Medical Music Mondays: Shiny Happy Virus
You don't need to send comprehensive viral tests in the majority of children with cough and congestion. Just make a clinical diagnosis dang it!
Medical Music Mondays: Palpable Olive Season
Hypertrophic pyloric stenosis is such a down home diagnosis. You bring your baby home and then their weight goes down. Also the ultrasound measurements are a muscle wall greater than 3mm thick and a channel length greater than 14mm. 3 and 14 - 3.14, pi. Get it? Did you read this far?
Medical Music Mondays: Bleeding Tonsil Funk
Night terrors are super scary. And the kid doesn't even remember them! They're more like sleep walking than nightmares and parents are often worried that it's a seizure or something more serious.
Probiotics don’t improve outcomes in children with acute gastroenteritis
Acute gastroenteritis affects millions of children in the U.S. every year, leading to emergency department visits and hospitalizations. Probiotics, particularly Lactobacillus rhamnosus GG (LGG), have been commonly used as a treatment, but evidence supporting their effectiveness has been limited. A new study conducted by the Pediatric Emergency Care Applied Research Network (PECARN) aimed to determine whether LGG could reduce the severity of gastroenteritis in children. The trial found that LGG did not significantly improve outcomes compared to placebo.
Medical Music Mondays: Terror of the Night
Night terrors are super scary. And the kid doesn't even remember them! They're more like sleep walking than nightmares and parents are often worried that it's a seizure or something more serious.
Medical Music Mondays: The Pinworm Shuffle
Pinworms! Ahhhhh! They itch at night and they're scary. Fortunately they are easy to treat and eradicate. They're still gross.
Caring for Patients with Duchenne Muscular Dystrophy in the Emergency Department: A Problem-Based Approach
Emergency care for Duchenne Muscular Dystrophy (DMD) patients involves managing respiratory failure, cardiac dysfunction, and orthopedic risks. Prioritize non-invasive ventilation, MRI for cardiac assessment, and vigilant monitoring for fat embolisms. Use Cystatin C and bilirubin for renal and liver function evaluation.
Medical Music Mondays: Lipase High!
Did you know that pancreatitis is mostly caused by viruses in kids? They don't drink alcohol or get gallstones like grown ups. Also, scorpion bites apparently cause it. But that's silly and only something you see in board review books. Anyway, this would be a better Broadway musical than most retreads of 1980s & 90s movies.
Medical Music Mondays: Factor First!
Children with Hemophilia who present to the ED need to get a dose of Factor First! Don't delay and give their home factor if they have it.
Scope This! A Podcast on Gastroesophageal Reflux and Gastritis
In this episode of PEM Currents: The Pediatric Emergency Medicine Podcast, host Brad Sobolewski delves into gastroesophageal reflux (GER) and gastritis in children. He distinguishes between gastritis, diagnosed via endoscopy, and symptom-based dyspepsia. The episode covers GER/GERD's pathophysiology, diagnostic strategies, lifestyle and dietary management, and pharmacological treatments, including PPI and H2 blockers. Sobolewski stresses the importance of proper diagnosis and evaluation, differentiating from other conditions like pancreatitis and gallstones, to optimize care in pediatric emergency settings.