Peds Archives - Page 4 of 6 - The Emergency Medical Minute

Peds

Podcast #274: Pediatric Sedation

Author: Aaron Lessen, M.D. Educational Pearls A recent prospective observational study was performed to examine the safety of different sedation medications in the pediatric ED. This study included 6000 children, and looked at the rate of serious adverse events following administration of different sedatives. Overall, the safest drug to use was ketamine alone, with an…

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Podcast #262: Pertussis

Author: Julian Orenstein, M.D. Educational Pearls Colorado has a high population of unvaccinated children, and is at increased risk for pertussis outbreaks. The causative organism is Bordetella pertussis. It causes  causes respiratory epithelial necrosis leading to congestion of the bronchioles, leading to cough. The cough is unique – it is usually a series of expiratory…

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Podcast #240: Pott’s Puffy Tumor

Author: Suzanne Chilton, M.D. Educational Pearls Pott’s puffy tumor is a subperiosteal abscess of the frontal bone that arises from hematologic spread or direct infection via the frontal sinuses. The primary symptom is facial swelling. It is much more common in children and adolescents. Treatment involves removal of the frontal bone, reconstructive surgery, and 6-8…

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Podcast #228: BB Guns

Author: Jared Scott, M.D. Educational Pearls BB gun eye injuries are most common in August and September. They most often happen to males aged 16-17 year old. Around 10% of the BB eye injuries lead to eye loss. Accidental firearm injury is common in children and is a common cause of mortality. One-third of homes…

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Podcast #218: Estimating Pediatric Weight

Author: Aaron Lessen, M.D. Educational Pearls Asking parents and Broselow Tape are common options for estimating pediatric weight. Equipment sizes should not be adjusted for under/overweight kids based on Broselow Tape estimates. The finger counting method (see reference) is just as accurate as Broselow Tape method, according to one study. References: http://handtevy.com/images/Casestudies/Americanjournalofemergencymedicine.pdf  

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Podcast #211: E-cigarettes

Author: Michael Hunt, M.D. Educational Pearls: Children under age of 6 are at greatest risk of accidental nicotine overdose from ingestion. Biphasic presentation: Hyperadrenergic = nausea, vomiting, tachycardia, flushing. Bradycardia and respiratory depression. References: https://aapcc.org/track/ecigarettes-liquid-nicotine Mayer B. How much nicotine kills a human? Tracing back the generally accepted lethal dose to dubious self-experiments in the…

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Podcast #193: The Quick Wee

Author: JP Brewer M.D. Educational Pearls: The “Quick Wee” was a method to get urine out of infants who need to have a UA in the Emergency Department. A randomized-controlled experiment was done with 350 infants between the ages of 1 to 12 months. The “Quick Wee” method is taking a sterile saline gauze with…

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Podcast #183: Ventriculoperitoneal Pediatric Shunt Malfunctions

Run Time:  1:56 Author: Dr. Iverson Educational Pearls: Placement of a VP shunt is associated with premature delivery, hydrocephalus, or some other kind of injury as a means of draining excess CSF A malfunctioning VP shunt presents with vomiting, headache, altered mental status Workup includes the “shunt series”: xrays, head CT/rapid MRI In rapid MRI,…

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Podcast #133: Consent in Minors

Run Time: 4 minutes Author: Suzanne Chilton M.D. Educational Pearls: For psych-specific cases where a minor is being transferred for a higher level of care, a judge or department of social services can be engaged to obtain temporary custody of the minor. The same situation as if the minor had acute appendicitis, there is no…

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Podcast #123:  Pediatric Oral Rehydration Therapy

Run Time: 3 minutes Author: Christopher Holmes M.D. Educational Pearls: For children with mild gastroenteritis, one option for treatment is oral rehydration therapy. This is ubiquitously used for children in third world countries as a staple therapy. A group in Canada, looked at 647 patients. Half were given half strength apple juice and half were…

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