Vasopressor use in the Pediatric Emergency Department has been a moving target for my entire career. Back when I was a resident and fellow we used Dopamine. Then we went to epinephrine because it can be given through a peripheral IV because norepinephrine was too dangerous to run peripherally. But maybe that's not entirely true. I talked about initial pressor choice and more in a recent recorded Zoom conference call with Critical Care Attending Matt Zackoff from Cincinnati Children's. I hope you find his thoughts on vasopressor selection, pitfalls, and the emerging therapies as illuminating as I did.
This edition in the Facts on the Ground series reviews a large retrospective study that attempts to discern a difference between normal saline and lactated ringer's in severe sepsis.
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.
So many great pearls in this edition of Pediatric Emergency Digest! Learn about differences in the management of shock in adults, the PROPPR trial, TXA, changing definitions of sepsis and review management of elevated ICP in critically ill children.
This episode of PEM Currents is all about anaphylaxis and admissions to the hospital. I had the pleasure of sitting down with Tim Dribin and asking him about his recent paper in PLUS ONE and how we might one day reduce the number of kids we admitted to the hospital.
Anaphylaxis is a common diagnosis in the Pediatric Emergency Department. We know that the risk of biphasic reaction exists, and that it can occur as far out as 72 -hours after the initial reaction. Many will observe children for up to 4 to 6 hours [...]
With the record temperatures outside now is as good a time as any to revisit this episode of PEM Currents.
This episode of PEM Currents, featuring Preston Dean, a senior Pediatric Resident at Cincinnati Children's, is about all things Rapid Sequence Intubation. You'll learn about equipment, techniques, drugs and more!
Listen to this episode of PEM Currents, the Pediatric Emergency Medicine podcast and learn more about the management of elevated intracranial pressure.