Dr. Joshua Belfer

July In Review

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 July had to offer in pediatric emergency medicine. Whether you missed a post or want to

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Clinical Scenario: The Floppy Infant with Constipation

The Case A 3-month-old breastfed male is brought to the ED with: On exam: You pause. The baby’s floppy. He’s not febrile. He’s not actively seizing. But something is clearly wrong. Diagnosis: Infant Botulism This is classic: a floppy, constipated infant with descending paralysis. Pathophysiology: Key Clinical Clues PEM Pearl: A floppy, afebrile infant with

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The 3: MCI Training Without a Drill – Practice During Your Next ED Shift

You don’t need moulage or mannequins to get your team ready for the next mass casualty incident (MCI). According to Dr. Matt Harris (PEM physician at Cohen Children’s Medical Center and EMS medical director), some of the most effective MCI prep happens quietly, during the average shift—without a single overhead page. Here are 3 ways

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June In Review

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

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Clinical Scenario: The Baby Who Turned Blue

🧠 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

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Resources We Love: PEM Guides

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

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