Respiratory

HipPEMcrates FOAM Roundup | July 2026

A monthly guide to the best new Pediatric Emergency Medicine FOAM Welcome to the first HipPEMcrates FOAM Roundup! One of the greatest strengths of Pediatric Emergency Medicine is the community of educators who freely share their expertise through blogs, podcasts, cases, infographics, and other educational resources. The challenge is finding the time to keep up […]

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The Art and Algorithm of Croup, Part 2: Scoring the Severity [+ Editor’s Commentary + Croup Starter Kit]

Be sure to check out Part 1: Music To My Ears…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,

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The Art and Algorithm of Croup, Part 1: Music To My Ears…Or Is it?

Anyone who’s 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!  Croup is bread-and-butter pediatric emergency medicine: high-yield, high-frequency, and often straightforward. And yet, these kids demand our respect every single time…cause when they’re sick, they’re really

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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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