This edition of PEM Currents is all about respiratory distress. You'll learn about initial management, diagnosis and more!
Continuing onward with the next in the top ten articles presented at the recent AAP NCE in San Diego is a study of the use of hypertonic saline (HTS) in bronchiolitis. I'll stray a bit form the usual format in that this paper was presented [...]
When I said I would go into the top ten articles presented at the recent AAP NCE in San Diego I meant it. I plan to tackle each article and briefly review the results and try to drive home how this can impact your practice. [...]
So you've thrown the kitchen sink at a child with a moderate to severe asthma exacerbation. And despite the large hematoma on their forehead from the concussive effect of the faucet ricocheting off their skull they've not improved. What's a clinician to do? Give intravenous [...]
There are some things that we seem to do reflexively in the ED. Giving steroids to a patient with an asthma exacerbation is one of those things. Ask yourself the following question. Why do we do this? What is the evidence behind it? Can you [...]
Once in a while you'll see a child with a chronic cough. Even in the absence of a compelling history - and let's face it, the history cupboard is often bare - it is important to consider the possibility of an inhaled foreign body. Thinking [...]
High Flow, High Flow, it's off to work we go. Let's give some CPAP and… stop singing. OK, anyway, as a follow up to yesterday's article on standard oxygen therapy I wanted to dive into High Flow. It entails the delivery of heated and humidified [...]
Ever wonder why we give nebulized albuterol in the ED instead of a metered dose inhaler? Haven't you heard form a colleague that "4 to 6 puffs is equivalent to a neb." Perhaps some of this is convention, but there is evidence behind it. In [...]