Becky Platt and the folks from Don't Forget the Bubbles bring you a tremendous (yet succinct) blog post on removing foreign bodies from the external ear canal. Detailed are techniques such as the parent's kiss, tissue adhesive, irrigation and more! The best part? They've included videos!
sponses and I should share it here since I felt like there were a number of succinct, helpful teaching points. The entire tweet thread is "unrolled" beneath the embedded initial tweet.
Concussions and closed head injuries are incredibly common in the Pediatric Emergency Department and in general Emergency Department, especially as we head into fall contact sports season. In this episode, featuring Brielle Stanton, MD, a Pediatric Emergency Medicine fellow from The UPMC Children's Hospital of Pittsburgh, you will learn how to differentiate clinically important traumatic brain injuries from milder trauma - specifically when to get a CT, and how to diagnose and manage concussions.
This VERY BRIEF video reviews how to assess dehydration clinically. May it help you on your next (very busy) shift.
OK, so the cat's out of the bag. Bronchiolitis, RSV specifically, as well as the delta variant of COVID-19 are running wild in the Northern Hemisphere. any of you have seen precious few cases of bronchiolitis this far in your careers due to the paucity of cases last winter. Therefore this post is designed to share three key resources I've published recently that discuss bronchiolitis from a a clinician focused perspective.
What’s the best maneuver for reducing a dislocated shoulder? My guess is as good as yours. There are multiple maneuvers that work - and work well for anterior (AKA anterior-inferior) dislocations. This episode reviews how to manage shoulder dislocations in the Pediatric population.
It is much more common for children to break a finger than dislocate one. Why? Those darn growth plates. Nevertheless reducing a dislocated digit is one of the most common emergency procedures around and can generally be performed without much difficulty. However there are some situations where you shouldn’t just yank in the digit. Learn about these situations and more in this episode.
Reducing a dislocated patella is super satisfying - both for the clinician and the patient. This episode reviews management of this common orthopedic concern so that you can perform a reduction maneuver without needing to call Orthopedics.
Never has there been a more anachronistic name for such a common malady. Hailing from the time when the wealthy had female domestic workers who cared for children within their large household, this outmoded eponym describes a common orthopedic condition that impacts young children. I’ll cast my vote for calling it “pulled elbow” like they do in Australia - because it describes when happens when the radial head subluxes from its usual position nestled in the annular ligament. This episode discusses the diagnosis and management of this can’t miss condition, that I suspect our residents and students aren’t seeing as much as they should.
I've got a mini-season of podcast episodes focused on common joint reductions in children. These remain on the procedure competency list for pediatric residents from the ACGME, and can all be done without Orthopedics.
