About Brad Sobolewski, MD, MEd

Brad Sobolewski, MD, MEd is a Professor of Pediatric Emergency Medicine and the Associate Director of Physician and Team-Based Education 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.

Check out the newest edition of the PEM Currents podcast on topical anesthetics

By |2016-12-14T12:56:51-05:00October 12th, 2014|Podcasts, Procedures|

PEM Currents returns with an examination of the different topical anesthetics used in Emergency Department. Specifically, by listening to this edition you'll learn about LET, EMLA and LMX and how you can add them to your repertoire for pre-procedure anesthesia in the ED. You can download it on iTunes Or listen right here via the embedded media player [...]

Why we do what we do: Intravenous magnesium for asthma exacerbations

By |2016-12-14T12:56:51-05:00October 11th, 2014|Pharmacology, Pulmonology, What We Do|

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 magnesium sulfate, that's what you should do. Interestingly we learned that it was valuable when [...]

Briefs: Do we need antibiotics after I&D of a cutaneous abscess?

By |2016-12-14T12:56:51-05:00October 9th, 2014|Briefs, Infectious Diseases|

First of all, the proper and effective treatment of a cutaneous abscess is ALWAYS incision and drainage. With that out of the way, let us address the more controversial question. Should a child be prescribed antibiotics after I&D? We'll look at the evidence as it stands then address the main question in a scenario-based approach. Certainly MRSA is the main [...]

Learn about the #FOAMed movement at the AAP NCE in San Diego

By |2016-12-14T12:56:51-05:00October 8th, 2014|PEMBlog Updates|

If you'll be attending the annual National Conference & Exhibition in San Diego this weekend stop by and see me as I present a poster discussing the #FOAMed movement in Emergency Medicine. You can also learn about: The difference between "stock" and "flow" and how these concepts relate to content on the web The growth of Emergency Medicine [...]

Positively Painful Private Parts III: Torsion of the appendix testis and appendix epididymis

By |2016-12-14T12:56:51-05:00September 29th, 2014|Urology|

Another potential cause of acute testicular pain involves vestigial structures that you may remember in the deepest recesses of you medschool brain. Appendix testis Derived from the Müllerian system They are paired embryonic structures that eventually regress in males and form the Fallopian tubes, uterus, cervix and upper third of the vagina in girls. Appendix epididymis Derived [...]

Positively Painful Private Parts II: Testicular Torsion

By |2016-12-14T12:56:51-05:00September 26th, 2014|Urology|

It should be no surprise that acute testicular torsion is a surgical emergency. The testicle twists on the spermatic cord which leads to the following sequence: Venous compression Edema of testicle and cord Arterial occlusion Ischemic testicle The risk 1/4000 for males < age 25. There is a bimodal distribution, with rates peaking in the neonatal period and again during [...]

Tech Tuesdays: Make a map of regional referring hospitals using Google’s My Maps

By |2016-12-14T12:56:51-05:00September 23rd, 2014|Tech|

I was recently thinking about the number of facilities that refer patients to our ED in good ole Cincinnati, OH and I realized that the number is quite large. I also wanted to understand better their locations as it relates to transit time for patients coming to the ED. So I made a custom Google Map, which I embedded below. [...]

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