OK, so the cat's out of the bag. Bronchiolitis, RSV specifically, as well as the delta variant of COVID-19 are running wild in the Northern Hemisphere. any of you have seen precious few cases of bronchiolitis this far in your careers due to the paucity of cases last winter. Therefore this post is designed to share three key resources I've published recently that discuss bronchiolitis from a a clinician focused perspective.
What’s the best maneuver for reducing a dislocated shoulder? My guess is as good as yours. There are multiple maneuvers that work - and work well for anterior (AKA anterior-inferior) dislocations. This episode reviews how to manage shoulder dislocations in the Pediatric population.
It is much more common for children to break a finger than dislocate one. Why? Those darn growth plates. Nevertheless reducing a dislocated digit is one of the most common emergency procedures around and can generally be performed without much difficulty. However there are some situations where you shouldn’t just yank in the digit. Learn about these situations and more in this episode.
Reducing a dislocated patella is super satisfying - both for the clinician and the patient. This episode reviews management of this common orthopedic concern so that you can perform a reduction maneuver without needing to call Orthopedics.
Never has there been a more anachronistic name for such a common malady. Hailing from the time when the wealthy had female domestic workers who cared for children within their large household, this outmoded eponym describes a common orthopedic condition that impacts young children. I’ll cast my vote for calling it “pulled elbow” like they do in Australia - because it describes when happens when the radial head subluxes from its usual position nestled in the annular ligament. This episode discusses the diagnosis and management of this can’t miss condition, that I suspect our residents and students aren’t seeing as much as they should.
I've got a mini-season of podcast episodes focused on common joint reductions in children. These remain on the procedure competency list for pediatric residents from the ACGME, and can all be done without Orthopedics.
Asking "What's the Group B Strep status?" Is one of those things that seeps into the lexicon of the pediatrician or Emergency Department provider. This post is a general overview of this important pathogen in newborns and infants.
This post endeavors to answer some key questions that we face in the Emergency Department when it comes to caring for adolescents with sexual and reproductive health concerns. It was inspired by a recent publication from the Pediatric Emergency Care Applied Research Network (PECARN) Adolescent Sexual Health Working Group.
This episode of PEM Currents: The Pediatric Emergency Medicine Podcast focuses on high-powered magnet ingestions in children and was a collaboration with Elizabeth Curtis - @egcurtismd and Libby Ireson - @LibbyIreson, two Categorical Pediatrics Residents at Cincinnati Children's who served as producers and guest hosts. This episode is equal parts clinical advice and advocacy in action and will help you discuss these potentially dangerous magnets with families and manage a child in case they swallow one.
With the warm weather upon us here in the Northern Hemisphere it will soon be time for the pools to open. This episode is therefore incredibly timely, and focuses on the spectrum of submersion injuries and their management. Learn about drowning physiology, when to admit to the hospital, and how to assess the child who went under water unexpectedly but looks fine from this episode's special co-host and producer, Joe Finney, MD a PGY-5 Pediatric Emergency Medicine and EMS fellow from Washington University in Saint Louis, MO.
