We don't yet have a consensus on how we assess pneumonia severity. This systematic review attempts to provide some clarity.
Does giving a dose of a corticosteroid make a difference in pharyngitis? R.E.B.E.L. EM has a great succinct post on the topic.
Per a large, multicenter study the upper limit for WBC in CSF in infants with fever ≤28 days is 15 cells/mm3 and 29–60 days: 9 cells/mm3.
Primary herpetic gingivostomatitis patients have ulcerative lesions of the gingiva and mucous membranes. Learn more abut it in this edition of Briefs.
Protracted Bacterial Bronchitis in children is definitely a real thing. But should we be making this diagnosis on normal children in the Emergency Department?
OK, so this is the least exciting topic in Pediatric Emergency Medicine... With that being said, you will all see it. And we need to be good at looking at ears, diagnosing acute otitis media, and appropriately choosing when and which antibiotic to prescribe.
This episode of PEM Currents, the Pediatric Emergency Medicine podcast, is focused on when you should (and mostly) shouldn't test for the flu.
CBC and WBC especially aren't really that helpful when evaluating the febrile child.
Heliox is readily available but the evidence just isn't quite there for asthma, bronchiolitis or croup. Special thanks to Theresa Frey from the Division of Emergency Medicine at Cincinnati Children's for her help wth this post.
I'm sure that you'll probably see a case of bronchiolitis this winter. Call it a hunch. In this episode of PEM Currents you'll learn why suctioning and ensuring hydration are still the mainstays of therapy, and why albuterol, racemic epinephrine, steroids and more don't have a place in routine cases.