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.
Converting SVT is super fun. Vagal maneuvers are like little interactive games that make heart rates slow down and stuff. Also disco music wasn’t that bad.
Syncope is described as a brief loss of consciousness and postural tone caused by transient global cerebral hypoperfusion. It is followed by a complete recovery. An estimated 80% of pediatric syncope is due to autonomic (vasovagal or neurocardiogenic) syncope. Our role as providers is to [...]
This post highlights the online calculator that helps differentiate STEMI from benign early repolarization. Something we see often in healthy adolescents in the Pediatric Emergency Department.
Commotio cordis is caused by the blunt impact of a hard object directly over the heart occurring during a specific window of ventricular repolarization leading to immediate collapse, ventricular fibrillation, and cardiac arrest. This episode focuses on risk factors and management of this rare but catastrophic injury.
PEMPix is the American Academy of Pediatrics Section on Emergency Medicine’s annual visual diagnosis competition. This year, in addition to the 10 finalists I will be presenting at the National Conference and Exhibition I will be sharing four cases online in advance of the conference. This is the last of the four cases. See if you can conquer all four "mountains" and guess the correct diagnosis.
Even though we won't be "clearing" patients in the ED we still need to be familiar with return to sports recommendations for children and adolescents who have had COVID-19. Remember, these are just recommendations and are based off of practice patterns at many centers and on the AAP guideline. Consult with your local hospital and Cardiology groups for up to date information. The information in this episode is intended for any young person (21 and under) who tests positive for COVID-19 and wants to return to sports. It is structured based on the severity of initial presenting symptoms.
Breath holding spells are common and often mistaken for seizures or more worrisome events. Learn about the basic types and clinical presentation in this post.
dontforgetthebubbles.com/ten-not-to-be-missed-paediatric-ecgs/ Do you struggle with EKGs sometimes? I'll admit it, I do. That's why the above linked post from Don't Forget the Bubbles was so incredibly helpful, and well done. Do yourself a favor and check it out.!
It's not the heart. Or is it? When do children with chest pain need to see a Cardiologist? These questions and more will be answered in this post focused on red flags in children with chest pain.