Briefs: Heralding the rosy pits
What is the diagnosis in this young man who developed an itchy rash in a Christmas Tree pattern on his torso?
Oral Rehydration therapy: A caregiver education video
This incredible and informative video was developed at Cincinnati Children’s and features some of my colleagues. It provides a tremendous overview on how to do oral rehydration therapy in a step by step fashion and it is definitely something that I think you can share with your patients on your next shift.
PEMPix 2023 Online Case 3: The Only Thing We Have to Fear
PEMPix is the American Academy of Pediatrics Section on Emergency Medicine’s annual visual diagnosis competition. This year, in addition to the 10 finalists Maneesha Agarwal will be presenting at the National Conference and Exhibition we will be sharing four cases online in advance of the conference. This is the third of the four cases.
A video on talking to parents about comprehensive respiratory viral panels
Did you know that there are comprehensive respiratory viral panels that will test for dozens of viruses all at once? Did you know that these tests are very expensive, and that they rarely alter management? Did you know that Choosing Wisely recommends that we do not routinely obtain them for respiratory viral illnesses? Of course you did, but that doesn't mean you shouldn't watch this entertaining video that I made with Dr. Tanner Heckle, a Pediatric Emergency Medicine Fellow from Cincinnati Children's which depicts a conversation between a provider and a parent of a child with a respiratory infection.
You don’t need to order comprehensive viral panels for most patients
Did you know that there are lab panels that can test for more than a dozen viruses on a single swab, but that these panels are very expensive and don't actually change the clinical trajectory of our patients all that often?
A video that teaches you how to talk about why we don’t need chest X-Rays in respiratory illnesses
Did you know that chest X-Rays are not recommended for most children with respiratory problems such as bronchiolitis, asthma exacerbations, croup, or first-time wheezing. Choosing Wisely recommends that doctors and all medical providers have detailed conversations with patients and their families about why X-Rays are unlikely to give new information or provide any additional reassurance. They also expose young children to unnecessary radiation. This video features Dr. Vincent Alexander who conducts a simulated discussion with a parent of a child with a respiratory illness.
You don’t need X-Rays in a child with bronchiolitis, croup, asthma, or first time wheezing
This is a blog post and a podcast episode designed to disseminate the important work of Choosing Wisely, an initiative of the the American Board of Internal Medicine Foundation, the goal of which is the spark conversations between clinicians and patients about what tests, treatments, [...]
An epiglottitis podcast
The epiglottis is the toilet seat of the airway. That’s a useful function. But what if becomes so swollen and inflamed that it leads to airway obstruction and respiratory failure. That’s bad. That’s also what epiglottitis is. You can also call it supraglottitis. Either way you need to recognize this potentially life threatening malady and secure a definitive airway in the sickest patients ASAP.
Briefs: It’s neither a ring nor a worm… Discuss
Dude - It's ringworm! So common, yet easily missed. Do yourself a favor and read this post, then look at a bunch of images so you can nail the diagnosis the net time you see it.
A brief podcast about norovirus
Norovirus is the leading cause of viral gastroenteritis worldwide and is also a major cause of food borne illness. It spreads rapidly and causes vomiting and diarrhea that lead to many ED visits. Hopefully this brief episode will enrich the discussions that you have with patients and their families when making the diagnosis of viral gastroenteritis.