Skip to main content

2022 Pediatric Surgery Update Course – Who to send home from the Emergency Department

In this session we review with Drs. Justin Huntington, Elizabeth Speck and Mark Wulkan the latest updates for discharge from the ER. Avoid unnecessary admissions and hospital charges. 

Topics and articles discussed:

1. Spontaneous pneumothorax
Changing the Paradigm for Management of Pediatric Primary Spontaneous Pneumothorax: A Simple Aspiration Test Predicts Need for Operation
https://www.sciencedirect.com/science/article/pii/S0022346819306955

1. Conservative versus Interventional Treatment for Spontaneous Pneumothorax
https://www.nejm.org/doi/full/10.1056/nejmoa1910775

2. Asymptomatic spontaneous pneumomediastinum
Are esophagrams indicated in pediatric patients with spontaneous pneumomediastinum?
https://www.sciencedirect.com/science/article/pii/S0022346816301130

3. Equivocal US for appendicitis
Cost-Effectiveness of Diagnostic Approaches to Suspected Appendicitis in Children
https://www.sciencedirect.com/science/article/pii/S1072751514019115

4. Straddle injuries
Pediatric female genital trauma managed under conscious sedation in the emergency department versus general anesthesia in the operating room- a single center comparison of outcomes and cost
https://www.sciencedirect.com/science/article/pii/S1477513120307105

5. Loss of consciousness with negative CT
Admission of Pediatric Concussion Injury Patients: Is It Necessary?
https://www.sciencedirect.com/science/article/pii/S0022480418306619

6. Intussusception
Outpatient management of intussusception: a systematic review and meta-analysis
https://www.sciencedirect.com/science/article/pii/S0022346818306602

7. Skull fractures

Observation for isolated traumatic skull fractures in the pediatric population: unnecessary and costly
https://www.sciencedirect.com/science/article/pii/S0022346815005862

00:00 Introduction
01:03 Conservative versus Interventional Treatment for Spontaneous Pneumothorax
08:02 Asymptomatic spontaneous pneumomediastinum
13:01 Equivocal US for appendicitis
20:07 Straddle injuries
25:05 Loss of consciousness with negative CT
28:27 Intussusception
30:07 Skull fractures

The 10th Annual Pediatric Surgery Update Course was held on August 30, 2022 in Cleveland, Ohio and was livestreamed to a global audience. The full day symposium is designed to give an update each year on the contemporary management of common problems in pediatric surgery. We highlight what’s new in pediatric surgery that you need to know!

Don’t forget to like and subscribe to see more entertaining medical educational videos!

See more lectures, articles, and more on the Stay Current app: https://www.globalcastmd.com/stay-current-app-download

Leave a Reply