Category: Respiratory

Categories
Infectious Diseases Respiratory

Bronchiolitis

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

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Podcast: Play in new window | Download (Duration: 21:20 — 19.8MB)

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Categories
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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Categories
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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Categories
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

Follow me on Twitter @PEMTweets

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

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Categories
Podcast Respiratory

Grudge match! Dexamethasone versus prednisone in acute asthma

Welcome to the first podcast in the PEMCurrents series. Ted Brenkert discusses the use of dexamethasone versus prednisone in acute asthma exacerbations in the ED. You can access the podcast on iTunes, or if you’d like download the file directly. We welcome any and all feedback in the comments section.

Here are links to pdf versions of all the articles discussed on this edition.

Altamimi,etal

Butler,etal

Greenberg,etal

Isa,etal

Qureshi,etal

Williams,etal

Podcast: Play in new window | Download (Duration: 12:51 — 6.1MB)

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