About Brad Sobolewski, MD, MEd

Brad Sobolewski, MD, MEd is a Professor of Pediatric Emergency Medicine and an Associate Director for the Pediatric Residency Training Program at Cincinnati Children's Hospital Medical Center. He is on Twitter/X @PEMTweets, on Instagram @BradSobolewski, authors the Pediatric Emergency Medicine site PEMBlog and is the host and creator of PEM Currents: The Pediatric Emergency Medicine Podcast. All views are strictly my own and not official medical advice.

You don’t need labs or CT scans in children who have recovered after a simple febrile or first time seizure

By |2023-09-06T15:04:55-04:00September 13th, 2023|Choosing Wisely, Neurology, Radiology|

Labs or CT scans are not necessary to provide additional diagnostic information or reassurance for most children who recover completely following simple febrile seizures or unprovoked first time generalized seizures. The rate of abnormalities on these studies is very low, and the cost and downsides are too high to justify ordering them on a regular basis.

A classic educational video about the dangers of Repetitive Read Syndrome

By |2023-08-29T10:56:32-04:00September 1st, 2023|Choosing Wisely, Radiology|

Repetitive Read Syndrome is affecting Radiologists across the globe. Symptoms include dictations including the same phrasing and suggesting clinical correlation repeatedly. We can help our Radiology colleagues by avoiding unnecessary chest X-ray orders for most children with respiratory problems such as bronchiolitis, asthma exacerbations, croup, or first-time wheezing.

A video that teaches you how to talk about why we don’t need chest X-Rays in respiratory illnesses

By |2023-08-27T10:18:24-04:00September 1st, 2023|Choosing Wisely, Infectious Diseases, Radiology|

Did you know that chest X-Rays are not recommended for most children with respiratory problems such as bronchiolitis, asthma exacerbations, croup, or first-time wheezing. Choosing Wisely recommends that doctors and all medical providers have detailed conversations with patients and their families about why X-Rays are unlikely to give new information or provide any additional reassurance. They also expose young children to unnecessary radiation. This video features Dr. Vincent Alexander who conducts a simulated discussion with a parent of a child with a respiratory illness.

You don’t need X-Rays in a child with bronchiolitis, croup, asthma, or first time wheezing

By |2023-10-11T14:10:39-04:00August 30th, 2023|Choosing Wisely, Infectious Diseases, Pulmonology, Radiology|

This is a blog post and a podcast episode designed to disseminate the important work of Choosing Wisely, an initiative of the the American Board of Internal Medicine Foundation, the goal of which is the spark conversations between clinicians and patients about what tests, treatments, [...]

A podcast about Henoch–Schönlein Purpura (HSP)

By |2023-08-08T14:31:45-04:00August 8th, 2023|Nephrology, Podcasts, Rheumatology|

Henoch–Schönlein Purpura (HSP) is a common vasculitis seen in younger children. The classic skin finding is palpable purpura in gravity dependent areas of the body (buttocks and legs). Children can also have arthralgias, abdominal pain and intussusception, and even nephritis. Learn about the diagnosis and management of Henoch–Schönlein Purpura (HSP) in this brief podcast episode.

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