Let's move on to the next in the series of top ten articles presented at the 2014 AAP NCE in San Diego. Again, I'll review the article and briefly and highlight how you can use the results in the ED. By now, most of us have acknowledged that ultrasound [...]
Think about what you do in the ED? Do you recognize how the following studies have impacted your practice? National Emergency X-Radiography Utilization Study Multicenter, prospective, observational study of patients with blunt trauma for whom cervical spine X-rays were obtained. Get C-spine films if: Patients [...]
The case An infant presents with swelling of the ankle after being picked up from the babysitter. He has been able to pull to stand and cruise for a while now, but appears to be in pain when he attempts to bear weight after he [...]
It's no secret that youngsters like Instagram. For the unfamiliar, it is an "online mobile photo-sharing, video-sharing and social networking service that enables its users to take pictures and videos." The Division or Radiology at Cincinnati Children's Hospital Medical Center has set up an education-focused [...]
I'm not really going out on a limb when I say that constipation is a common diagnosis in the pediatric emergency department. Now, that being said, not all patients that have a diagnosis of constipation are actually constipated. I have certainly seen scenarios where parents [...]
In children 10 years of age and under 90% of clavicle fractures occur in the middle third, 60 percent of which are nondisplaced. Above age 10, the majority are displaced (as is the case in adults). Immobilization with sling and swathe for 3-4 weeks is [...]
Take a look at the following seven chest X-Rays. The accompanied history is super vague on purpose I swear. Post your answers in the comments. Enjoy! Toddler with tachypnea and upper respiratory infection School age child with fever and cough [...]
Fractures in any infant or toddler are concerning, but not all fractures are equally associated with non-accidental trauma (NAT). A 2008 systemic review from BMJ reviewed over 30 studies concerned with all manner of fractures in children under 18 years of age. The following was noted: [...]
The folks over at Life in the Fast Lane, and excellent emergency medicine focused blog have highlighted multiple free online ultrasound based resources. If you're at all interested in the use of ultrasound in the ED you should check it out. Ultrasound in EM
A two year old male presents with intermittent episodes of abdominal pain that last for 20 minutes each. In between he is fine - in fact he is tearing up a book in your office/urgent care/ED. He's probably constipated you think to yourself. But my [...]