I won't claim to be producing podcasts on the level of Serial, but I do think that there is a definite role for short, focused, easily consumed education in Pediatric Emergency Medicine. This past year I released several podcasts that served to complement the content on the blog. You can see them all on iTunes, or listen to the individual [...]
I'm a visual learner, and I suspect that many of you are as well. Throughout 2014 I posted a number of educational videos and in this post I'll share them with you.
During the past year it was my absolute pleasure to share a wide array of topics with you. I wanted to take this opportunity to highlight just a few of them. Briefs Briefs are single topic posts that drop on select Thursdays. The goal is to answer a single question about a common ED topic that will serve as a review [...]
Continuing onward with the top ten articles presented at the recent AAP NCE in San Diego is yet another secondary analysis of the original PECARN study on clinically important TBI (ciTBI). This time looking at children with isolated loss of consciousness (LOC). The outcomes were ciTBI which resulted in death, neurosurgery, intubation for >24 hours, or hospitalization for ≥2 nights and a comparison [...]
I'm sure that many of you are seeing significant volumes in your Emergency Departments. Certainly a lot of it is being driven by flu/concerns about flu/rumors about flu etc,. Here are a few things I want you to remember; In a meta-analysis of 60 studies of rapid influenza antigen tests in children, the pooled sensitivity of rapid influenza antigen [...]
The pupils can be thought of as a window to the brain in patients with altered mental status. This brief video reviews some of the important findings that you should recognize.
Check out this brief lecture I recently gave on altered mental status. It reviews terminology, diagnosis and management and is designed as a broad overview to one of the most challenging issues to evaluate in the Pediatric Emergency Department.
Next up from the top ten articles presented at the recent AAP NCE in San Diego is a retrospective observational analysis from Freedman et al. on the increasing use of ondansetron and its effects on clinic outcomes in children. Certainly many of you have written for ondansetron. I have written about ondansetron; including a Why We Do What We Do focusing on the evidence behind [...]
Adapted from Muir et al, Diabetes Care, 2004 here is a protocol/schema that can guide in the assessment of cerebral edema in DKA. Recall that the symptoms of cerebral edema vary, and it can be especially difficult to diagnose as findings will occur ahead of CT/MRi changes. One-half to 1% of patients in DKA have cerebral edema, the mortality of [...]
I recently made some updates to my 8-part Bronchiolitis! series - specifically in the albuterol and racemic epinephrine posts. You can check out the entire series via the links below. I also highly recommend you read the AAP's Clinical Practice Guideline on bronchiolitis as well. The full pdf is FREE and available here Here are all eight posts in the [...]
