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Special considerations while measuring pulse

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Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus

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Paediatric lumbar punctures: How do paediatric and emergency doctors differ?

Chee Cheen Yeong¹, Simon S Craig^1,2,3, John A Cheek^1,2,3,4

¹Emergency Department, Monash Medical Centre, Monash Health, Melbourne, Victoria, Australia.

Emergency Medicine Australasia : EMA

|April 11, 2017

Summary

Pediatricians are more confident with lumbar punctures in infants, while emergency physicians prefer older children. Parental presence during procedures varied significantly between specialties.

Keywords:

emergency medicine lumbar puncture paediatrics

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International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure

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A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn

A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn

Published on: April 7, 2023

Area of Science:

Pediatric Medicine
Emergency Medicine
Clinical Procedures

Background:

Lumbar puncture (LP) is a common procedure in pediatric care.
Differences in practice patterns between pediatricians and emergency physicians performing pediatric LPs are not well-defined.

Purpose of the Study:

To compare the practices and confidence levels of emergency physicians and pediatricians in performing pediatric lumbar punctures.

Main Methods:

An anonymous, cross-sectional electronic survey was administered to physicians and trainees in emergency and pediatric departments across three hospitals.
The survey included four standardized clinical scenarios assessing neurological evaluation, imaging, consent, and parental presence during LPs.

Main Results:

Pediatricians reported higher confidence in performing LPs on neonates and infants, whereas emergency physicians felt more comfortable with older children.
Pediatricians were more likely to perform fundoscopy before LPs in infants and young children.
Emergency physicians were significantly more likely to encourage parental presence during LPs compared to pediatricians.

Conclusions:

Specialty influences confidence and practice variations in pediatric lumbar puncture procedures.
Further research may be needed to standardize best practices, particularly regarding parental involvement.