Fracture Fridays: Trampoline Fractures
The trampoline fracture is a well known entity that involves the proximal tibia. Learn all about it in this edition of Fracture Fridays.
Briefs: Fever and rash, what’s the diagnosis?
2020 marks the return of Briefs - focused cases that tackle the basics. This edition features a classic rash that we all should know.
How to talk with patients and families about the flu
I recently had the pleasure of sitting down with the always delightful Dr. Patricia Chambers to talk about influenza. In our conversation we discussed how to discuss testing or not for the flu, as well as why antivirals are not always indicated.
In the ED we should be showing parents videos of what babies with bronchiolitis look like
I recently authored a post on the Cincinnati Children's blog entitled, Bronchiolitis: A New Parent’s Guide to One of the Most Common Winter Illnesses. I share a video of one of my children when they had bronchiolitis, and its been incredibly helpful in providing education over the years.
You don’t need to do an LP on (most) patients with complex febrile seizures
Do you need to do an LP if a child has a complex febrile seizure? Probably not. Why not? Read this post to learn about the evidence, where the guidelines are lacking and more.
Does D-dimer help in children with possible pulmonary embolism?
Can you use D-dimer to rule out a PE in children and adolescents? And if so, how confident will you be in its ability to do so? Read this post to learn more about D-dimer, PE and children.
PEM CARS: Check out this tremendous, free resource!
Michael Mojica, editor of the exceptional PEM Guides recently shared another excellent resource with me. It's entitled PEM Cars and has been updated for 2019. PEM CARS is a FREE eBook found exclusively on the Apple Books online store that includes comprehensive reviews of 200 articles from the medical literature relevant to the care of the ill or injured child in the acute care setting.
Orthostatic Vital Signs are not helpful in syncope
In children, orthostatic vital signs should not be a routine part of the evaluation for patient with syncope. Read this post to find out why.
Free Presentation! Learn about VP shunt problems
Please check out, and use this free presentation on CSF shunt complications in children.
Facts on the Ground: Intranasal ketamine is just as good as intranasal fentanyl for fractures
Always great to see this study make the rounds. This edition of Facts on the Ground, reviews the PRIME study comparing intranasal ketamine with fentanyl in a randomized, non inferiority trial.