Author: Dr. Jeanette Lorme, PGY-1 To Pedialyte or not to Pedialyte? Background: ○ In the Emergency Department, we see pediatric patients with vomiting and diarrhea frequently. We need to be able to give parents guidance about how to best combat dehydration and hopefully prevent any future pokes for IV hydration or potential hospitalization down the road.…
Author: Dr. Dainis Berzins An overview of the journal article titled Wait-and-See Prescription for the Treatment of Acute Otitis Media, a Randomized Controlled Trial (JAMA, Sept. 13, 2006) While practicing medicine today we are constantly reminded of the importance of antibiotic stewardship while simultaneously feeling the pressure from our patients (and their parents) to unnecessarily…
Author: Dr. Willeed Rabah Background: Shortness of breath is a common presenting symptom to the Emergency department in Pediatric patients. Many times, asthma is the leading cause. Depending on severity of the asthma symptoms, steroids are often used in the management of these patients. This study compares two different orally given steroids, the first prednisolone…
Author: Dr. Jeny Tan-Creevy Background: Pediatric out-of-hospital cardiac arrest (OHCA) is a major public health problem and survival rates are very low suggesting that pediatric OHCA care needs improvement. Evidence for effectiveness of prehospital advanced airway management (AAM) in OHCA is limited and warrants further study. Goal of the Study: To evaluate the association between…
Author: Evelyn Schraft, MD This paper by Shaikh et al published in JAMA Pediatrics in April 2018 examines the utility of a prediction tool created to evaluate the probability of a urinary tract infection (UTI) in febrile children aged less than two. I found this paper useful because I still find urinalysis to be a…
Author: Dr. Trevor Landas I’m not sure about y’all but I honestly have not seen too many pediatric DKA patients. I’m assuming it probably has to do with thorough screening, but it’s important to know how it is managed because it has a couple nuances that are different than the treatment of adult patients. Definition…
Author: Dr. Shayna Adams Background: The paper validates a prediction rule that aims to identify kiddos with intra-abdominal injuries after blunt trauma. The prediction rule was derived from a previous study that looked at about a thousand children and found six factors to be related to intra-abdominal injury. In order to trigger the prediction rule, the kiddo…
In this blog, we’re going to dive into the topic of pediatric urologic emergencies. We’re going to focus on some of the more uncommon emergencies such as: phimosis, paraphimosis, priapism, entrapment injuries, testicular torsion, epididymitis, varicocele, and hydrocele. It’s important to note that UTI’s and Kidney stones are also common in peds, and often require additional work-up as often indicate abnormal anatomy or disease processes.
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Background
Most children begin walking between 12 and 18 months. Their initial gait starts broad-based, often with short asymmetric steps. At faster speeds, they often develop foot slapping and asymmetric arm swinging. By ages 3-5 years-old, children start to walk with more fluidity and symmetric strides. By ages 5-7 years-old, their gait begins to resemble the same pattern as an adult.…
Dr. Brian Yu did a great 5-minute summary on the PECARN head CT Rule that was published in 2009. It’s an ambitious study that involved 25 emergency departments and included 42,412 patients under the age of 18 years who presented with blunt head trauma. It further risk stratified these patients into 2 major cohorts of <2 years of age and 2-18 years of age. It excluded patients with trivial injury, penetrating trauma, neurologic history, and those with prior imaging. The outcomes this study aimed for were clinically important findings including death, need for neurosurgical intervention, intubation >24 hours, and admission >2 nights. …
