In children, orthostatic vital signs should not be a routine part of the evaluation for patient with syncope. Read this post to find out why.
Hypertension shouldn't be ignored in the ED - and this companion post from an EmergiQuiz case goes to show why.
This post from Leah Finkel and Amanda Nelson details how we should think about abnormally high blood pressure measurements in the Pediatric Emergency Department - and what to do about them.
This edition of Facts on the Ground looks at a multi center study that attempts to answer whether or not every child who faints needs an EKG.
SVT is reliably converted via vagal maneuvers. Learn about the REVERT maneuver in this brief video tutorial.
Three of my favorite letters in the Pediatric Emergency Department are S, V and T. This episode of PEM Currents, the Pediatric Emergency Medicine Podcast focus on the diagnosis and management of paroxysmal supraventricular tachycardia in the ED. I discuss preparation, vagal maneuvers, cardioversion, disposition and more!
Check out this fantastic diagram for undifferentiated congenital heart disease in the neonate that was created by a resident in pediatrics from Baylor!
Kawasaki Disease, AKA Mucocutaneous Lymph Node Syndrome, is one of the most common vasculitides of childhood. The hallmark is fever ≥5 days plus 4/5 of the following; mucous membrane changes, conjunctivitis, polymorphous rash, extremity changes and lymph node enlargement. It can also lead to coronary artery aneurysms, which is why its so important to make an accurate diagnosis.
Don't hold you breath while listening to this podcast - because you'd be doing so for longer than 20 seconds - and you will have apnea. Do however, listen to learn more about cyanotic and pallid breath holding spells so that you can be prepared to diagnose and manage them in the Emergency Department.
As a follow up to the education session this past Friday from the Emergency Department rotation at Cincinnati Children's (and for the benefit of my readers on the inter webs) I wanted to share this brief didactic video on paroxysmal supraventricular tachycardia.