for those who supported you on this journey.

Improving Use of Oral Antihistamines in a Children's Hospital - PubMed Using the Model for Improvement, we reduced FGA use and increased cetirizine use in the PED and inpatient setting.

Are you still reaching for diphenhydramine for allergic reactions? Think again! #SGEMPeds is back tomorrow. We're looking at a QI study trying to increase use of second-generation antihistamines in children. buff.ly/gCRQusY #FOAMed #MedSky #PedSky #QI @thesgem.bsky.social

US judge upends Kennedy's overhaul of childhood vaccine policies The ruling dealt a significant setback for the reduced childhood vaccination schedule championed by Health Secretary Robert F. Kennedy Jr.

www.reuters.com/world/us-jud...

Severe storms and possible tornadoes are coming to the DMV area. Safety tips for you and your family are available in this resource guide from @pedspandemic.bsky.social Resource Central. resources.pedspandemicnetwork.org/resource-gui...

SGEM#505: Close Enough for (ARF) Acute Respiratory Failure (HFNO vs NIV)
thesgem.com/2026/03/sgem... #MedSky

What really matters in research? #MedSky #PedSky

@dennisrenmd.bsky.social

Pediatric Readiness Assessment - Home Page Before you begin:

Is your emergency department ready to care for kids? Take the national #pediatricreadiness assessment now. It's more than a score, it's lives saved. #NPRP #PedsReady buff.ly/zqLHSKs #MedSky #PedSky #EMedSky

@kmpanthagani.bsky.social nice write up! #MedSky

SGEM Xtra: Against the Grain - Defiant Giants Who Changed the World.

thesgem.com/2026/02/sgem...

@terryoinfluence.bsky.social @cbcradiocanada.bsky.social @brittlestar.com @aineyoremd.bsky.social @kaymd.bsky.social @dennisrenmd.bsky.social @rickpescatore.bsky.social @drjengunter.bsky.social

I was under @terryoinfluence.bsky.social's influence this week on the SGEM discussing his new book: Against the Grain - Defiant Giants Who Changed the World.

Please consider listening & sharing this SGEM Xtra.
thesgem.com/2026/02/sgem... #MedSky