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CHOP Pediatric Emergency Medicine

@pematchop.bsky.social
186 followers 149 following 650 posts

Official Bluesky account of the #PedsED at Children’s Hospital of Philadelphia. Caring for and #advocating for children. Advancing #Research, #MedEd, #QI, and #ClinicalCare.

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CHOP Pediatric Emergency Medicine @pematchop.bsky.social · 06/10/2026
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CHOP Pediatric Emergency Medicine @pematchop.bsky.social · 03/10/2026
Outside of medicine, Dr. Kerstetter enjoys: 📚 Reading 🎾 Playing tennis ⚾🟠and cheering on the Philadelphia Phillies. We are so excited to have Dr. Kerstetter join the PEM group and look forward to the expertise, dedication, and perspective she will bring to CHOP. Welcome, Jessica!
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CHOP Pediatric Emergency Medicine @pematchop.bsky.social · 03/10/2026
Kerstetter's professional interests include the care of both adult and pediatric incarcerated patients and pediatric education for emergency medicine residents. She is passionate about advancing equitable and compassionate care while helping train the next generation of emergency physicians.
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CHOP Pediatric Emergency Medicine @pematchop.bsky.social · 03/10/2026
Kerstetter completed her undergraduate studies at the University of Pittsburgh before earning both her Master of Arts in Urban Bioethics and medical degree from Temple University. She then went on to complete her Emergency Medicine residency at Emory University. 💉🩺 Dr.
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CHOP Pediatric Emergency Medicine @pematchop.bsky.social · 03/10/2026
Happy Fellow Friday! Please join us in welcoming our newest PEM Fellow, Jessica Kerstetter, MD, MA, to the CHOP Pediatric Emergency Department! 🎉🥳 Originally from Selinsgrove, PA, Dr.
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CHOP Pediatric Emergency Medicine @pematchop.bsky.social · 02/10/2026
Providing expert, evidence-based guidance during moments of uncertainty. 🎉☎️ #PoisonControl #PublicHealth #Toxicology #EmergencyMedicine #HarmReduction
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CHOP Pediatric Emergency Medicine @pematchop.bsky.social · 02/10/2026
This year also marked 40 years of poison control service. From a small trailer in 1985 to one of the nation's leading poison centers today, the mission remains unchanged:
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CHOP Pediatric Emergency Medicine @pematchop.bsky.social · 02/10/2026
The EMPOWER Program expanded substance use prevention, recovery, and education efforts while supporting initiatives that improve access to naloxone and adolescent treatment and recovery resources. 🌱
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CHOP Pediatric Emergency Medicine @pematchop.bsky.social · 02/10/2026
Education is prevention. The launch of free Family-Centered Prevention Training modules provides education covering: 💊 Med safety ☠️ Poison prevention 🩺 Naloxone for opioid overdose Making evidence-based public health education more accessible to families & professionals.
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CHOP Pediatric Emergency Medicine @pematchop.bsky.social · 02/10/2026
In 2025, CPRR distributed over 3,200 naloxone rescue kits across PA, helping expand access to overdose prevention resources in communities. 💙 The team participated in over a dozen community events & distributed over 6,500 poison prevention resources across PA and DE. 📚🤝
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CHOP Pediatric Emergency Medicine @pematchop.bsky.social · 02/10/2026
During a nationwide infant formula recall, the team rapidly coordinated a response that included: ✅ Provider guidance ✅ Enterprise-wide communications ✅ Social media outreach ✅ Direct notifications to 23,000+ families ✅ Clinical triage support
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CHOP Pediatric Emergency Medicine @pematchop.bsky.social · 02/10/2026
Public health means being ready to respond. CHOP's Urgent Response Program handled more than 8,000 inquiries from employees, families, and public health partners through its 24/7 safety infrastructure. 📞
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CHOP Pediatric Emergency Medicine @pematchop.bsky.social · 02/10/2026
In 2025, the Poison Control Center identified 51 cases involving marijuana-like cannabinoids such as Delta-8-THC and THC-O-acetate. Notably, 25% of these cases involved young children. Public health surveillance remains essential for identifying and responding to new hazards.
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CHOP Pediatric Emergency Medicine @pematchop.bsky.social · 02/10/2026
The Poison Control Center's specialists support scenarios ranging from: 👶 Young children who ingest household products 🧑‍🎓 Adolescents experimenting with substances 👷 Occupational exposures 👵 Med errors among older adults Prevention & education remain critical for all ages.
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CHOP Pediatric Emergency Medicine @pematchop.bsky.social · 02/10/2026
In 2025, CHOP's Center for Public Health Readiness and Response: ☎️ Managed 60,949 poisoning cases 🏠 Helped manage 40,968 cases safely at home 🏥 Supported 10,602 hospital toxicology consults That's real-time expertise reaching our communities when they need it most.
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CHOP Pediatric Emergency Medicine @pematchop.bsky.social · 30/09/2026
As #SickleCellAwarenessMonth closes, we’re excited by advances in gene therapy, stem cell transplant & emerging approaches like CAR-T. We hope continued funding, research & innovation bring more treatment options and better outcomes for people with #SickleCellDisease.
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CHOP Pediatric Emergency Medicine @pematchop.bsky.social · 29/09/2026
Drs. Prieto, Thomas & team evaluated real-world use of the #NEAR4PEM Preintubation Checklist using video review. Adoption was high (72%), but completion varied—highlighting opportunities to improve cognitive aid use. pubmed.ncbi.nlm.nih....
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CHOP Pediatric Emergency Medicine @pematchop.bsky.social · 28/09/2026
An 8-month-old w/ a history of sickle cell disease (HgSS) presents with fussiness. No fevers, but mom notes he seems especially fussy when trying to put on his shoes. What diagnosis is most likely? 1️⃣ Acute Chest Syndrome 2️⃣ Intussusception 3️⃣ Dactylitis 4️⃣ Septic Joint - ankle 📊 Show results
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CHOP Pediatric Emergency Medicine @pematchop.bsky.social · 24/09/2026
It’s #SepsisAwarenessMonth. Sepsis affects ~1 in 75 hospitalized children in the U.S. About 1 in 10 won’t survive, and sepsis is involved in nearly 20% of pediatric hospital deaths. Know the signs. Recognize sepsis. Save lives.
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CHOP Pediatric Emergency Medicine @pematchop.bsky.social · 24/09/2026
Our ROCKSTAR 2nd year fellow, Dr. Priya Shah, recently commanded the stage at her TEDx talk. She talk about the growing danger of THC infused edibles in look alike packing and the threat posed to children. Listen to her talk & advocacy below:
youtube.com
Why cannabis edibles shouldn't be disguised as candy | Dr. Priya Shah | TEDxFargo
What happens when drugs are disguised as candy? Dr. Priya Shah explores the growing epidemic of young children consuming THC-infused edibles and the consequences she sees firsthand in the pediatric emergency department. She reveals why these poisonings are predictable and preventable, and outlines p
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CHOP Pediatric Emergency Medicine @pematchop.bsky.social · 21/09/2026
Wishing everyone a blessed Yom Kippur from your PEMChop friends!
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CHOP Pediatric Emergency Medicine @pematchop.bsky.social · 21/09/2026
So measles PEP isn't simply: "Exposed? Give MMR." It's: WHO was exposed? Are they immune? How old are they? Are they high risk? And exactly how long ago was the exposure? With measles, the clock matters.
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CHOP Pediatric Emergency Medicine @pematchop.bsky.social · 21/09/2026
👶 Infants <6 months 🤰 Pregnant people without immunity 🩺 Severely immunocompromised people have DIFFERENT recommendations because they cannot receive MMR and/or are at particularly high risk for severe measles.
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CHOP Pediatric Emergency Medicine @pematchop.bsky.social · 21/09/2026
And why not give both? Because you generally shouldn't give MMR + immune globulin simultaneously. IG contains antibodies that can interfere with the immune response to the live MMR vaccine. One more important wrinkle:
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CHOP Pediatric Emergency Medicine @pematchop.bsky.social · 21/09/2026
For a susceptible 9-month-old on day 4, that means IMIG. Think of it this way: ⏱️ 0–72 hours → MMR ⏱️ Days 4–6 → IMIG ⏱️ >6 days → PEP window has passed That timeline applies specifically to susceptible, immunocompetent infants 6–11 months old.
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CHOP Pediatric Emergency Medicine @pematchop.bsky.social · 21/09/2026
But our baby presented on day 4. We're outside the 72-hour window in which MMR can work as post-exposure prophylaxis. But we're NOT out of options. Immune globulin can still provide protection when given within 6 days of exposure.
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CHOP Pediatric Emergency Medicine @pematchop.bsky.social · 21/09/2026
🧵 Let's break it down Within 72 hours: think MMR 💉 For a susceptible, immunocompetent infant 6–11 months old, MMR can be given within 72 hours of measles exposure. An MMR dose given < 12 months does NOT count toward the routine series — they'll still need their routinely recommended doses later.
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CHOP Pediatric Emergency Medicine @pematchop.bsky.social · 21/09/2026
But there is still a window: IMIG can be given through day 6 after exposure. The recommended IMIG dose is 0.5 mL/kg, maximum 15 mL. Importantly, don't give MMR and immune globulin together. Antibodies in the immune globulin can interfere with the live vaccine response.
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CHOP Pediatric Emergency Medicine @pematchop.bsky.social · 21/09/2026
Thanks for answering our #QOTW Answer: B — Intramuscular immune globulin (IMIG). For a susceptible infant 6–11 months old, MMR is preferred when it can be given within 72 hours of exposure. Once >72 hours have passed, MMR is no longer considered effective PEP for that exposure.
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CHOP Pediatric Emergency Medicine @pematchop.bsky.social · 16/09/2026
Yesterday was national voter registration day! Click the link here to register to vote or update your information for upcoming elections! www.pavoterservices....
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CHOP Pediatric Emergency Medicine @pematchop.bsky.social · 15/09/2026
A 9-month-old baby is exposed to measles at daycare. It has been 4 days since the exposure. What is the recommended post-exposure prophylaxis? 1️⃣ MMR vaccine 2️⃣ Intramuscular immune globulin (IMIG) 3️⃣ MMR vaccine + IMIG 4️⃣ Nothing — too much time has passed 📊 Show results
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CHOP Pediatric Emergency Medicine @pematchop.bsky.social · 11/09/2026
We're excited to have Dr. Stiles join our team and look forward to the passion, expertise, and enthusiasm she will bring to CHOP. Welcome, Christina!
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CHOP Pediatric Emergency Medicine @pematchop.bsky.social · 11/09/2026
A fun fact about Dr. Stiles: she grew up in a tie-dye obsessed family. From comforters and dish towels to wall art and countless shirts, she's probably tie-dyed it herself!
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CHOP Pediatric Emergency Medicine @pematchop.bsky.social · 11/09/2026
Dr. Stiles' professional interests include global health, disaster response, linkage to care, and health equity. Outside of work, she enjoys: Yoga 🧘‍♀️ Hiking 🥾🏔️ Traveling 🗺️✈︎ Reading 📚 Plants 🌱 Playing board games ♟️ And spending time with her dog 🐾
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CHOP Pediatric Emergency Medicine @pematchop.bsky.social · 11/09/2026
Originally from Silver Spring, Maryland, Dr. Stiles attended Bates College, earned her medical degree from the University of Chicago Pritzker School of Medicine, and completed her pediatric residency training at Children's Hospital Oakland. 💉🩺
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CHOP Pediatric Emergency Medicine @pematchop.bsky.social · 11/09/2026
It's Fellow Friday! Please welcome Fellow Christina Stiles, MD, to the CHOP Pediatric Emergency Department! 🎉🥳
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CHOP Pediatric Emergency Medicine @pematchop.bsky.social · 04/09/2026
A fun fact about Dr. Bhardwaj: he survived the 2010 Vancouver Olympics downhill ski course! ⛷️ We're excited to have Dr. Bhardwaj join our team and look forward to the expertise, enthusiasm, and energy he will bring to CHOP. Welcome, Pranshu!
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CHOP Pediatric Emergency Medicine @pematchop.bsky.social · 04/09/2026
Dr. Bhardwaj's professional interests include medical education, simulation, prehospital medicine, & point-of-care ultrasound (POCUS). Outside of the hospital, he enjoys: Bhangra, a North Indian folk dance 🕺 Pickleball 🤾‍♀️🏓 And hiking adventures in national parks 🏕️🥾
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CHOP Pediatric Emergency Medicine @pematchop.bsky.social · 04/09/2026
Originally from Los Angeles, California, Dr. Bhardwaj earned his undergraduate degree from Johns Hopkins University, attended the University of Florida College of Medicine, and completed his pediatric residency training at Ann & Robert H. Lurie Children's Hospital of Chicago.💉🩺
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CHOP Pediatric Emergency Medicine @pematchop.bsky.social · 04/09/2026
Please join us in welcoming our newest Pediatric Emergency Medicine Fellow, Pranshu Bhardwaj, MD, to the CHOP Pediatric Emergency Department! 🎉🥳
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CHOP Pediatric Emergency Medicine @pematchop.bsky.social · 03/09/2026
Read more here: pubmed.ncbi.nlm.nih.gov/42463154/
pubmed.ncbi.nlm.nih.gov
Pediatric Measles Resurgence: Implications for Acute and Critical Care Nursing Practice - PubMed
Measles is resurging in the United States despite being vaccine preventable. Nurse preparedness, including knowledge of clinical features, complications, and infection control, is essential to mitigate morbidity and mortality and to support outbreak prevention. (Critical Care Nurse. Published online …
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CHOP Pediatric Emergency Medicine @pematchop.bsky.social · 03/09/2026
🔹 Supportive care & vitamin A 🔹 The critical role of acute care teams in preventing spread Measles is preventable—but preparedness matters. 🔗
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CHOP Pediatric Emergency Medicine @pematchop.bsky.social · 03/09/2026
📣 New publication from @PEMatCHOP! As measles resurges, acute care teams need to be ready to recognize, isolate & manage this highly contagious infection. 👏 First author Janakiram Rameswaran, NP, of @PEMatCHOP reviews: 🔹 Clinical signs & complications 🔹 Early recognition + isolation
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CHOP Pediatric Emergency Medicine @pematchop.bsky.social · 02/09/2026
Congrats to Dr. Polina Krass, CHOP PEM attending, whose work was recently featured in @inquirer.com. Her leadership in developing CHOP's behavioral health screening survey helps identify depression, anxiety, and suicide risk in teens before a crisis. www.inquirer.com/hea....
inquirer.com
CHOP ER behavioral health screening identifies teens in need of support
Behavioral health issues commonly bring patients to the emergency department, but hospitals are often ill prepared.
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CHOP Pediatric Emergency Medicine @pematchop.bsky.social · 23/07/2026
Every summer viral headlines promote something coined "dry drowning" - the thought that kids can suddenly die days later after they go swimming. @PEMatCHOP fellow Dr. Priya Shah is here to dispel that myth. Dry drowning is NOT real!
youtube.com
Is "dry drowning" real?
Can children experience symptoms of drowning long after being exposed to water? “Dry drowning” is not a medical term. Symptoms of drowning are often present after the incident and can occur within 8 hours of exposure to water. The term dry drowning only works to increase parental anxiety and may
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CHOP Pediatric Emergency Medicine @pematchop.bsky.social · 21/07/2026
Check out the latest video from Dr. Danielle Cullen, who's research showed that caregivers were more likely to express interest in support when offered a simple "resource menu" instead of traditional social risk screening. youtu.be/ev-TWIr1TjU... #SDOH #emergency #HRSN
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Approaches to Identifying Social Needs: The SECURE RCT
What’s the best way to connect families with social resources in pediatric care? In this video, Dr. Danielle Cullen, Clinical Futures' Associate Director of Implementation Science and Clinical Research Program Manager Rachel Brown share findings from the Approaches to Identifying Social Needs: The S
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CHOP Pediatric Emergency Medicine @pematchop.bsky.social · 04/07/2026
Happy 4th of July!
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CHOP Pediatric Emergency Medicine @pematchop.bsky.social · 01/07/2026
Happy Summer! We're going to take the next few weeks off to enjoy the best that summer has to offer. We'll be posting much more sparingly but will see you all in the Fall!
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CHOP Pediatric Emergency Medicine @pematchop.bsky.social · 30/06/2026
Congratulations to PEM Fellow Dr. Priya Shah for her recent op-ed in the Philadelphia Inquirer. To learn more, read here as she discusses the myth of dry drowning, and the importance of safe swim.
inquirer.com
Dry drowning isn’t real: What parents should know about water safety | Expert opinion
Why "dry drowning" is a myth and what steps to take to prevent water-related injuries and deaths.
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CHOP Pediatric Emergency Medicine @pematchop.bsky.social · 30/06/2026
Her team’s community-engaged research explores how to address disparities influenced by geography, language, family structures, and cultural values to move beyond “one-size-fits-all” care.
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