About Brad Sobolewski, MD, MEd

Brad Sobolewski, MD, MEd is a Professor of Pediatric Emergency Medicine and an Associate Director for the Pediatric Residency Training Program at Cincinnati Children's Hospital Medical Center. He is on Twitter/X @PEMTweets, on Instagram @BradSobolewski, authors the Pediatric Emergency Medicine site PEMBlog and is the host and creator of PEM Currents: The Pediatric Emergency Medicine Podcast. All views are strictly my own and not official medical advice.

Probiotics don’t improve outcomes in children with acute gastroenteritis

By |2024-10-31T10:15:17-04:00October 31st, 2024|Infectious Diseases|

Acute gastroenteritis affects millions of children in the U.S. every year, leading to emergency department visits and hospitalizations. Probiotics, particularly Lactobacillus rhamnosus GG (LGG), have been commonly used as a treatment, but evidence supporting their effectiveness has been limited. A new study conducted by the Pediatric Emergency Care Applied Research Network (PECARN) aimed to determine whether LGG could reduce the severity of gastroenteritis in children. The trial found that LGG did not significantly improve outcomes compared to placebo.

Caring for Patients with Duchenne Muscular Dystrophy in the Emergency Department: A Problem-Based Approach

By |2024-10-17T22:29:42-04:00October 18th, 2024|Cardiology, Neurology|

Emergency care for Duchenne Muscular Dystrophy (DMD) patients involves managing respiratory failure, cardiac dysfunction, and orthopedic risks. Prioritize non-invasive ventilation, MRI for cardiac assessment, and vigilant monitoring for fat embolisms. Use Cystatin C and bilirubin for renal and liver function evaluation.

Medical Music Mondays: Lipase High!

By |2024-10-12T22:29:19-04:00October 14th, 2024|Music, Toxicology|

Did you know that pancreatitis is mostly caused by viruses in kids? They don't drink alcohol or get gallstones like grown ups. Also, scorpion bites apparently cause it. But that's silly and only something you see in board review books. Anyway, this would be a better Broadway musical than most retreads of 1980s & 90s movies.

Scope This! A Podcast on Gastroesophageal Reflux and Gastritis

By |2024-10-02T14:08:39-04:00October 2nd, 2024|Gastroenterology, Podcasts|

In this episode of PEM Currents: The Pediatric Emergency Medicine Podcast, host Brad Sobolewski delves into gastroesophageal reflux (GER) and gastritis in children. He distinguishes between gastritis, diagnosed via endoscopy, and symptom-based dyspepsia. The episode covers GER/GERD's pathophysiology, diagnostic strategies, lifestyle and dietary management, and pharmacological treatments, including PPI and H2 blockers. Sobolewski stresses the importance of proper diagnosis and evaluation, differentiating from other conditions like pancreatitis and gallstones, to optimize care in pediatric emergency settings.

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