Infant LPs - Dr. Jeffrey Neal

"If I do an ultrasound before an LP on an infant, would that increase my success rate?"

On the show today, we sit down with Dr. Jeffrey Neal from Boston Children's Hospital to talk about The Effect of Bedside Ultrasonographic Skin Marking on Infant Lumbar Puncture Success: A Randomized Controlled Trial.

Contact at Tama.The@gmail.com

Works cited:
Neal JT, Kaplan SL, Woodford AL, Desai K, Zorc JJ, Chen AE. The Effect of Bedside Ultrasonographic Skin Marking on Infant Lumbar Puncture Success: A Randomized Controlled Trial. Annals of emergency medicine. 2017

Kessler D, Pahalyants V, Kriger J, Behr G, Dayan P. Preprocedural Ultrasound for Infant Lumbar Puncture: A Randomized Clinical Trial. Academic emergency medicine : official journal of the Society for Academic Emergency Medicine. 2018; 25(9):1027-1034. 

Gorn M, Kunkov S, Crain EF. Prospective Investigation of a Novel Ultrasound-assisted Lumbar Puncture Technique on Infants in the Pediatric Emergency Department. Academic emergency medicine : official journal of the Society for Academic Emergency Medicine. 2017; 24(1):6-12. 

"When should I consider using Ultrasound when working up a child with a soft tissue infection?"

On the show today, we sit down with  Dr. Sam Lam, recent research director for the P2 Network and PI of the multi-center pediatric soft-tissue ultrasound study, published in the Journal of Emergency Medicine. 

Works cited:

Lam SHF, Sivitz A, Alade K, et al. Comparison of Ultrasound Guidance vs. Clinical Assessment Alone for Management of Pediatric Skin and Soft Tissue Infections. The Journal of emergency medicine. 2018; 

Mower WR et al. Effect of initial bedside ultrasonography on emergency department skin and soft tissue infection management. Ann Emerg Med 2019 Mar 26;

Feedback welcome at Tama.The@gmail.com

In a very special journal club, we team up with Dr. Resa E. Lewiss and the FEMinEM podcast to answer the question:

"In children awaiting a radiology-performed transabdominal pelvic ultrasound, can point-of-care ultrasound decrease time to radiology and improve first-attempt success compared to sensation of bladder fullness?"

We sit down with Dr. Almaz Dessie, first author on the recent RCT published in Annals of Emergency Medicine titled Point-of-Care Ultrasound Assessment of Bladder Fullness for Female Patients Awaiting Radiology-Performed Transabdominal Pelvic Ultrasound in a Pediatric Emergency Department: A Randomized Controlled Trial.

Dr. Almaz Dessie is an attending in Pediatric Emergency medicine at NewYork-Presbyterian/Columbia and completed fellowships in Pediatric Emergency Medicine and Pediatric Emergency Ultrasound. 

Dr. Resa E. Lewiss is a legend in the POCUS world and is the host of the FEMinEM podcast.  

Link to the article:

Dessie A, et al. Point-of-Care Ultrasound Assessment of Bladder Fullness for Female Patients Awaiting Radiology-Performed Transabdominal Pelvic Ultrasound in a Pediatric Emergency Department: A Randomized Controlled Trial. Annals of emergency medicine. 2018

Additional literature cited in the podcast:

Chen L, et al, Utility of bedside bladder ultrasound before urethral catheterization in young children. Pediatrics. 2005. 


Feedback welcome at Tama.The@gmail.com

We sit down with Dr. Ron Berant, the current president of the P2 Network as he describes why the P2 Network was created, what it has been up to, and where it is going in the next year. 

For more on the P2 network, head over to p2network.com.

Click here for the article Consensus Core Point‐of‐care Ultrasound Applications for Pediatric Emergency Medicine Training

Click here for the article Evaluation of Ventricle Size Measurements in Infants by Pediatric Emergency Medicine Physicians.

Otherwise, I would love to hear your opinion/thoughts/recommendations!  Please contact me at tama.the@gmail.com. 




Music Credit: Slow Burn Kevin MacLeod (incompetech.com) 
Licensed under Creative Commons: By Attribution 3.0 http://creativecommons.org/licenses/by/3.0/

Today’s episode is all about a brand-new clinical assessment tool for PEM POCUS that’s rolling out this June.  Dr. Kiyetta Alade and her colleagues are offering the exam free of charge, however, the test will only be available for a few short days!

I sat down with Dr. Alade who told me about the years long process it took to get here.  We recorded in a small room at the SAEM conference in Las Vegas, so I apologize for the background noise.

If you are interested in learning more about the test, contact myself or email Maha Khalil mjkhalil@texaschildrens.org  

Otherwise, I would love to hear your opinion/thoughts/recommendations!  Please contact me at tama.the@gmail.com. 



Music Credit: Slow Burn Kevin MacLeod (incompetech.com) 
Licensed under Creative Commons: By Attribution 3.0 http://creativecommons.org/licenses/by/3.0/