It’s the beginning of a new academic year – and whether or not you are entering the ED for the first time, or returning after a hiatus it’s a good time to catch up on the basics. That’s what these “Starter Packs” are about. I have collated a number of different posts to give you an idea of what I’ve shared over the past few years on a number of common conditions. Let’s take a look at intussusception.
Edit: Thanks for the catch Coach. I had erroneously uploaded an older version of Intussusception Part 3. The updated post now features correct information about the recurrence risk and updated discharge recommendations.
Love the Starter Packs! Thank you — very helpful!
I happened to come across this article as well recently — speaks to the question: “what is the best disposition for the average child after reduction of intussusception?”
Varied practice, but little lit until now; a retrospective chart review: http://www.ncbi.nlm.nih.gov/pubmed/27350542
Thanks, Brad, for all of the great work you’re doing for the whole EM and PEM community!
Coach – thanks for the catch and for the words of encouragement! I accidentally posted an older version of this discharge and air contrast enema topic. I have read the Puckett paper and I’ll also direct your attention to this one by Gorelick et al. http://www.ncbi.nlm.nih.gov/pubmed/?term=gorelick+intussusception
The recurrence risk is about 1 in 25 in 24hrs – so I now discharge most successful reductions after a period of approx 4 hours of ED observation.
Thanks very much!
Now I remember — you’re like the AAP “roving reporter”, giving us the latest breaking developments on what we need to know. Thanks again!
Also – check out this post from the “Best Articles of AAP NCE 2014” series – summary of Gorelick and the meta analysis. http://www.pemcincinnati.com/blog/waiting-send-kid-intussusception-home/