Pediatrics 101

Really sick kids and babies are some of the scariest and most difficult cases we get in Emergency Medicine. This week we’re going to start with the general approach to the less-sick pediatric patient. We will use this as the groundwork for future episodes.

Travel Emergencies

One of the topics that we typically DONT study much in Emergency Medicine is tropical medicine, and specifically fever in returning travelers. The reason this is important, is because MALARIA is a huge life threat in this patient population that can be easily missed. It is very important to ask about recent travel and then go through a simple approach when they say “yes”.

Diarrhea

Diarrhea is almost always a benign complaint, especially in well appearing patients, with stable vitals, and a lack of red flags. This week we will cover those red flags as well as some basic treatments when a  patient is complaining of bad diarrhea.

CT Scans

I’ve been getting lots of emails regarding which CT scan is the right scan to order in different situations. Contrast? No contrast? ORAL contrast? There are so many options! I recommend you know the core, high yield CT scans, and over time you’ll pick up the rest.

Appendicitis (Critical Diagnosis)

Everybody knows what appendicitis is (fever, migrating right lower quadrant pain, elevated WBC, pain with bumps in the road). Unfortunately, the issue is that appendicitis only sometimes presents in this classic fashion. Using history, exam, and imaging, it is always important to keep a high index of suspicion for appendicitis so that you don’t miss the diagnosis.

Eye Complaints

Before you can learn the different eye diagnoses and how to treat them, you need to have a basic understanding of the ophthalmologic exam. Only after having this foundation can you finalize your approach to the red eye, acute vision loss, or eye trauma (which will be covered in future episodes).

https://www.youtube.com/watch?v=w9wMJ6job_0&t=62s

Bradycardia

The approach to bradycardia is very simple and straightforward. The most important thing is to remember you differential diagnosis. After that, it’s a simple algorithm that you’ll never forget.

Anaphylaxis (Critical Diagnosis)

Anaphylaxis is total body chaos resulting from massive, inappropriate degranulation of mast cells when exposed to an antigen. When this happens, you have to remember airway and epi. It will save a life.

Fluids (Guest)

IV fluids are something we deal with everyday in the emergency department. This podcast will teach you what you need to know about giving fluids.

Show Notes Update and Apps

There are 6 core apps that I’m currently using while running around the emergency department during my shifts, and we’ll cover the list in this episode. Also, we will soon be launching The EM Clerkship Pocket Guide which will replace the current, outdated, episode summaries. No specific date yet, but I already have the user interface designed and the content is now being written.  Stay tuned.

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