Run Time: 2 minutes Author: Dylan Luyten M.D. Educational Pearls: An upcoming study in the Journal of Pediatrics, to be published in July, looked at reducing unnecessary urinary catheterization rates in infants. In the study they investigated bagged urines on infants and every infant got a catheter. It was found that if you restricted true…
Read MoreRun Time: 2 minutes Author: Dr. Suzanne Chilton Educational Pearls: The American Academy of Pediatrics changed terminology for ALTE – Apparent Life Threatening Event in infants. The new term is BRUE – Brief Resolved Unexplained Event, which is much less scary. These children are also now divided into high and low risk categories. BRUE encompasses any…
Read MoreRun Time: 2 minutes Author: Dr. Chris Holmes Educational Pearls: A recent study investigated the difference between prednisone and one time dexamethasone dose given to children with asthma in the emergency room. There was no difference in PRAM score or hospitalization after initial dose in either steroid group. There was a slight difference in repeat dosing with…
Read MoreRun Time: 6 minutes Author: Dr. Jeffries Educational Pearls: In 2014, there were 3.5 million reported cases of possible child abuse and over 700,000 of these children had evidence of abuse, which was investigated. About 9.4 children of every 1000 are victims of abuse. The most common type of abuse is neglect. 7% of all…
Read MoreRun Time: 2 minutes Author: Dr. Erik Verzemnieks Educational Pearls: Caused by inhalation of spores – most common source is soil and honey. 50% of cases are in California followed by Pennsylvania – due to agricultural and industrial nature of the states. Symptoms start as poor feeding, weakness, and constipation – eventually leads to paralysis,…
Read MoreRun Time: 14 minutes Author: Dr. Donald Stader Educational Pearls: When a patient comes in with purpura the way to think is outside in, because there is a long list of things that can cause purpura. The most common cause of purpura is trauma. The next level is a blood vessel problem; Ehler’s-Danlos Syndrome, Vitamin…
Read MoreRun Time: 3 minutes Author: Dr. Suzanne Chilton Educational Pearls: SCIWORA is an acronym for Spinal Cord Injury Without Radiographic Abnormality. This name was appropriate prior to the invention of the MRI, as now MRIs can usually find some abnormality missed on an Xray or CT. This type of injury occurs most often in children because…
Read MoreRun Time: 2 minutes Educational Pearls: Intussusception is when the intestines telescope in on each other. This condition is idiopathic and occurs most in children of the age six months to two years. The child usually presents with intermittent abdominal pain, vomiting, diarrhea, URI, abdominal distention, and lethargy. As the bowel dies, the child also…
Read MoreRun Time: 4 minutes Author: Dr. Mark Kozlowski Educational Pearls: Treat any pediatric patient first, call parents later! If a sixteen-year-old patient comes in to the ED for their child, the sixteen-year-old mother can consent to treatment of the child. Emancipated minors can consent for themselves. Minors can also consent for treatment for psychiatric related issues,…
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