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 »
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 »
You see a 51-day-old infant in the ED brought in for “fussiness” and ear tugging. She’s afebrile but has a red, bulging tympanic membrane. Do we still need to work her up? Or can you just treat the ear infection and move on? Acute otitis media (AOM) is a common diagnosis in infants, but it
Clinical Scenario: AOM and IBI in Young Infants Read More »
A 64-day-old male is brought to the ED for fever to 100.9°F at home. He’s well-appearing, feeding normally, and has mild nasal congestion and cough. No vomiting, rash, or decreased urine output. Vitals are stable. A respiratory viral panel returns positive for RSV. Your intern asks, “Since he’s over 60 days and RSV-positive, do we
Clinical Scenario: SBI in Febrile Infants with Viral Illness Read More »
I think it would be worthwhile for the fellows to read articles from the 1990s. There are a host of articles that will give fellows a sense of PEM history and how things have changed through the creation of solid evidence. It’s these types of articles that fellows can read and hopefully will say –
The 3…Articles Every PEM Fellow Should Read Read More »
Spoon Feed The Pneumonia Risk Score (PRS) outperformed the CARPE DIEM model in predicting pediatric radiographic pneumonia, but neither model outperformed clinical judgment. Can we predict pediatric pneumonia without a chest x-ray?This prospective validation study evaluated the performance of two clinical prediction models – Pneumonia Risk Score (PRS) and CARPE DIEM – in identifying radiographic pneumonia
JournalFeed: Pneumonia Prediction Models – Helpful or Hype? Read More »
