Shunt malfunctions and infections are both at the top of the list when it comes to Neurosurgical emergencies in the Pediatric Emergency Department. Check out the embedded pdf for a presentation I recently gave at Cincinnati Children's and the PEM Currents episode linked therein.
I've only seen this a few times, but each case presented with a very ill child with an acute obstruction. Check out the linked post from @PedEMMorsels / Sean Fox. feedproxy.google.com/~r/PedEMmorsels/~3/a9OjmqdaSrs/ Per Sean key X-ray findings reveal that the "cecum may be dilated and located in the left mid-abdomen or left upper quadrant." In general the X-ray is abnormal. Also, [...]
This guideline from the Centers for Disease Control is based on a previous systematic review of the literature and includes clinical recommendations for mild traumatic brain injury in children. — Read on jamanetwork.com/journals/jamapediatrics/fullarticle/2698456 I'd definitely consider this a must read.
Arts and crafts time in the Emergency Department! Learn how to make your own fluorescein dropper so you won't stab a kid in the eye with an errant fluorescein strip.
pemplaybook.org/podcast/anaphylaxis-in-children/ The always reliable PEM Playbook brings you its monthly educational offering.
Do NSAIDs delay bone healing following fractures? Learn more about this important question in this edition of Fracture Fridays.
Let's explore the accuracy of urinalysis for urinary tract infections in febrile infants 60 days and younger shall we?
How much angulation can we tolerate without needing to reduce fractures of the radius and ulna? Find out in this edition of Fracture Fridays.
There are multiple topical anesthetics that we use in the ED. The common theme is that all of these drugs with -caine cause sodium channel inhibition in nerves, which blocks axonal transmission leading to the typical numbness and and localized weakness. I admit that it can be a bit confusing as to which one you should use and when. The aim of this post is therefore to help provide some clarity.
No new posts this week as I enjoy some downtime with the family.
