CHOP Pediatric Emergency Medicine

@pematchop.bsky.social

Official Bluesky account of the #PedsED at Children’s Hospital of Philadelphia. Caring for and #advocating for children. Advancing #Research, #MedEd, #QI, and #ClinicalCare.

🚨Correct answer: Cold-water immersion This athlete has exertional heat stroke: core temp >40°C (104°F) PLUS CNS dysfxn (confusion, agitation, delirium, seizures, coma) after strenuous activity. Heat stroke is a medical emergency w/⬆️morbidity & mortality if cooling is delayed.

CHOP Pediatric Emergency Medicine@pematchop.bsky.social · 2mo ago

A 17 y/o football player collapses during preseason practice. He is confused, agitated, and has a rectal temp of 41.2°C (106.2°F). EMS has been activated. What is the next best step? 1️⃣ Transport to ED 2️⃣ APAP + IV fluids 3️⃣ Cold-water immersion 4️⃣ Head CT first 📊 Show results

Congratulations to Drs. Jeremy Jones, Yen Tay, and an incredible multidisciplinary team on a PolicyLab Academic-Community Research Partnerships award 🎉 This cycle, the PEM division is strongly represented, exciting to see this work recognized and supported! 🥳

Thank you to those who voted - let's talk about #drowning When a child presents after a drowning event, remember: drowning is primarily a respiratory emergency. 🌊🫁 🔹 Focus on A-B-Cs 🔹 Give rescue breaths early 🔹 Correct hypoxia quickly 🔹 Consider trauma mechanisms (diving, falls)

CHOP Pediatric Emergency Medicine@pematchop.bsky.social · 2mo ago

3y/oM presents after non-fatal drowning. Fell into pool, completely submerged for approx 15-20s. Confused when he came out but never lost consciousness nor needed CPR. Vital wnl on arrival. Mangement? 1️⃣ Obs 2️⃣ Supp O2, CXR 3️⃣ Blood gas, CXR, Supp O2 📊 Show results