Contributor: Aaron Lessen, MD Educational Pearls: Pediatric patients frequently have vital signs considered abnormal for age at discharge Large multicenter study recently evaluated if pediatric patients discharged with abnormal vital signs have worse outcomes 97,824 pediatric discharges were included in the study 18.1% were discharged with vitals considered abnormal for age No significant difference in…
Read MoreContributor: Aaron Lessen, MD Educational Pearls: Torus (Buckle) fractures are a commonly encountered pediatric fracture pattern Typically presents as wrist pain secondary to a child falling on outstretched hand One edge of the bone “buckles” or bends because children’s bones are softer and more pliable Management Older studies have shown that short term immobilization with…
Read MoreContributor: Aaron Lessen, MD Educational Pearls: Recent study evaluated if early exposure to an allergen impacted the rate of allergy development later in childhood Children were exposed to peanut, milk, wheat, and egg allergens at 3 months of age and then followed for 3 years 2.5-3% of children who were not exposed developed allergies to…
Read MoreSelected audio from our event, Palliative, hosted on June 27, 2022 in conjunction with Children’s Hospital Colorado’s Department of Palliative Medicine and The Denver Hospice’s Footprints Program. Keynote address by Dr. Nadia Tremonti, pediatric palliative care physician at Children’s Hospital of Michigan Expert Panel composed of Dr. Kimberly Bennett, medical director for TDH’s Footprints Program,…
Read MoreContributor: Aaron Lessen, MD Educational Pearls: Intranasal medication administration is a convenient, quick, and relatively painless option for pediatric patients Often used as an initial medication to help control pain in children prior to establishing an IV Using an atomizer is preferred when administering intranasal medications The syringe should be angled towards the ipsilateral eye…
Read MoreContributor: Aaron Lessen, MD Educational Pearls: Recent study looking at a pediatric emergency department to determine what percentage of patients after intubation received sedation within 10 minutes after intubation About 25% of the patients in the study received sedation within 10 minutes after intubation Only 75% of the patients in the study received sedation in…
Read MoreContributor: Aaron Lessen, MD Educational Pearls: Preterm deliveries in the ED can be complex and preventing hypothermia is essential to the health of the baby Recent meta-analysis examined methods for warming preterm deliveries to prevent hypothermia The most effective way to warm the baby is by wrapping them in plastic References Abiramalatha T, Ramaswamy VV,…
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a hidden twist Chief Complaint Abdominal Pain HPI 5-year-old male presents to the emergency department for abdominal pain, which started this morning. Mother reports the pain woke the patient up from sleep. Reports the pain is crampy and patient has been crying since he woke up at 9:00. Mother reports she thinks this happened one…
Read MoreContributor: Jared Scott, MD Educational Pearls: Using LET, procedural sedation, and distraction techniques are often needed to successfully perform painful procedures in pediatrics patients The technique of clown therapy has been studied as an adjunct to LET and other distraction techniques for procedures in pediatric patients One randomized-controlled trial from 2016 found anxiety was greatly…
Read MoreContributor: Neil Cella, MD Educational Pearls: Pylorus becomes hypertrophied and does not allow food or liquid to pass through to the duodenum Occurs between the ages of 3 weeks to 3 months Classic presentation includes projectile nonbilious vomiting and palpable abdominal mass Ultrasound can visualize/diagnose pyloric stenosis and the treatment is surgical correction Be…
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