Chest pain is a scary presenting chief complaint. This patient and family focused video from Dr. Nicolas Madsen at Cincinnati Children's can help you do a better job dealing with concerns in the ED.
Check out these resources that reinforce concepts taught in a recent education session at Cincinnati Childrens.
Up to 40% of patients that have syncope have some manner of convulsions that are often mistaken for seizures. The purpose of this post is to examine how we differentiate between convulsions in a epileptic seizure versus those that occur when a patient faints.
Many healthy adolescents with chest pain have subtle elevations in the ST segment. Check out this post to learn how to differentiate benign early repolarization from left anterior STEMI.
In conjunction with Taming The SRU and the University of Cincinnati Department of Emergency Medicine's Annals of B Pod I am proud to present this article on pediatric SVT.
In contrast to Emergency Departments in which the clientele are mostly grown ups, patients with chest pain in the Pediatric Emergency Department have mostly benign causes. I wanted to review some of the findings associated with benign causes of non traumatic chest pain. Tenderness to [...]
So you've gone ahead and diagnosed supra ventricular tachycardia. While getting ready to place an IV and draw up adenosine somebody (a seasoned RN perhaps) suggests that you try vagal maneuvers. Perhaps you're feeling pessimistic that day, and wondering if they ever work. And, which [...]
Certainly we've all taken care of of the patient with the chief complaint "possible seizure." Upon history and examination many of us will discover that the patient had syncope. So, the purpose of this post is to examine how we differentiate between convulsions in a [...]
Now check out these cool videos from Cincinnati Children's Hospital Medical Center depicting select congenital heart lesions in more detail.
I was just reminded (yet again) of the usefulness of obtaining orthostatic vital signs. Recall that you obtain HR and BP with the patient supine, sitting and then standing. You must get them in that order, and they should be done after the patient has [...]