As the month comes to a close, we’re taking a quick look back at everything we covered on HipPEMcrates. From hot-topic headlines to practical pearls you can use on your next shift, these posts highlight the best of what June had to offer in pediatric emergency medicine. Whether you missed a post or want to […]
A 5-year-old boy arrives in the emergency department after sustaining a left forearm fracture. His review of systems is notable for upper respiratory symptoms, including a cough. His past medical history includes asthma, and he currently takes Albuterol and Flovent at home. He has no known drug allergies, has never undergone sedation before, and has
Ketamine: Your Go-To for Pediatric ED Sedation Read More »
🧠 The Case A 5-month-old infant presents to the ED with: Initial Workup: “The blood drawn looked… brownish.” 🩸 The Turn: Chocolate Blood + Unexpected Hypoxia Blood gas reveals a methemoglobin level of 31.6%(normal is <1.5%) You immediately recognize this as methemoglobinemia—a condition where hemoglobin is oxidized (Fe²⁺ ➝ Fe³⁺) and can no longer carry
Clinical Scenario: The Baby Who Turned Blue Read More »
Welcome to Resources We Love—a recurring series where we spotlight the tools, guides, blogs, and clinical gems that make life in the pediatric emergency department just a little easier (and a lot smarter). We’re all about sharing the evidence-based, high-yield, and actually useful resources that PEM clinicians swear by—whether it’s a go-to pocket guide, a
Resources We Love: PEM Guides Read More »
What happens when your pediatric emergency department gets the call: a school bus rollover, 30 children involved, injuries unknown? That’s the question we posed to Dr. Matt Harris, PEM physician at Cohen Children’s Medical Center, EMS medical director, and seasoned emergency planner. In this episode of Doctors Are People Too, Dr. Harris walks us through
DAPT Podcast: How to Prepare for Pediatric MCIs Read More »
1. Ask “How Blue?” and “How Old?” Before you assume it’s just another virus, start with this: 🧠 Pearl: At the 1st week of life, the closing of the ductus arteriosus unearths critical CHD. At 2-3 months, pulmonary vascular resistance and hemoglobin drop, increasing shunts and worsening heart failure. 2. Feel the Femoral Pulses. Always.
The 3: CHD in the ED – How Blue? How Old? Read More »
Special thanks to Dr. Andrew Hashikawa, MD, MS for working with Dr. Bauman on this post. Pediatric facial lacerations are frequently encountered in acute care settings and present a unique set of challenges compared to adult cases. These often include: Below are a few tips to mitigate these challenges. 1. Challenge: Traditional laceration repair methods
Facial Laceration Repairs: Tips and Tricks Read More »
This RSV season was different. Not because RSV disappeared—it didn’t. Not because the ED was quiet—it wasn’t. But for the first time, we had tools to protect babies before they got sick. And based on newly published CDC data, those tools worked. 📉 What Changed This Year? The CDC compared hospitalization data for kids <5
So… Did the RSV Vaccine Actually Help This Year? Read More »
Constipation is a common issue that we encounter in the pediatric emergency department. It’s important to distinguish between different types of constipation and understand the best approaches to treatment. Here’s an evidence-based review of pediatric constipation, focusing on what matters most in the ED and when to image. 🚩 Red Flags 📸 Imaging in the
Constipation: When to Worry Read More »
Pediatric emergency departments often see children with a wide range of conditions, from mild illnesses to life-threatening diseases. It’s helpful when serious conditions like volvulus present with clear and obvious symptoms, such as bilious emesis in a newborn. However, the challenge—and anxiety—arises when an urgent or emergent condition mimics a more benign presentation. Two such
2 High-Stakes Misses in the Pediatric ED Read More »
