This episode of PEM Currents: The Pediatric Emergency Medicine Podcast is a brief review of the management of urinary retention in children. The most common causes are UTI and constipation – but you must be aware of neurological problems and assure that you history is thorough and your physical exam complete. You can listen right here via the streaming audio file – or subscribe on your device via your favorite podcast service.

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Managing Pain in Sickle Cell Vaso-Occlusive Crises – PEM Currents: The Pediatric Emergency Medicine Podcast

Vaso-occlusive pain episodes are the most common reason children and adolescents with sickle cell disease present to the Emergency Department. Prompt, protocol-driven management is essential starting with early administration of IV opioids, reassessment at 15–30 minute intervals, and judicious hydration. Understanding the patient’s typical pain pattern, opioid history, and psychosocial context can guide more effective […]
  1. Managing Pain in Sickle Cell Vaso-Occlusive Crises
  2. Penetrating Neck Injuries
  3. Advanced Imaging of Children in the ED: Ultrasound, CT, and MRI
  4. Parvovirus B19 (Fifth Disease)
  5. The Unvaccinated Child with Fever

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References

Burla MJ, Benjamin J. Pediatric Urinary Retention in the Emergency Department: A Concerning Symptom with Etiology Outside the Bladder. J Emerg Med. 2016 Feb;50(2):e53-6. PMID: 26482829.

Peter JR, Steinhardt GF. Acute urinary retention in children. Pediatr Emerg Care. 1993 Aug;9(4):205-7. PMID: 8367356.

Gatti JM, Perez-Brayfield M, Kirsch AJ, Smith EA, Massad HC, Broecker BH. Acute urinary retention in children. J Urol. 2001 Mar;165(3):918-21. PMID: 11176514.