Categories
Infectious Diseases

Ondansetron for vomiting in acute gastroenteritis

This edition of PEMCurrents echoes a recent post on the PEMBlog and reviews the use of ondansetron in acute gastroenteritis. Specifically highlighting the reduction in risk of further episodes of emesis, need for intravenous fluids and immediate admission to the hospital.

Categories
Orthopedics

Clavicle Fractures

This edition of PEMCurrents takes a crack at clavicle fractures. The old dictum about broken collarbones states that if both ends of the bone are in the same room it’ll heal fine. For the most part this is true – at least in prepubescent patients. New literature in adults has suggested that outcomes are better for athletes when patients with displaced fractures are repaired in the OR. Ultimately, in the Pediatric Emergency Department our job is diagnose and manage simple fractures appropriately and recognize open fractures and those with neurovascular compromise. We should also be educated about the newest evidence in order to refer patients appropriately to Orthopedics.

Categories
Infectious Diseases Orthopedics Podcast

Antibiotic Therapy for Osteomyelitis

Recognizing osteomyelitis can be challenging. Treating it doesn’t have to be – especially in the Pediatric ED. This edition of PEM Currents reviews the current evidence surrounding the initial choice of antibiotic, monitoring treatment response and overall therapeutic duration. 

Categories
Podcast

Antiemetics for Migraines

This edition of PEM Currents focuses on the use of antiemetics to treat status migrainosus in the Pediatric ED. Prochlorperazine and Metoclopramide are safe and effective agents with a low incidence of self limited side effects that when given in combination with ketorolac result in over 90% of patient being headache free at 3 hours.

Learn more about these treatments and more at PEMBlog.com

Categories
Podcast

Retropharyngeal Abscesses

Ted Brenkert sticks his neck out to educate you on retropharyngeal abscesses. RPAs can be an especially worrisome diagnosis in young children who will present with fever, sore throat and limitation of neck movement.

Check out pemblog.com for more educational content

Categories
Podcast

High Flow

This episode of PEMCurrents is narrated by Brad Sobolewski and focuses on the use of high flow in bronchiolitis. Learn about the application of high flow nasal cannulas, the mechanism behind their generation of positive airway pressure, as well as some of the literature behind its beneficial effects.

Check out pemblog.com for more educational content

Categories
Dental

Dental Trauma

PEM Currents cuts to the tooth of the matter in an effort to help you brush up on dental trauma. Ted Brenkert has been chomping at the bit to fill the cavities in your brain with useful knowledge.

Categories
Orthopedics Podcast

Forearm fractures

Grab your BBFF (or BFF) and FOOSH your way on over to PEM Currents for a discussion surrounding forearm fractures, one of the most common Orthopedic injuries seen in the Pediatric ED.

Categories
Podcast

Ketamine

Summertime is in full swing – so you know what that means. Lacerations, broken bones, other stuff – and a lot of sedations to do. This edition of PEM Currents focuses on Ketamine and its use as the primary agent for procedural sedation in the Pediatric ED.

Categories
Podcast Urology

Summer Penile Syndrome

PEM Currents returns with a second episode focusing on a rather “private” matter. Summer penile syndrome is a hypersensitivity reaction  to an insect bite (usually a chigger) that causes pruritis and edema to the skin of the penile shaft. This episode reviews the diagnosis and management of this surprisingly common clinical entity.