The Case A 16 year old pitcher presents to the ED complaining of right elbow pain. There is no history of direct trauma, and it has been "hurting more and more over the past few weeks." He is here because he was told by his coach at practice earlier in the day that he wouldn't be allowed to pitch in [...]
A surprisingly common complaint that I deal with in the pediatric ED is epistaxis. While I find that many cases come down to worried parents who haven't applied appropriate measures to get the bleeding to stop, I still figured it was a good topic to review since most residents are going to run across a blood nose at some point. [...]
The Case An 80 pound 12 year old soccer star tripped in a hole while challenging for the ball. Another player on the pitch stumbled in the same (big) hole and landed awkwardly on the first player's leg. Even the fans on the next field over heard the snap. EMS was called and an obviously uncomfortable 12 year old male [...]
You see a kid that you're pretty sure has Henoch Schonlein Purpura (HSP). OK, you're certain 'cause they have the rash and EVERYTHING. They aren't hypertensive, and their urine is normal. They have belly pain, but no currant jelly stools, and they don't have intussusception because the ultrasound was normal. He is eating and drinking OK, and can walk to [...]
Today I'll be highlighting the EZ-IO App. Check out the homepage here. It is a free app for iOS that reviews how to use the IO drill, including text, videos and demos. Its certainly worth the price, and serves as a handy reference especially for just in time training prior to placing an IO. The app reviews the device and the different sites of [...]
Keeping it short and simple this week folks. Here is a presentation on back pain in the pediatric ED. Just scroll vertically through the slides. You can even download it if you want. Spoiler alert! I will actually be giving this talk live tomorrow at the Cincinnati Children's resident lectures. Back Pain in the Pediatric ED
You may have seen these strange pixellated squares at a recent academic conference on a a poster presentation, or perhaps on printed media and wondered what they are. Well, they are QR codes. Great... what's QR code? Read on... QR codes are essentially the hybridization of barcodes and hyperlinks (website address). QR stands for Quick Response. QR is actually a trademarked version [...]
The Case A very "acrobatic" 13 year old male was jumping on a trampoline at his buddy's house. In an attempt to do a flip he landed on his back, then bounced off of the trampoline landing awkwardly on his left arm. His friend screamed an expletive because the patient's upper arm was swollen. After getting their stories straight, and alerting a [...]
A 5 year old boy presents to the ED with his parents at 1:15AM. The parents report that they went to their son's room when they heard him screaming. It started all of a sudden, and aside form his attending his cousin's birthday party the day before there was nothing remarkable about his recent history (except for the party - [...]
I very am interested in the use of technology in education. In fact, its my niche, my raison d'être. I want to share cool tools, applications and resources with you so that they can be incorporated into your teaching and clinical practice. So, on Tuesdays I'll be using the PEMBlog as a way to spread the gospel of tech. This all began [...]
