#PECARN CSI = pediatric-specific, EMS-validated, safer.
💪 Protect spines.
🚫 Avoid over-immobilization.
Next: real-world rollout & education.

#EMS #PediatricTrauma #PECARN

#CHaMP #GLACiER

🔗journals.lww.com/jtr...

#PECARN moves prehospital care from reflex to reason.
🚗 Not every fender bender = collar.
👦🏾 Not every kid = scan.
Evidence, not habit.

#EMS #EvidenceBased

#CHaMP #GLACiER

🔗journals.lww.com/jtr...

#PECARN flags risk with 9 total factors:
🔹 Neck pain or tenderness
🔹 Neuro deficit or altered mental status
🔹 Major head or torso trauma

No factors? → Skip the collar.

#CSpine #EMS

#CHaMP #GLACiER

🔗journals.lww.com/jtr...

Kids don’t compartmentalize trauma — energy moves through the body.

#PECARN sees the whole mechanism, not just one symptom.

#PediEMS #TraumaCare

#CHaMP #GLACiER

🔗journals.lww.com/jtr...

Traditional rules looked only at neck findings.

#PECARN adds major head or torso injury — acknowledging that big energy transfer can hurt the spine even without neck pain.

#PediatricTrauma #EMS

#CHaMP #GLACiER

🔗journals.lww.com/jtr...

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

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...

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...

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...

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...

📢 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

📊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...

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....

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

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

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....

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

🚨 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

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...

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

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

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/...

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

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...

🌬️ >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....