Category: Podcast

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Orthopedics Podcast

Tibia and Fibula Fractures

The fifth episode of the Fracture Season of PEM Currents, the Pediatric Emergency Medicine podcast focuses on fractures of the tibia and fibula, including the ankle. This episode also features a review of the neurovascular assessment of the lower extremity.

I am now proud to offer CME through Cincinnati Children’s. To claim CME & ABP MOC Part 2, visit Cincinnati Children’s Online Courses and search ‘PEM Currents’.

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Check out PEMBlog for more great educational content, including seven years worth of Fracture Fridays posts

References

Bauer JM et al. Toddler’s Fractures: Time to Weight-bear With Regard to Immobilization Type and Radiographic Monitoring. J Pediatr Orthop. 2017. 

Boutis K et al. Sensitivity of a clinical examination to predict need for radiography in children with ankle injuries: a prospective study. Lancet. 2001;358(9299):2118.

Sapru K et al. Management of the Toddler’s fracture with and without initial radiological evidence. Eur J Emerg Med. 2014;21(6):451.

Schuh AM wt al. Management of Toddler’s Fractures in the Pediatric Emergency Department. Pediatr Emerg Care. 2016;32(7):452. 

Podcast: Play in new window | Download (28.6MB)

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Infectious Diseases Podcast

Testing for Influenza

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

CDC: Guidance for Clinicians on the Use of RT-PCR and Other Molecular Assays for Diagnosis of Influenza Virus Infection

Silvennoinen H, Peltola V, Lehtinen P, VainionpääR, Heikkinen T. Clinical presentation of influenza in unselected children treated as outpatients. Pediatr Infect Dis J. 2009;28(5):372. 

Merckx J, Wali R, Schiller I, Caya C, Gore GC, Chartrand C, Dendukuri N, Papenburg J. Diagnostic Accuracy of Novel and Traditional Rapid Tests for Influenza Infection Compared With Reverse Transcriptase Polymerase Chain Reaction: A Systematic Review and Meta-analysis. Ann Intern Med. 2017 Sep 19;167(6):394-409. doi: 10.7326/M17-0848. Epub 2017 Sep 5.

Mansour et al. Comparative Cost Analysis Between PCR Testing and DFA Testing for Diagnosing Respiratory Virus Infections. American Journal of Clinical Pathology, Volume 144, Issue suppl_2, 1 October 2015, Pages A209.

Podcast: Play in new window | Download (Duration: 10:35 — 9.9MB)

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Podcast Resuscitation

Rapid Sequence Intubation

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!

PEMBlog.com

Podcast: Play in new window | Download (Duration: 16:42 — 15.5MB)

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Podcast Respiratory

Vocal Cord Dysfunction

Vocal cord dysfunction, AKA paradoxical vocal fold motion is more common than you might think. Patients often present to the Emergency Department in respiratory distress and “wheezing.” Learn about the diagnosis itself, different phenotypes and what treatment options are out there.

References

Christopher KL, Wood RP 2nd, Eckert RC, Blager FB, Raney RA, Souhrada JF. Vocal-cord dysfunction presenting as asthma. N Engl J Med.1983;308 :1566– 1570

Doshi D, Weinberger M. Long-term outcome of vocal cord dysfunction. Ann Allergy Asthma Immunol.2006;96 :794– 799

Weinberger M, Abu-Hasan M. Pseudo-asthma: when cough, wheezing, and dyspnea are not asthma. Pediatrics. 2007 Oct;120(4):855-64.

 

Podcast: Play in new window | Download (Duration: 15:00 — 14.0MB)

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Podcast Resuscitation Trauma

Management of Elevated ICP

Get ahead of your peers and listen to this episode of PEM Currents, the Pediatric Emergency Medicine podcast where you’ll learn all about the management of acutely elevated intracranial pressure. You’ll learn about common maneuvers such as optimizing the ABCs, Keeping the head elevated and midline as well as thermoregulation. I also discuss osmotic therapies and make the case for one agent versus another.

As always you can check out more great educational content at PEMBlog.com

Podcast: Play in new window | Download (Duration: 17:21 — 16.2MB)

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Podcast

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.

Check out more great educational content at PEMBlog.com

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Podcast: Play in new window | Download (Duration: 8:52 — 12.3MB)

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Podcast Respiratory Resuscitation

Interview with Ben Kerrey about Pediatric Rapid Sequence Intubation

Ben Kerrey is a rising star in Pediatric Emergency Medicine and is the point man for an ongoing initiative at Cincinnati Children’s centered around improving safety and limiting complications during rapid sequence intubation. I recently sat down with Ben to talk about the state of RSI in pediatric patients, the difference between a checklist and a a true cognitive aid, the role of residents during RSI and more.

You can check out several related articles right here – all provided by Dr. Kerrey.

A Modern and Practical Review of Rapid Sequence Intubation in Pediatric Emergencies

Rapid Sequence Intubation for Pediatric Emergency Patients: Higher Frequency of Failed Attempts and Adverse Effects Found by Video Review

Response to the above article from Steve Green

The Spectrum and Frequency of Critical Procedures Performed in a Pediatric Emergency Department: Implications of a Provider-Level View

Reducing the incidence of oxyhaemoglobin desaturation during rapid sequence intubation in a paediatric emergency department

Preoxygenation and Prevention of Desaturation During Emergency Airway Management

Podcast: Play in new window | Download (Duration: 25:08 — 23.4MB)

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gastroenterology Podcast Respiratory

Swallowed Foreign Bodies

Kids eat stuff they’re not supposed to. Most of the time foreign bodies pass harmlessly through the GI tract. Occasionally they will get stuck. It is your job to figure out who has an impacted foreign body, and how to diagnose and manage it.

Check out more Pediatric Emergency Medicine content at PEMBlog.com

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Podcast: Play in new window | Download (Duration: 14:20 — 19.9MB)

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Infectious Diseases Podcast

Strep Pharyngitis

This may be a bit hard to swallow, but not every disease process in the Emergency Department is exciting. Streptococcal pharyngitis is an incredibly common condition, especially in the Pediatric Emergency Department and I wanted to take this opportunity to answer some common questions. Who knows, perhaps after listening to this edition of PEM Currents you too will start treating strep throat with once a day dosing of Amoxicillin.

Podcast: Play in new window | Download (Duration: 13:01 — 12.1MB)

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Podcast

ITP

This edition of PEM Currents, the Pediatric Emergency Medicine Podcast™ reviews the diagnosis and management of Immune Thrombocytopenia, formerly known as Idiopathic Thrombocytopenia Purpura. You will definitely see this common acute hematologic conditions in the ED, and should be able to differentiate it from acute leukemia, meningococcemia and other concerning conditions.

Podcast: Play in new window | Download (Duration: 9:08 — 12.7MB)

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