Be sure to check out Part 1: Music To My Earsā¦Or Is it? When it comes to croup, the clinical nuance lies in recognizing severity: stridor at rest, retractions, agitation, hypoxia, and fatigue. All children with croup should receive a steroid, namely oral dexamethasone. Treat seven to thirteen children with a single dose of dexamethasone, […]
Anyone whoās spent more than a handful of shifts in the Pediatric Emergency Department can easily recognize that unmistakable, seal-like barking cough from across the unit. Cue the music!Ā Croup is bread-and-butter pediatric emergency medicine: high-yield, high-frequency, and often straightforward. And yet, these kids demand our respect every single timeā¦cause when theyāre sick, theyāre really
The Art and Algorithm of Croup, Part 1: Music To My Ears…Or Is it? Read More Ā»
Pediatric respiratory complaints are some of the most common presentations we see in the emergency department. After recognizing respiratory distress, which is sometimes challenging in a young child who might be scared or upset, the next challenge is in deciding what disease process weāre dealing with and how aggressively we need to treat it. During
Top 10: Pearls for Pediatric Respiratory Emergencies Read More Ā»
We are back with Part 2 – Check out Part 1 here! Itās that time of year again – backpacks are packed, buses are rolling, and learners everywhere are heading back to school. Here at HipPEMcrates, weāre going back to school too – with a PEM twist. Weāve put together an ABCs of the Pediatric
Back to School: ABCās of the Pediatric ER, Part 2 Read More Ā»
Itās that time of year again – backpacks are packed, buses are rolling, and learners everywhere are heading back to school. Here at HipPEMcrates, weāre going back to school too – with a PEM twist. Weāve put together an ABCs of the Pediatric ER, but this isnāt your average alphabet list. Each letter highlights a
Back to School: ABCās of the Pediatric ER, Part 1 Read More Ā»
Ahh, the summer – BBQs, the beach, and the lull before respiratory season. Wait, what? My patient in room 3 has COVID? And the parents of the kid in room 8? Oh no, oh no! It can’t be! This isn’t supposed to happen. What is going on with the recent bump in COVID? Is it
The Summer COVID Spike No One Saw Coming Read More Ā»
An infant is rushed back to your resuscitation bay, sats are dropping, the triage nurse knew she needed to bring him right back before even getting a history. In those first crucial moments in the bay, your differential is broad and your heart rate might be ticking up higher than your patient’s. A bit of
A is for Airway, but alsoā¦ Read More Ā»
š§ The Case A 5-month-old infant presents to the ED with: Initial Workup: “The blood drawn lookedā¦ brownish.” š©ø The Turn: Chocolate Blood + Unexpected Hypoxia Blood gas reveals a methemoglobin level of 31.6%(normal is <1.5%) You immediately recognize this as methemoglobinemiaāa condition where hemoglobin is oxidized (FeĀ²āŗ ā FeĀ³āŗ) and can no longer carry
Clinical Scenario: The Baby Who Turned Blue Read More Ā»
This RSV season was different. Not because RSV disappearedāit didnāt. Not because the ED was quietāit wasnāt. 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. š What Changed This Year? The CDC compared hospitalization data for kids <5
Soā¦ Did the RSV Vaccine Actually Help This Year? Read More Ā»
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. Itās these types of articles that fellows can read and hopefully will say –
The 3…Articles Every PEM Fellow Should Read Read More Ā»
