I am an Apple device user, and I appreciate the portability of my iPad, but I haven't found a single fantastic option for editing my documents, presentation and spreadsheets. I still prefer the desktop versions of Word, Excel and PowerPoint as nothing touches their power and flexibility. Nevertheless, I figured I'd share a few that I've tried (and continue to appraise). The [...]
This week on Briefs I wanted to present - with limited comment - a synopsis of the NEXUS and Canadian C-Spine rules. In general, the most common reason we end up getting cervical spine films in the Peds ED is for midline C-Spine pain. I trust you'd all agree that it is important to understand why we do this, and can [...]
Happy Holidays everyone! I'd like to thank all of the readers who engaged me online and in person about the content of the PEMBlog this year. Throughout the course of the year I've been able to delve into a number of topics and learn quite a bit in the process. Without further ado I'd like to highlight a few of [...]
In general it is a good idea to be familiar with the clinical practice guidelines of the American Academy of Pediatrics. We see enough UTIs in the ED that it is always helpful to review. Check it out here The big take home points are: Diagnosis is MOST supported by pyuria and >50,000 colonies/mL on culture Follow up should occur [...]
Whether for teaching purposes, or for family videos please remember to shoot videos on your smartphone holding the phone in landscape orientation. Your audience will thank you. That is all.
Ted Brenkert sticks his neck out to educate you on retropharyngeal abscesses. RPAs can be an especially worrisome diagnosis in young children who will present with fever, sore throat and limitation of neck movement. Check it out here iTunes and streaming live via SoundCloud
I recommend this article to anyone who cares for children in their practice - specifically anyone who will interpret CSF results. In 2007 the Pediatric Emergency Medicine Collaborative Research Committee (PECARN) published the following article in JAMA. Link The authors noted that few children who end of being admitted to the hospital on antibiotics with CSF pleocytosis actually have bacterial meningitis [...]
Check out the latest PEM Currents podcast supplementing your high flow education. You can find it on: iTunes
High Flow, High Flow, it's off to work we go. Let's give some CPAP and… stop singing. OK, anyway, as a follow up to yesterday's article on standard oxygen therapy I wanted to dive into High Flow. It entails the delivery of heated and humidified oxygen via special devices (eg, Vapotherm®) providing up to 8 L/min in infants and up to [...]
As a prelude to a more detailed post on high flow (coming tomorrow) I thought that it would be a good idea to brush up on standard oxygen delivery devices and techniques - you know, the ones we use every day. Blow-by Temporary O2 delivery Oxygen tubing, corrugated tubing, or simple mask held at a short distance from the child's face [...]
