Let's take a look at some basic information on deep dermal sutures. Thanks to Cincinnati Children's Hospital Medical Center resident Drew Saylor. Before moving on to the quick hits let's take a look at an excellent video from Closing the Gap. What are the indications for a deep buried dermal suture? Large wounds that: Are in need of tension [...]
No new posts this week I'm away on vacation But I'll be back soon Lots of stuff to learn Many topics on the way Learning sure is fun!
There are many demands in the emergency department, some of which come from patients and their families. Ultimately I see many children that have previously visited a number of different providers, including their primary doctor, urgent care staff, another Emergency Department etc,. It takes real effort to visit that many medical facilities in a short time period. So, I'm sure you'd agree [...]
This edition of PEM Currents, the Pediatric Emergency Medicine podcast, reviews the safety and comparative efficacy of acetaminophen and ibuprofen. If you work in a Pediatric Emergency Department you'll certainly have broken a sweat over this hot debate time and time again. The main goal of this podcast is to help you discuss these medications more effectively with your patients and their [...]
Getting more than 3 people to agree to a date and time for a meeting is a Herculean task. The easiest way I've found to find an agreed upon date is to use Doodle. No doubt many of you have already used this helpful service. If you haven't then give it a try the next time you have to get [...]
CPR can save a life. But, it has to be effective. The recent move to compressions only CPR has simplified matters for the lay provider, but are we actually seeing improved outcomes. Essentially, is asking someone to just "push hard and fast" on the chest of a patient with out of hospital cardiac arrest (OHCA) sufficient? I just read an [...]
He's running away! So I held his outstretched arm... A nursemaid's elbow
Here's another site that I think you should all check out. It's Don't Forget the Bubbles, a collaborative effort run by Tessa Davis (@TessaRDavis) a Pediatric Emergency Medicine physician in Sydney, Australia. If you like the content here on the PEMBlog then I'm sure you'll get a kick out of Don't Forget the Bubbles as well. A recent post that I [...]
This edition of PEMCurrents echoes the recent post here on the PEMBlog and reviews the use of ondansetron in acute gastroenteritis. Specifically highlighting the reduction in risk of further episodes of emesis, need for intravenous fluids and immediate admission to the hospital. No matter how you like to learn I aim to please. Check out the podcast via: iTunes Or, via the [...]
I'm not really going out on a limb when I say that constipation is a common diagnosis in the pediatric emergency department. Now, that being said, not all patients that have a diagnosis of constipation are actually constipated. I have certainly seen scenarios where parents have been told that their child is constipated as an explanation for belly pain when [...]
