September 2026

The 3: What You Need to Know Before Reaching for TXA in Post-Tonsillectomy Hemorrhage

Clinical Scenarios, Procedures, The 3, Trauma

Post-tonsillectomy hemorrhage (PTH) is a high-stakes pediatric emergency. Bleeding can be brisk, difficult to quantify, and rapidly compromise the airway. Nebulized tranexamic acid (TXA) is a promising, increasingly used ED adjunct – but it is not definitive management. 1. Don’t be reassured by a child who looks well Children may swallow substantial amounts of blood […]

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The PEM Podcast: Vaccines, Trust, and the Unvaccinated Child with Dr. Paul Offit

From the Editor, Infectious Disease, The PEM Podcast

A new episode of The PEM Podcast is here! Host Dr. Bob Belfer is joined by pediatric infectious disease physician and vaccine expert Dr. Paul Offit to discuss vaccine trust in 2026 – and what falling vaccination rates could mean for children in the pediatric ED. They also discuss: Listen below, and subscribe to The

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Rapid Rounds with HBD: Chest Pain

Cardiology, Clinical Scenarios, HBD Rapid Rounds, Infectious Disease, Respiratory, Trauma

This post is adapted from teaching sessions and educational materials developed by Dr. Hannah Barber Doucet for pediatric and emergency medicine learners. The content has been edited for clarity and expanded into a written format for HipPEMcrates, with the goal of translating bedside teaching into a practical, on-shift reference for pediatric emergency clinicians. Make sure

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