PECARN - Pediatric Emergency Care Applied Research Network
pecarn.bsky.social
PECARN - Pediatric Emergency Care Applied Research Network
@pecarn.bsky.social
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
November 10, 2025 at 8:00 PM
This isn’t a hospital rule retrofitted for the field.

It was tested by EMS, in real prehospital environments, across 18 sites.

#EMS #PrehospitalCare

#CHaMP #GLACiER

🔗 journals.lww.com/jtr...
November 7, 2025 at 8:00 PM
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...
November 4, 2025 at 8:00 PM
Before #PECARN, we relied on adult rules —
- NEXUS
- Canadian C-Spine Rule

👩🏽 👉🏼 👦🏻 They work for adults but weren’t built or validated for children.

#EMS #EvidenceBased

#CHaMP #GLACiER

🔗journals.lww.com/jtr...
October 30, 2025 at 7:00 PM
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...
October 27, 2025 at 7:00 PM
📢 New Article!
Can AI spot which kids are at risk for sepsis before they become ill?

A @PECARNteam study led by Dr. Alpern shows machine learning models can predict #sepsis using EHR data—before it occurs

🔗 pubmed.ncbi.nlm.nih....

@LurieChildrens @ChildrensPhila #AI #PRIME
October 22, 2025 at 2:06 PM
📊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...
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
pemcincinnati.com
October 17, 2025 at 2:00 PM
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....
October 13, 2025 at 2:01 PM
Good news for injured kids 🚑

Emergency & surgery teams showed strong agreement on pediatric C-spine findings w/ 64% agreement on clinical suspicion & 74% on imaging decisions

Read more on PEMBlog: http://bit.ly/483Jys3 🔗 pubmed.ncbi.nlm.nih....
@nkuppermann @JCLeonardMDMPH

#HOMERUN
Interrater Reliability in Pediatric Cervical Spine Assessment: Can EM Docs and Surgeons Agree?
Introduction Evaluating children with blunt trauma for cervical spine injury (CSI) is a high-stakes and high-variability process. While CSI is rare, the consequences of missed injuries are serious, and so is the harm from overuse of imaging, especially CT. The PECARN CSI prediction rule is a promising tool
bit.ly
October 10, 2025 at 2:00 PM
Protecting adolescent health ❤️📱

Confidential surveys + smart EHR alerts improved STI screening in the ED. Over 6k teens participated and providers acknowledged alerts 82% of the time.

🔗 pubmed.ncbi.nlm.nih....

#HOMERUN
October 8, 2025 at 2:00 PM
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....
October 6, 2025 at 2:00 PM
How well do EM and surgical teams agree on pediatric cervical spine assessment ❓

This PECARN study found moderate to substantial agreement on key findings and imaging decisions.

Read more on PEMBlog: http://bit.ly/483Jys3

🔗 pubmed.ncbi.nlm.nih....

#HOMERUN
Interrater Reliability in Pediatric Cervical Spine Assessment: Can EM Docs and Surgeons Agree?
Introduction Evaluating children with blunt trauma for cervical spine injury (CSI) is a high-stakes and high-variability process. While CSI is rare, the consequences of missed injuries are serious, and so is the harm from overuse of imaging, especially CT. The PECARN CSI prediction rule is a promising tool
bit.ly
October 3, 2025 at 2:00 PM
🚨 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
September 30, 2025 at 2:01 PM
Thanks for participating!
Correct answer: A - no imaging

The new PECARN c-spine imaging clinical algorithm provides guidance about who should get imaging & what kind - taking into account 9 clinical risk factors

✨Mechanism of injury is not included

www.mdcalc.com/calc/10552/p...
July 8, 2025 at 5:38 PM
A 12 y/o M presents after an MVC, +airbag deployment. He experienced "whiplash". He has a mild HA, no neck pain. Exam: GCS 15, nml neuro exam, no neck pain, +full ROM. What imaging do you order?

1️⃣ <a href="https://poll.blue/p/mwwUW9/1" class="hover:underline text-blue-600 dark:text-sky-400 no-card-link" target="_blank" rel="noopener" data-link="bsky">No Imaging
2️⃣ <a href="https://poll.blue/p/mwwUW9/2" class="hover:underline text-blue-600 dark:text-sky-400 no-card-link" target="_blank" rel="noopener" data-link="bsky">Neck XR
3️⃣ <a href="https://poll.blue/p/mwwUW9/3" class="hover:underline text-blue-600 dark:text-sky-400 no-card-link" target="_blank" rel="noopener" data-link="bsky">CT Neck
4️⃣ <a href="https://poll.blue/p/mwwUW9/4" class="hover:underline text-blue-600 dark:text-sky-400 no-card-link" target="_blank" rel="noopener" data-link="bsky">Other

📊 Show results
July 1, 2025 at 6:44 PM
Did you know @pecarn.bsky.social has a blog?

Current posts include:

🧠 AI for community perspectives in clinical trials
💨 Magnesium dosing in pediatric asthma
🩸 Arginine for sickle cell disease pain treatment

Check out pecarn.org/news for the latest! #PedsEM
June 10, 2025 at 3:00 PM
Who doesn't love using @mdcalc.com to make decisions during a shift? 🤔

This new calculator incorporates @pecarn.bsky.social rules for cervical spine #imaging.

Check it out at: www.mdcalc.com/calc/...
June 3, 2025 at 3:00 PM
Reposted by PECARN - Pediatric Emergency Care Applied Research Network
In our June issue: Predicting paediatric pneumonia severity in the emergency department: a multinational prospective cohort study of the Pediatric Emergency Research Network

🔗 buff.ly/HcZcAEd

#MedSky #PedSky #IDSky #Pneumonia @pecarn.bsky.social Todd Florin
Predicting paediatric pneumonia severity in the emergency department: a multinational prospective cohort study of the Pediatric Emergency Research Network
We developed accurate, pragmatic severity risk prediction models among children with CAP. After future external validation, these models have the potential to provide individualised risk assessments t...
buff.ly
May 22, 2025 at 8:35 AM
PECARN’s ‪@julmagana.bsky.social joins the Kids Considered podcast to discuss pediatric cervical spine injuries—how to recognize, evaluate, and talk about risk with families.

Share with your friends, family & patients!

🎧 health.ucdavis.edu/b...
May 29, 2025 at 3:00 PM
🌬️ >1 million children present to U.S. EDs yearly with #asthma

💉 When albuterol, ipratropium, & steroids aren’t enough, IV magnesium sulfate (MgSO₄) is considered

❔ But what dose? Is it safe?
This @pecarn.bsky.social study asks those ❔'s

onlinelibrary.wiley....

May 27, 2025 at 3:00 PM
#AI & Community Perspectives & Clinical Trials?

This study explores how large language models (LLMs) can support the Exception from Informed Consent (EFIC) process in emergency research—when traditional consent isn’t possible

www.nature.com/artic...
Dr. @aaronkornblithk

Analyzing patient perspectives with large language models: a cross-sectional study of sentiment and thematic classification on exception from informed consent
Scientific Reports - Analyzing patient perspectives with large language models: a cross-sectional study of sentiment and thematic classification on exception from informed consent
www.nature.com
May 22, 2025 at 3:00 PM
🚑 Happy #EMSWeek from all of us at PECARN!

We’re proud to collaborate with our EMS partners who deliver critical, life-saving care every day.

Your dedication to pediatric emergency care makes all the difference.
May 20, 2025 at 3:48 PM
Pain stinks - how do you optimize pediatric #pain management?
A @PECARNteam workgroup is working helping kids in pain in the #ED

✨Step #1:Understand the issues
✨Action #1:29 experts identified 10 priority research topics

Read here:
onlinelibrary.wiley....
May 15, 2025 at 4:00 PM
Pain stinks - how do you optimize pediatric #pain management?
A @PECARNteam workgroup is working helping kids in pain in the #ED

✨Step #1:Understand the issues
✨Action #1:29 experts identified 10 priority research topics

Read here:
onlinelibrary.wiley....
May 15, 2025 at 4:00 PM
Caring for a physically abused child is complex

EMSC developed resources to help navigate these situations including

✨History taking tips
✨Concerning PE findings
✨Initial eval & management
✨Communication strategies
✨Dispo

https://bit.ly/3N3RSMO #PEAKChildAbuse #NAT
May 13, 2025 at 4:01 PM