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
📉 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
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
📉 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
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...
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
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...
It was tested by EMS, in real prehospital environments, across 18 sites.
#EMS #PrehospitalCare
#CHaMP #GLACiER
🔗 journals.lww.com/jtr...
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...
✅ 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
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...
✅ Sensitivity: 88.5%
✅ Negative predictive value: 99.7%
➡️ Accurate and safe.
#PECARN #PediEMS
#CHaMP #GLACiER
🔗journals.lww.com/jtr...
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...
- 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
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...
- 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...
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...
#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
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...
#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...
📢 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
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
📢 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
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
Quick reminder: imaging rules
Consider CT Factors
- GCS 3-8
- unresponsive on AVPU
- Abnormal ABC's
- Focal neuro deficit
Consider XR Factors
- Neck pain
- GCS 9-14 / AVPU V or P
- Substantial torso
- Substantial head injuries
- Midline neck TTP
Consider CT Factors
- GCS 3-8
- unresponsive on AVPU
- Abnormal ABC's
- Focal neuro deficit
Consider XR Factors
- Neck pain
- GCS 9-14 / AVPU V or P
- Substantial torso
- Substantial head injuries
- Midline neck TTP
July 8, 2025 at 5:38 PM
Quick reminder: imaging rules
Consider CT Factors
- GCS 3-8
- unresponsive on AVPU
- Abnormal ABC's
- Focal neuro deficit
Consider XR Factors
- Neck pain
- GCS 9-14 / AVPU V or P
- Substantial torso
- Substantial head injuries
- Midline neck TTP
Consider CT Factors
- GCS 3-8
- unresponsive on AVPU
- Abnormal ABC's
- Focal neuro deficit
Consider XR Factors
- Neck pain
- GCS 9-14 / AVPU V or P
- Substantial torso
- Substantial head injuries
- Midline neck TTP
This rule has a high sensitivity and negative predictive value
If applied to the study group, CT use would decrease by more than 50% without missing important injury!
If applied to the study group, CT use would decrease by more than 50% without missing important injury!
July 8, 2025 at 5:38 PM
This rule has a high sensitivity and negative predictive value
If applied to the study group, CT use would decrease by more than 50% without missing important injury!
If applied to the study group, CT use would decrease by more than 50% without missing important injury!
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/...
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
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/...
This new calculator incorporates @pecarn.bsky.social rules for cervical spine #imaging.
Check it out at: www.mdcalc.com/calc/...
🚑 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.
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
🚑 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.
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.
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....
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....
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....
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....
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....
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....
In these heartbreaking abuse cases, the @EMSCImprovement resources provide direct access to evidence-based screening tools
✨TEN-4-FACESp
& Management guidelines
✨TREKK trauma, fracture, head injury recs
https://bit.ly/3N3RSMO
✨TEN-4-FACESp
& Management guidelines
✨TREKK trauma, fracture, head injury recs
https://bit.ly/3N3RSMO
May 13, 2025 at 4:01 PM
In these heartbreaking abuse cases, the @EMSCImprovement resources provide direct access to evidence-based screening tools
✨TEN-4-FACESp
& Management guidelines
✨TREKK trauma, fracture, head injury recs
https://bit.ly/3N3RSMO
✨TEN-4-FACESp
& Management guidelines
✨TREKK trauma, fracture, head injury recs
https://bit.ly/3N3RSMO
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
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
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
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
#AI & clinical trials?
This study shows how large language models (ie GPT-4) can support EFIC* to identify sentiment & themes in community interviews
LLM had agreement w/ human reviewers-may help investigators/ethics boards “hear” the community at scale
pubmed.ncbi.nlm.nih....
This study shows how large language models (ie GPT-4) can support EFIC* to identify sentiment & themes in community interviews
LLM had agreement w/ human reviewers-may help investigators/ethics boards “hear” the community at scale
pubmed.ncbi.nlm.nih....
April 10, 2025 at 4:30 PM
#AI & clinical trials?
This study shows how large language models (ie GPT-4) can support EFIC* to identify sentiment & themes in community interviews
LLM had agreement w/ human reviewers-may help investigators/ethics boards “hear” the community at scale
pubmed.ncbi.nlm.nih....
This study shows how large language models (ie GPT-4) can support EFIC* to identify sentiment & themes in community interviews
LLM had agreement w/ human reviewers-may help investigators/ethics boards “hear” the community at scale
pubmed.ncbi.nlm.nih....
🚨Adverse events from procedural #sedation are rare - occurring <1% of the time.
High-quality care can mitigate the risk of adverse outcomes.
Review these resources from @EMSCImprovement
Pediatric Education and Advocacy Kit (PEAK): Procedural Sedation
https://bit.ly/4hBpjo2
High-quality care can mitigate the risk of adverse outcomes.
Review these resources from @EMSCImprovement
Pediatric Education and Advocacy Kit (PEAK): Procedural Sedation
https://bit.ly/4hBpjo2
April 8, 2025 at 6:27 PM
🚨Adverse events from procedural #sedation are rare - occurring <1% of the time.
High-quality care can mitigate the risk of adverse outcomes.
Review these resources from @EMSCImprovement
Pediatric Education and Advocacy Kit (PEAK): Procedural Sedation
https://bit.ly/4hBpjo2
High-quality care can mitigate the risk of adverse outcomes.
Review these resources from @EMSCImprovement
Pediatric Education and Advocacy Kit (PEAK): Procedural Sedation
https://bit.ly/4hBpjo2
💉How prepared is your ED to handle pediatric pain, anxiety & stress during procedures?
Best practices and resources exist to ensure a smooth #sedation from EMSC Improvement
bit.ly/4hBpjo2
#PEAKProceduralSedation #EmergencyPreparedness
Best practices and resources exist to ensure a smooth #sedation from EMSC Improvement
bit.ly/4hBpjo2
#PEAKProceduralSedation #EmergencyPreparedness
April 3, 2025 at 7:51 PM
💉How prepared is your ED to handle pediatric pain, anxiety & stress during procedures?
Best practices and resources exist to ensure a smooth #sedation from EMSC Improvement
bit.ly/4hBpjo2
#PEAKProceduralSedation #EmergencyPreparedness
Best practices and resources exist to ensure a smooth #sedation from EMSC Improvement
bit.ly/4hBpjo2
#PEAKProceduralSedation #EmergencyPreparedness
