Fracture Fridays: A chip off the old bucket handle (Re-post)
Metaphyseal corner fractures in infants are very concerning for child abuse. Seeing one on X-Ray should always prompt a workup for non-accidental trauma.
Ultrasound assisted lumbar puncture in children
Did you know that ultrasound can help you perform a lumbar puncture?
Lip lacerations Q&A
This post was written by Nick Szugye, a resident at Cincinnati Children's, and it answers several common questions that arise when approaching lacerations of the lip.
About rapid flu tests… (Re-post)
Rapid flu tests are widely available - Just think about the sensitivity and specify before ordering one - especially if you already think the patient has the flu to begin with.
Briefs: The sweet taste of pain relief
Are you about to perform a procedure on an infant? You know, like an IV, bladder cath or lumbar puncture. You probably won't be giving IV sedative agents, but what can you do to make the infant more comfortable. This edition of Briefs is all about sucrose solution and its analgesic properties.
Breath of the Wild! A podcast on breath holding spells
Don't hold you breath while listening to this podcast - because you'd be doing so for longer than 20 seconds - and you will have apnea. Do however, listen to learn more about cyanotic and pallid breath holding spells so that you can be prepared to diagnose and manage them in the Emergency Department.
Briefs: Beta Blocker Overdose
Kids get into a lot of stuff - sometimes they get into grandpa's medicine. If that medicine is a beta blocker then the kid can be sick. That's what this edition of PEMBlog Briefs is all about.
Why we do what we do: Antibiotics for dog bites (Re-post)
Should we be prescribing antibiotics for all patients with dog bites? Just select ones? Read on for more in this entry of why we do what we do.
Cath or bag? Bag then cath? Urine testing options in the ED
Should we be using a two step process (bag then cath) for assessing febrile infants at risk for UTI? Read on for more in this illuminating post from a senior resident at Cincinnati Children's.
Should you send a tachycardic child home home from the ED?
Should we think twice about discharging tachycardic children home from the ED? Check out this article from Annals of Emergency Medicine to see what one study tells us.
