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....

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 […]

🚨 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...
#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....

If you manage febrile infants, this podcast will change your practice.

PECARN Febrile Infant Prediction Tool
w/ Nathan Kuppermann & Brett Burstein
100% NPV for bacterial meningitis in low-risk infants

🎧 emergencymedicinecases.com/pecarn-febrile-infant/

#FOAMed #PedsEM #EmergencyMedicine #PECARN

🤖 #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....

#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 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 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...

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...

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...


#CHaMP #GLACiER

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...

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...

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

📊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...

📢New Article Alert!

Can #AI spot which kids are at risk for sepsis before they become ill?

A #PECARN study led by Dr. Alpern w/ Drs. Balamuth & Grundmeier shows machine learning models can predict #sepsis w/ EHR data—before it occurs

pubmed.ncbi.nlm.nih.gov/41082207/
@luriechildrens.bsky.social

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....

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....

There is practice variability re: labs for febrile👶 61-90d
#PECARN asked, who is low risk for IBI?

CART analysis to ID low-risk infants:
🧪 UA negative 🌡️ Tmax ≤38.9°C

➡️ NPV ~99.5% for IBI
⚠️ But ~1% (14 infants) w/ IBI would be missed
👉 pubmed.ncbi.nlm.nih....
#ID

#PRIME

🚨 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....

@nkuppermann

#PRIME

📣 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

#MemeMonday for #SGEMPeds! Listen to Drs. Lindgren and Florin discuss the #PECARN paper on radiographic pneumonia in febrile infants. #Pedsky #MedSky #FOAMed thesgem.com/2024/07/sgem...