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 [...]
I'm reviewing ACLS in preparation for recertification, and aside from it being a great review of stuff I'd pushed to the nether-regions of my mind, because well, adults... it reminded me that many of my pediatric colleagues see adults when they least expect it. An [...]
The superb emergency medicine focused blog, Academic Life in Emergency Medicine, recently published a series of three posts on chest pain. Though it focuses on adults, this is a patient population that we see in the pediatric ED. Usually it's parents/family members or hospital employees. [...]