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…
Read MoreAuthor: 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…
Read MoreRun 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,…
Read MoreRun 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…
Read MoreRun 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…
Read MoreRun 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…
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