Firearm Safety

This episode was produced with Libby Ireson (@LibbyIreson on Twitter), Pediatric Resident at Cincinnati Children’s and is being released in conjunction with the 2021 Day of Action promoting firearm safety and speaking out against gun violence. The goals of this episode are to:

  1. Report statistics of pediatric firearm-related injuries/deaths in the United States 
  2. Review the American Academy of Pediatrics’ recommendations on firearm safety 
  3. Discuss strategies for counseling your patients and families on firearm safety
  4. Talk about how we can support patients and families who are victim or survivors of gun violence 

The link to the PEMBlog post, including a full transcript is here.

The American Academy of Pediatrics’ Gun Safety Campaign Toolkit


The Brady Center’s ASK Campaign

The Everytown for Gun Safety BeSMART Campaign

If you or anyone you know is considering suicide, please reach out for help. You can reach the National Suicide Prevention Hotline via phone at 1-800-273-6255 or by texting 741-741. 

For more Pediatric Emergency Medicine education check out…

Follow @PEMTweets on Twitter

Check out the Facebook page


Campbell BT, Thaker S, Fallat ME, et al. A Multicenter Evaluation of a Firearm Safety Intervention in the Pediatric Outpatient Setting. J Pediatr Surg. 2020 Jan;55(1):140-145.

“Gun Violence is a Public Health Crisis.” The American Public Health Association.

“Youth Firearm Injury and Death.” The Farley Health Policy Center. 

Parikh K, Silver A, Patel SJ et al. Pediatric Firearm-Related Injuries in the United States. Hosp Pediatr. 2017 Jun;7(6):303-312.

Schaechter, Judy. “Guns in the Home.”, The American Academy of Pediatrics.



Concussions and closed head injuries are incredibly common in the Pediatric Emergency Department and in general Emergency Department, especially as we head into fall contact sports season. In this episode, featuring Brielle Stanton, MD, a Pediatric Emergency Medicine fellow from The UPMC Children’s Hospital of Pittsburgh, you will earn how to differentiate clinically important traumatic brain injuries from milder trauma – specifically when to get a CT, and how to diagnose and manage concussions.

Follow @PEMTweets on Twitter

Check out the Facebook page


MD Calc: Pediatric Head Injury/Trauma Algorithm

MD Calc: Glasgow Coma Scale

Healthy Children: Concussions: What parents Need to Know

CDC: Heads Up


Kuppermann N, Holmes JF, Dayan PS, Hoyle JD Jr, Atabaki SM, Holubkov R, Nadel FM, Monroe D, Stanley RM, Borgialli DA, Badawy MK, Schunk JE, Quayle KS, Mahajan P, Lichenstein R, Lillis KA, Tunik MG, Jacobs ES, Callahan JM, Gorelick MH, Glass TF, Lee LK, Bachman MC, Cooper A, Powell EC, Gerardi MJ, Melville KA, Muizelaar JP, Wisner DH, Zuspan SJ, Dean JM, Wootton-Gorges SL; Pediatric Emergency Care Applied Research Network (PECARN). Identification of children at very low risk of clinically-important brain injuries after head trauma: a prospective cohort study. Lancet. 2009 Oct 3;374(9696):1160-70. doi: 10.1016/S0140-6736(09)61558-0. Epub 2009 Sep 14. Erratum in: Lancet. 2014 Jan 25;383(9914):308. PMID: 19758692.

Schonfeld D, Bressan S, Da Dalt L, Henien MN, Winnett JA, Nigrovic LE. Pediatric Emergency Care Applied Research Network head injury clinical prediction rules are reliable in practice. Arch Dis Child. 2014 May;99(5):427-31. doi: 10.1136/archdischild-2013-305004. Epub 2014 Jan 15. PMID: 24431418.

Lumba-Brown A, Yeates KO, Sarmiento K, Breiding MJ, Haegerich TM, Gioia GA, Turner M, Benzel EC, Suskauer SJ, Giza CC, Joseph M, Broomand C, Weissman B, Gordon W, Wright DW, Moser RS, McAvoy K, Ewing-Cobbs L, Duhaime AC, Putukian M, Holshouser B, Paulk D, Wade SL, Herring SA, Halstead M, Keenan HT, Choe M, Christian CW, Guskiewicz K, Raksin PB, Gregory A, Mucha A, Taylor HG, Callahan JM, DeWitt J, Collins MW, Kirkwood MW, Ragheb J, Ellenbogen RG, Spinks TJ, Ganiats TG, Sabelhaus LJ, Altenhofen K, Hoffman R, Getchius T, Gronseth G, Donnell Z, O’Connor RE, Timmons SD. Centers for Disease Control and Prevention Guideline on the Diagnosis and Management of Mild Traumatic Brain Injury Among Children. JAMA Pediatr. 2018 Nov 1;172(11):e182853. doi: 10.1001/jamapediatrics.2018.2853. Epub 2018 Nov 5. Erratum in: JAMA Pediatr. 2018 Nov 1;172(11):1104. PMID: 30193284; PMCID: PMC7006878.

Schonfeld D, Bressan S, Da Dalt L, Henien MN, Winnett JA, Nigrovic LE. Pediatric Emergency Care Applied Research Network head injury clinical prediction rules are reliable in practice. Arch Dis Child. 2014 May;99(5):427-31. doi: 10.1136/archdischild-2013-305004. Epub 2014 Jan 15. PMID: 24431418.

Zuckerbraun NS, Atabaki S, Collins MW, Thomas D, Gioia GA. Use of modified acute concussion evaluation tools in the emergency department. Pediatrics. 2014 Apr;133(4):635-42. doi: 10.1542/peds.2013-2600. Epub 2014 Mar 10. PMID: 24616361.

Pearce MS, Salotti JA, Little MP, McHugh K, Lee C, Kim KP, Howe NL, Ronckers CM, Rajaraman P, Sir Craft AW, Parker L, Berrington de González A. Radiation exposure from CT scans in childhood and subsequent risk of leukaemia and brain tumours: a retrospective cohort study. Lancet. 2012 Aug 4;380(9840):499-505. doi: 10.1016/S0140-6736(12)60815-0. Epub 2012 Jun 7. PMID: 22681860; PMCID: PMC3418594.

Miglioretti DL, Johnson E, Williams A, et al. The use of computed tomography in pediatrics and the associated radiation exposure and estimated cancer risk. JAMA Pediatr. 2013;167(8):700-707. doi:10.1001/jamapediatrics.2013.311

Mannix R, Bazarian JJ. Managing Pediatric Concussion in the Emergency Department. Ann Emerg Med. 2020 Jun;75(6):762-766. doi: 10.1016/j.annemergmed.2019.12.025. Epub 2020 Feb 17. PMID: 32081385.

Zemek R, Barrowman N, Freedman SB, Gravel J, Gagnon I, McGahern C, Aglipay M, Sangha G, Boutis K, Beer D, Craig W, Burns E, Farion KJ, Mikrogianakis A, Barlow K, Dubrovsky AS, Meeuwisse W, Gioia G, Meehan WP 3rd, Beauchamp MH, Kamil Y, Grool AM, Hoshizaki B, Anderson P, Brooks BL, Yeates KO, Vassilyadi M, Klassen T, Keightley M, Richer L, DeMatteo C, Osmond MH; Pediatric Emergency Research Canada (PERC) Concussion Team. Clinical Risk Score for Persistent Postconcussion Symptoms Among Children With Acute Concussion in the ED. JAMA. 2016 Mar 8;315(10):1014-25. doi: 10.1001/jama.2016.1203. Erratum in: JAMA. 2016 Jun 21;315(23):2624. PMID: 26954410.

Podcast Resuscitation Trauma

Management of Elevated ICP

Get ahead of your peers and listen to this episode of PEM Currents, the Pediatric Emergency Medicine podcast where you’ll learn all about the management of acutely elevated intracranial pressure. You’ll learn about common maneuvers such as optimizing the ABCs, Keeping the head elevated and midline as well as thermoregulation. I also discuss osmotic therapies and make the case for one agent versus another.

As always you can check out more great educational content at

Resuscitation Trauma

Heat Illness

The heat is on! With warm weather comes a plethora of heat-related problems in the ED. That’s why I’m sharing this edition of PEM Currents, the Pediatric Emergency Medicine Podcast. The focus is on heat illness in its many forms. Learn about everything from the benign prickly heat, to life threatening heat stroke. Stay cool and learn something all right?

Follow me on Twitter @PEMTweets