New free P3 app: PECARN Publication Prospectus

P3 PECARN app

One of the gold standard for building and sustaining collaborative, multi-institutional research networks in medicine is the Pediatric Emergency Care Applied Research Network (PECARN) organization. Their efforts on studying pediatric emergency care has resulted some of our specialty’s landmark papers in Lancet, New England Journal of Medicine, JAMA Pediatrics, and Annals of Emergency Medicine. Although we are not officially affiliated with them, we fully support their efforts and wanted to help disseminate their evidence-based findings with an educations. Thus was born the PECARN Publication Prospectus (P3) app project [download free P3 app].

The P3 Project and Team

As with many of our ALiEM initiatives, the P3 project arose from a collaborative sprint effort over a 4 week period in 2019 with prehospital educators, emergency medicine (EM) residents, budding and current pediatric EM fellows, and EM/PEM attending physicians. This app plans to be a “living” catalog of PECARN publications which is updated as their prolific research team continues to publish.

  • Phase 1: Extracting the clinically-relevant educational pearls and a brief study summary from each of their 140+ peer-reviewed papers
  • Phase 2: Feature expert peer-reviewer commentaries from one of the paper’s authors
  • Phase 3: Link high-quality online resources which review or highlight these papers

 

  • Jessica Chow, MD (Chief Resident, Department of Emergency Medicine, UC San Francisco)
  • Lamarr Echols, MD (Emergency physician, Northbay Medical Center)
  • James Gray, MD (Fellow, Pediatric Emergency Medicine, Cincinnati Children’s Hospital)
  • Ryan Hunter, BS NRP FP-C (Paramedic/ Firefighter, Montgomery Co. Fire-EMS; Critical Care Flight Paramedic, U.S. Army National Guard)
  • Ginger Locke, BA NRP (Associate Professor of EMS Professions, Austin Community College)
  • Floyd Miracle, BS NRP (Clinical Manager, Jessamine County EMS)
  • Damian Roland, BMedSci, BMBS, PhD (Honorary Associate Professor and Consultant in Paediatric EM
  • Jason Woods, MD (Assistant Professor of Pediatrics, University of Colorado, Children’s Hospital of Colorado
  • Michelle Lin, MD (ALiEM Founder; Professor of EM, UC San Francisco)

P3 App

The P3 app, which is compatible with iOS and Android devices, summarizes each of the 140+ PECARN publications. These papers are subcategorized into learner groups (physicians/advanced practice providers, pharmacists, triage nurses, prehospital providers, and administrators) as well as organ system groups.

PECARN P3 app screenshots
 

Want to help?

We are always looking for more volunteers (physicians, pharmacists, nurses, paramedics) who support this exciting initiative. Contact us at [email protected]. Specifically, we need assistance with:

  • Designing a P3 logo
  • Identifying high-quality online resources that discuss the PECARN publications as part of Phase 3
By |2020-04-19T18:45:16-07:00Jul 24, 2019|Pediatrics|

Strep Pharyngitis in Children: Review of the 2012 IDSA Guidelines

strep pharyngitis

Sore throat accounts for a whopping 7.3 million outpatient pediatric visits. Group A Streptococcus (GAS) accounts for 20-30% of pharyngitis cases with the rest being primarily viral in etiology. However, clinically differentiating viral versus bacterial causes of pharyngitis is difficult and we, as providers, often don’t get it right. In addition, antimicrobial resistance is increasing.. So who do we test and when do we treat for strep throat? The 2012 Infectious Diseases Society of America (IDSA) guideline on GAS pharyngitis helps answer these questions.

(more…)

Pediatric Point of Care Ultrasonography ALiEMU Course on Intussusception

intussusception

Our ALiEMU learning management system, which currently houses the AIR series, Capsules series, and In-Training Exam Prep courses, is ready to slowly open the doors to welcome external authors with high quality content. We are thrilled to welcome a UCSF-sponsored pediatric emergency medicine (EM) point of care ultrasonography (POCUS) series, led by Dr. Margaret Lin. The first course is on the intussusception scan, filled with multiple ultrasound scans showing normal variants and two different types of intussusception.

(more…)

New PECARN Febrile Infant Rule: A 3-Variable Approach for Ages 29-60 Days | Interview with Dr. Kuppermann

PECARN febrile infant rule

The diagnosis and risk stratification of febrile young infants continues to present a clinical challenge. Serious bacterial infection (SBI) rates in infants ≤60 days have continued to be reported between 8-13%. Despite several different classification rules and pathways, we continue to struggle to accurately delineate which infants have SBI and which do not. A paper titled “A Clinical Prediction Rule to Identify Febrile Infants 60 days and Younger at Low Risk for Serious Bacterial Infections” was published in JAMA Pediatrics in February of 2019.​1​ The authors sought to derive a new clinical prediction rule for infants with fever. The research was conducted as part of the Pediatric Emergency Care Applied Research Network (PECARN). We discussed this publication with lead author Dr. Nathan Kuppermann on a podcast and summarize our discussion below. 

(more…)

By |2019-06-19T05:46:49-07:00Jun 19, 2019|Pediatrics|

Algorithm for ED Evaluation and Management of Pediatric UTI

Pediatric UTI - urine sample

When should urinary tract infections (UTI) be included in the differential diagnosis for febrile infants and young children? The EM Committee on Quality Transformation in the American Academy of Pediatrics (AAP) thoughtfully outlines a clinical algorithm to help guide clinicians towards a standardized, evidence-based approach. Thanks to the expert content team (Drs. Shabnam Jain, Anne Stack, Scott Barron, Pradip Chaudhari, and Kathy Shaw) for sharing this clinical algorithm.

(more…)

IDEA Series Highlights JETem Innovations: A Low Cost Trainer for Neonatal Umbilical Catheterization

The Problem

Idea Series LogoAlthough umbilical catheterization can be a lifesaving technique in the emergent management of a critically ill neonate, it is performed infrequently in the ED.1 Simulation has emerged as a key teaching modality for residents to gain both proficiency and competency with this important procedure.2,3 Commercially available umbilical catheterization models are available, but costly, and often require an expensive investment (over $1,000 for a single trainer).4 This expense may discourage residency programs from acquiring the trainer and offering it to learners. In an effort to minimize this barrier to learning, a team from Kings County Hospital “home built” their own umbilical catheterization model. Their work was recently published in the Journal of Education and Teaching Emergency Medicine (JETem), and the ALiEM IDEA Series is proud to have recently teamed up with this journal to periodically share their innovations with our readership!

(more…)

By |2018-12-14T19:46:41-08:00Dec 15, 2018|IDEA series, Pediatrics|

Case of a Lethargic Child: Developing a Differential Diagnosis

lethargic childA 2-year-old previously healthy boy presents to the emergency department (ED) acting sleepier than usual. Yesterday, he was in his usual state of health, but this morning he didn’t wake up at his usual time of 6 am. When his father went to his room at 7 am, the child was lying in bed. He opened his eyes to look at his father, but did not get out of bed. The mother and father deny any trauma, fever, or seizure activity.

(more…)

By |2018-11-22T15:23:48-08:00Nov 28, 2018|Pediatrics, Tox & Medications|
Go to Top