You will see a child with a nosebleed in the ED. It is a mathematical certainty. Chances are it has already stopped. Even if it hasn’t you can stop it – and figure out why it happened – and provide reassurance and education to the patient and family. Yes, all of those things for one little bleeding nose… Listen to this podcast episode to learn stuff about epistaxis that will help you during an upcoming shift.

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Managing Pain in Sickle Cell Vaso-Occlusive Crises – PEM Currents: The Pediatric Emergency Medicine Podcast

Vaso-occlusive pain episodes are the most common reason children and adolescents with sickle cell disease present to the Emergency Department. Prompt, protocol-driven management is essential starting with early administration of IV opioids, reassessment at 15–30 minute intervals, and judicious hydration. Understanding the patient’s typical pain pattern, opioid history, and psychosocial context can guide more effective […]

1. Managing Pain in Sickle Cell Vaso-Occlusive Crises 10:32
2. Penetrating Neck Injuries
3. Advanced Imaging of Children in the ED: Ultrasound, CT, and MRI 29:34
4. Parvovirus B19 (Fifth Disease) 11:48
5. The Unvaccinated Child with Fever 21:42

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References

Béquignon E, Teissier N, Gauthier A, et al. Emergency Department care of childhood epistaxis. Emerg Med J 2017; 34:543.

Shay S, Shapiro NL, Bhattacharyya N. Epidemiological characteristics of pediatric epistaxis presenting to the emergency department. Int J Pediatr Otorhinolaryngol. 2017 Dec;103:121-124. PMID: 29224751.

Tunkel DE, Anne S, Payne SC, et al. Clinical Practice Guideline: Nosebleed (Epistaxis). Otolaryngol Head Neck Surg 2020; 162:S1.