Whenever you order a lab you must ask yourself the following questions? Why am I ordering this test? What am I going to do with the result? Given that PCT has become a frequently ordered test for many of you I wanted to answer some [...]
It goes without saying that a clinical prediction rule, and for that matter an associated online tool (one of which in particular we'll get to in a minute) is only as good as your initial clinical judgment and as practical as the environment in which [...]
And so it is with great lament and crocodile tears that we have reached the end of my series on the top ten articles presented at the recent AAP NCE in San Diego. It took me a bit of time to get there, but I think that the [...]
Continuing onward with the next in the top ten articles presented at the recent AAP NCE in San Diego is a study of the use of hypertonic saline (HTS) in bronchiolitis. I'll stray a bit form the usual format in that this paper was presented [...]
With the recent influenza epidemic you may have also seen a rise in the number of cases of parotitis. This should not be a surprise, as acute parotitis is usually viral, self-limited and treated with supportive measures - just like the flu! Learn more by [...]
Let's check out another in the top ten articles presented at the recent AAP NCE in San Diego. This study examined the relationship between time to antibiotics and morbidity and mortality in pediatric sepsis. Links PubMed Critical Care Medicine The bottom line Early administration of antibiotics in sepsis [...]
You may have recently heard about an outbreak of mumps in the National Hockey League but after seeing several cases of unilateral facial swelling over the angle of the mandible in a school age child you're probably wondering what's going on at your home institution as well. [...]
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 [...]
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 [...]