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.

PEMPix 2022 Online Case 01: Big Thunder Mountain

By |2022-09-28T11:22:16-04:00October 3rd, 2022|Dermatology, Neurology, PEMPix, Rheumatology|

PEMPix is the American Academy of Pediatrics Section on Emergency Medicine’s annual visual diagnosis competition. This year, in addition to the 10 finalists I will be presenting at the National Conference and Exhibition I will be sharing four cases online in advance of the conference. This is the first of the four cases. See if you can conquer all four "mountains" and guess the correct diagnosis.

A podcast on stroke in adults

By |2020-04-21T09:45:27-04:00April 21st, 2020|Coronavirus, Neurology, Podcasts|

I have partnered with POPCoRN, the Pediatric Overflow Planning Contingency Response Network to deliver content that will benefit those of us who may have been asked to care for adults both in their native habitat, and in our pediatric facilities. Marie Pfarr, a Hospital Medicine physician from Cincinnati Children's delivers some timely content on stroke in adults in this brief, focused episode.

A podcast on the management of status epilepticus

By |2020-03-25T16:17:11-04:00March 25th, 2020|Neurology, Podcasts|

Status epileptics can be very stressful in the Pediatric Emergency Department. This episode of PEM Currents: The Pediatric Emergency Medicine Podcast focuses on management, and will guide you through the treatment process, starting with benzodiazepines, followed by a discussion of the recent evidence for second line therapy between fosphenytoin, levetiracetam, and valproate.

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