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Dental

Unexplained Bruising in the Young Child

This edition of PEM Currents, the Pediatric Emergency Medicine podcast briefly addresses which bruises are concerning in children under the age of 4, and what the ensuing workup should entail. You can also read more on a companion PEMBlog post.

Categories
Infectious Diseases

The Febrile Newborn

This episode of PEM Currents tackles a bread and butter issue in Pediatric Emergency Medicine, the newborn with fever. I discuss management, specifically how it differs for babies under 28 days of age as well as when to get labs and how to interpret them. I also reference procalcitonin, and touch on its emerging role. Read more at PEMBlog.com.

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Uncategorized

Upper Gastrointestinal Tract Bleeds

This episode focuses on upper GI bleeds. Serious UGI bleeds – you know, the ones with shock, massive transfusions and more – are fortunately rare in the Pediatric Emergency Department. However, there is a growing population of patients with chronic diseases that can lead to portal hypertension, varies and other causes of bleeding from the upper GI tract.

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Infectious Diseases Podcast

An interview with Todd Florin on bronchiolitis, hypertonic saline and more

I’m delighted to share the latest PEM Currents podcast! I recently sat down with Todd Florin, one of the faculty physicians at Cincinnati Children’s Hospital Medical Center and talked about bronchiolitis, delving into the controversies around the use of hypertonic saline, albuterol and more. Todd also recommended that all of my listeners check out the current AAP Bronchiolitis Guideline, which I’ve linked here. AAP Bronchiolitis Guideline

 

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Uncategorized

Parotitis

With the recent influenza epidemic you may have also seen a rise in the number of cases of parotitis. This should not be a surprise, as acute parotitis is usually viral, self-limited and treated with supportive measures – just like the flu! Learn more by listening to this edition of PEM Currents, which is all about acute parotitis.

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Uncategorized

Topical Anesthetics

PEM Currents returns with a look at topical anesthetics used in the Emergency Department. Specifically this edition of the podcast will focus on LET, EMLA and LMX and discuss typical use.

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Uncategorized

Convulsive syncope

Don’t swoon with excitement because the latest episode of PEM Currents, the Pediatric Emergency Medicine podcast is here! The focus is on convulsive syncope – essentially patients who faint and have movements that could be construed as seizures. You’ll learn how common convulsions with syncope are and what to do if you encounter them in the Emergency Department.

Categories
Infectious Diseases

Acetaminophen versus Ibuprofen

This edition of PEM Currents, the Pediatric Emergency Medicine podcast, reviews the safety and comparative efficacy of acetaminophen and ibuprofen. If you work in a Pediatric Emergency Department you’ll certainly have broken a sweat over this hot debate time and time again.

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.