Learn which symptoms are more likely to be associated with central nervous system masses in children - especially based on the age of the patient.
Benzodiazepines are the first line treatment in status epilepticus. Find out why, and how to use them for maximum seizure stopping action.
The next video in the Art of Medicine series focuses on how to talk with parents about simple febrile seizures. These can be incredibly scary, but fortunately the prognosis is almost uniformly great. Let me know what other topics you'd like to see in [...]
Migraines are a common sight during any shift in the ED. I have written about them before, and the benefits of antiemetics and depakote are reasonably well documented. A treatment for refractory headaches that seems to be gaining favor recently is IV magnesium. You may [...]
If you're a regular reader of the blog you know that I've posted on migraines before. For instance, you can check out the "Why We Do What We Do" on antiemetics (prochlorperazine and metoclopramide). Other excellent Pediatric Emergency Medicine educators have posted on the topic [...]
Continuing onward with the top ten articles presented at the recent AAP NCE in San Diego is a randomized control trial comparing lorazepam versus diazepam for pediatric status epilepticus. Links PubMed JAMA The bottom line Lorazepam and diazepam are equally efficacious and safe choices for the [...]
The pupils can be thought of as a window to the brain in patients with altered mental status. This brief video reviews some of the important findings that you should recognize.
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.
Certainly we've all taken care of of the patient with the chief complaint "possible seizure." Upon history and examination many of us will discover that the patient had syncope. So, the purpose of this post is to examine how we differentiate between convulsions in a [...]
In the ED we certainly see a significant number of head injuries. There are an estimated 1.7 million per year in the US. Fortunately most of these are not associated with intracranial bleeding. However, that certainly does not mean that there aren't important diagnoses to consider. [...]