PEM Currents: The Pediatric Emergency Medicine PodcastBrad Sobolewski, MD, MEd is a Professor of Pediatric Emergency Medicine and an Associate Director for the Pediatric Residency Training Program at Cincinnati Children's Hospital Medical Center. He is on Twitter @PEMTweets and authors the Pediatric Emergency Medicine site PEMBlog and produces and hosts the PEM Currents: The Pediatric Emergency Medicine Podcast.
Pop goes the apophysis! In teenage athletes the apophyseal cartilage is the weak point along the pelvic rim. Learn about these common injuries in this edition of PEM Currents, the Pediatric Emergency Medicine podcast.
Find more great educational content at PEMBlog
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Pediatric Emergency Medicine Morsels: Pelvic Avulsion Fractures
Podcast: Play in new window | Download (Duration: 5:40 — 8.0MB)
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Acute Flaccid Myelitis is a rare but serious disease characterized by rapid onset of muscle weakness. Diagnosis also requires an MRI with lesions in multiple spinal levels or CSF pleocytosis. cases have been reported over the past several years and though a specific cause is unknown strains of enterovirus are suspected culprits.
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AAP – Acute Flaccid Myelitis in Children
Podcast: Play in new window | Download (Duration: 6:32 — 9.1MB)
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With summer pool season in full swing allow me to freestyle a little on a common topic that many Emergency Departments and Urgent Cares seem to be swimming in every summer. This episode of PEM Currents dives right into Otitis Externa – AKA Swimmer’s Ear and reviews diagnosis and treatment. If you were treading water and looking for this topic the wade is over.
Beers SL, Abramo TJ. Otitis externa review. Pediatr Emerg Care. 2004;20(4):250.
Roland PS, Younis R, Wall GM. A comparison of ciprofloxacin/dexamethasone with neomycin/polymyxin/hydrocortisone for otitis externa pain. Adv Ther. 2007;24(3):671.
Podcast: Play in new window | Download (Duration: 13:23 — 12.5MB)
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Kawasaki Disease, AKA Mucocutaneous Lymph Node Syndrome, is one of the most common vasculitides of childhood. The hallmark is fever ≥5 days plus 4/5 of the following; mucous membrane changes, conjunctivitis, polymorphous rash, extremity changes and lymph node enlargement. It can also lead to coronary artery aneurysms, which is why its so important to make an accurate diagnosis.
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Check out PEMBlog.com for more great educational content.
References
Dominguez SR, Anderson MS, El-Adawy M, Glodé MP. Preventing coronary artery abnormalities: a need for earlier diagnosis and treatment of Kawasaki disease. Pediatr Infect Dis J. 2012 Dec;31(12):1217-20.
Kawasaki T. Acute febrile mucocutaneous syndrome with lymphoid involvement with specific desquamation of the fingers and toes in children. Arerugi. 1967;16(3):178.
McCrindle BW, Rowley AH, Newburger JW, Burns JC, Bolger AF, Gewitz M, Baker AL, Jackson MA, Takahashi M, Shah PB, Kobayashi T, Wu MH, Saji TT, Pahl E, American Heart Association Rheumatic Fever, Endocarditis, and Kawasaki Disease Committee of the Council on Cardiovascular Disease in the Young; Council on Cardiovascular and Stroke Nursing; Council on Cardiovascular Surgery and Anesthesia; and Council on Epidemiology and Prevention. Diagnosis, Treatment, and Long-Term Management of Kawasaki Disease: A Scientific Statement for Health Professionals From the American Heart Association.. Circulation. 2017;135(17):e927. Epub 2017 Mar 29.
Son MB, Gauvreau K, Ma L, Baker AL, Sundel RP, Fulton DR, Newburger JW. Treatment of Kawasaki disease: analysis of 27 US pediatric hospitals from 2001 to 2006. Pediatrics. 2009;124(1):1.
Podcast: Play in new window | Download (Duration: 15:36 — 14.5MB)
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OK, so this is the least exciting topic in Pediatric Emergency Medicine… With that being said, you will all see it. And we need to be good at looking at ears, diagnosing acute otitis media, and appropriately choosing when and which antibiotic to prescribe.
Karma PH, et al., Pneumatic otoscopy and otitis media: The value of different tympanic membrane findings and their combinations. In: Recent advances in otitis media: proceedings of the Fifth International Symposium, Lim DJ, Bluestone CD, Klein JO, et al (Eds), Decker, Burlington, Ontario 1993. p.41.
Lieberthal et al., The Diagnosis and Management of Acute Otitis Media. Pediatrics, March 2013, Volume 131 / Issue 3.
Rothman et al., Does this child have acute otitis media? JAMA. 2003;290(12):1633.
Shaikh et al., Development of an algorithm for the diagnosis of otitis media. Acad Pediatr. 2012;12(3):214. Epub 2012 Mar 28.
Thompson M, et al., Duration of symptoms of respiratory tract infections in children: systematic review. TARGET Programme BMJ. 2013;347:f7027. Epub 2013 Dec 11.
Venekamp RP, et al., Antibiotics for acute otitis media in children. Cochrane Database Syst Rev. 201.
Podcast: Play in new window | Download (Duration: 20:18 — 18.9MB)
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To tell you the tooth you’ll probably see quite a few kids with dental related complaints in the Pediatric Emergency Department. This can range from cavities to invasive infections. Brush up on all things dental infections in this episode of PEM Currents. And yes, those puns were intentional. I must’ve flossed my mind!
PEMBlog Briefs: Odontogenic Infections
Podcast: Play in new window | Download (Duration: 7:06 — 6.6MB)
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You don’t need a flu test to diagnose the flu! But there are situations where rapid antigen testing or PCR is valuable. Listen to this episode of PEM Currents, the Pediatric Emergency Medicine podcast, to learn more about the test characteristics of common assays and when to obtain testing when prevalence rates for the flu are high.
Check out the companion post (basically show notes) on PEMBlog.
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References
CDC: Rapid Diagnostic Testing for Influenza
Podcast: Play in new window | Download (Duration: 10:35 — 9.9MB)
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Hyperkalemia is more than just peaked T-waves on an EKG. Learn why an elevated serum potassium level can put patients in the danger zone and how to acutely manage patients in a goal directed manner.
Check out more great educational content on PEMBlog.com
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Podcast: Play in new window | Download (Duration: 13:11 — 12.3MB)
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I’m sure that you’ll probably see a case of bronchiolitis this winter. Call it a hunch. In this episode of PEM Currents you’ll learn why suctioning and ensuring hydration are still the mainstays of therapy, and why albuterol, racemic epinephrine, steroids and more don’t have a place in routine cases. And if you read any publication to supplement this podcast make it the most recent American Academy of Pediatrics Guideline on Bronchiolitis.
Check out more Pediatric Emergency Medicine educational content at PEMBlog.com
Follow me on Twitter @PEMTweets
Podcast: Play in new window | Download (Duration: 21:20 — 19.8MB)
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This episode of PEM Currents, featuring Preston Dean – @prestonndean on Twitter, a senior Pediatric Resident at Cincinnati Children’s, is about all things Rapid Sequence Intubation. You’ll learn about equipment, techniques, drugs and more!
Podcast: Play in new window | Download (Duration: 16:42 — 15.5MB)
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