Category Archives: pediatrics

Transfusion Strategies for Acute Upper Gastrointestinal Bleeding

Summarized by Trevor Pour MD Transfusion Strategies for Acute Upper Gastrointestinal Bleeding, N Engl J Med. 2013 Jan 3;368(1):11-21 Background Upper GI bleed is a common emergency condition with wide ranging severity. There is some controversy regarding hemoglobin transfusion thresholds … Continue reading

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Pediatric Fever

By Jeremy Faust, MD ERcast with Dr. Rob Orman and guest PEM specialist Dr. Andrew Sloas Pediatric Fever Part 2. Link: Question: Does height of fever increase risk that you’re dealing with Serious Bacterial Infection? Answer: Old studies (poorly controlled, … Continue reading

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Sick Baby: Undifferentiated infant under 3 months

By Eduardo LaCalle, MD Please refer to EMPEM According to the podcasters, 10% of neonates with fever will have a serious bacterial infection (SBI), so full workups indicated in all these patients Important physiologic considerations include changes in circulatory system … Continue reading

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Intussusception

By Eduardo LaCalle, MD Please refer to EMPEM Epidemiology: Incidence (in UK) 1.6 – 4/1000 children Seen more commonly in boys, especially with increasing age Represents about 25% of emergent abdominal surgeries in children < 5 years   Pathophys: Generally … Continue reading

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The Utility of Adding Expiratory or Decubitus Chest Radiographs to the Radiographic Evaluation of Suspected Pediatric Airway Foreign Bodies

Please refer to Annals of Emergency Medicine. Vol. 61. No 1. PP 19-26. Jan 2013. Brown et al. By Brandy Ferguson, MD Study Objective: To compare standard chest radiographs (lateral or PA or AP) with and without additional views (expiratory … Continue reading

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Dangerous Pediatric Fevers

By Christie Lech, MD Refer to EMRAP Herpes Simplex Virus Infection Infection in neonates is usually HSV-2, but also can be HSV-1 and can present with fever, seizures, and possibly cutaneous manifestations (i.e. vesicles). The mortality is high, and there … Continue reading

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The Crashing Neonate

By Christie Lech, MD Refer to EMRAP Unbundle babies. Get a good blood pressure. Neonates will not present with meningismus with meningitis Get a line! Think IO. Or a scalp vein. Get the neonates weight. Hct are high when babies … Continue reading

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Pediatric UTI

By Kei Ko, MD Please refer to SMARTEM Part I Original date: Jan. 23, 2011 1993 – Practice guidelines published and it suggested <3 month age group, a full sepsis workup and <1 month admitted with iv abx, and 1-3 … Continue reading

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Dangerous Pediatric Fevers

By Benjamin Azan, MD Refer to November EMRAP Herpes in Children: Source of law suites! Here talking about herpes meningoencephalitis. Neonates: usually HSV2 (sometimes 1) after birth. Fever, -/+ seizes, +/- vesicles. Have a low threshold dx if have vesicles. Encephalitis, can … Continue reading

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Pediatric Pearl: Pediatric Toxicology

By Christie Lech, MD Please refer to EMRAP – Pediatrics Pearl: Pediatric Toxicology Ethanol ingestions: Dr. Levine describes a case study of a 7 year old with an EtOH level in 400s at this EtOH level, you will see: CNS … Continue reading

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