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A fabulous virtual education session on delivering and receiving feedback from the AAP Section on Emergency Medicine – PEMBlog
I am excited to share the recording of the AAP Section on Emergency Medicine Fall Virtual Education Session, originally held on Tuesday, November 19, 2024 focused on delivering timely and actionable feedback, along with strategies to develop and implement sustainable feedback programs. PEM educators shared their experiences and provided practical strategies
Medical Music Mondays: Shiny Happy Virus – PEMBlog
You don't need to send comprehensive viral tests in the majority of children with cough and congestion. Just make a clinical diagnosis dang it! Lyrics Adeno, rhino, entero too swabbing a nose just for something to do RSV, HSV, EBV, no! Save all that money and let the kid go Influenza, COVID, why not some more? Big viral panels? Show them the
Medical Music Mondays: Palpable Olive Season – PEMBlog
Hypertrophic pyloric stenosis is such a down home diagnosis. You bring your baby home and then their weight goes down. Also the ultrasound measurements are a muscle wall greater than 3mm thick and a channel length greater than 14mm. 3 and 14 - 3.14, pi. Get it? Did you read this far? Lyrics Across the room The
Medical Music Mondays: Bleeding Tonsil Funk – PEMBlog
Did you know that post tonsillectomy bleeding occurs approximately 3 to 5% of the time, most often at days 5 to 7 after the surgery? Of course you did. Unstable children with active bleeding may need a trip to the OR. Otherwise ENT can help determine management. Lyrics Nasty strep or OSA Take those tonsils out today Remove adenoids
Probiotics don’t improve outcomes in children with acute gastroenteritis – PEMBlog
Introduction Acute gastroenteritis affects millions of children in the U.S. every year, leading to emergency department visits and hospitalizations. Probiotics, particularly Lactobacillus rhamnosus GG (LGG), have been commonly used as a treatment, but evidence supporting their effectiveness has been limited. A new study conducted by the Pediatric Emergency Care Applied
Medical Music Mondays: Terror of the Night – PEMBlog
Night terrors are super scary. And the kid doesn't even remember them! They're more like sleep walking than nightmares and parents are often worried that it's a seizure or something more serious. Lyrics Woke up late at night flailing and crying Couldn't wake him up though the parents were trying Oh why the unstoppable fussing and screamin' Could it be
Medical Music Mondays: The Pinworm Shuffle – PEMBlog
Pinworms! Ahhhhh! They itch at night and they're scary. Fortunately they are easy to treat and eradicate. They're still gross. Lyrics Pinworms makin me itch Pinworms son of a... WOAH! Nocturnal anal pruritus Emergence of the white worm Even steadfast parents Are beginning to squirm But fret not and don't cry There's a treatment for you Pyrantel pamoate and repeat in two weeks That's what we'll do!
Caring for Patients with Duchenne Muscular Dystrophy in the Emergency Department: A Problem-Based Approach – PEMBlog
Duchenne Muscular Dystrophy (DMD) is a complex and progressive disease requiring highly specialized care, especially in emergency situations. The condition affects multiple organ systems—muscular, cardiac, and respiratory—leading to a myriad of clinical complications. When patients with DMD present in the Emergency Department (ED), an understanding of the nuanced aspects of their care is
Medical Music Mondays: Lipase High! – PEMBlog
Did you know that pancreatitis is mostly caused by viruses in kids? They don't drink alcohol or get gallstones like grown ups. Also, scorpion bites apparently cause it. But that's silly and only something you see in board review books. Anyway, this would be a better Broadway musical than most retreads of 1980s & 90s
Medical Music Mondays: Factor First! – PEMBlog
Children with Hemophilia who present to the ED need to get a dose of Factor First! Don't delay and give their home factor if they have it. Lyrics Factor First! Factor First! Bleeding hemophiliac What's the plan of attack? Factor first! Factor first! Factor VIII or Factor IX Use home factor everytime Factor first! Factor first! IV access nice and quick Hopefully one needle stick Factor first! Factor first! Hematology call
Scope This! A Podcast on Gastroesophageal Reflux and Gastritis – PEMBlog
In this episode of PEM Currents: The Pediatric Emergency Medicine Podcast, I explore the complexities of gastroesophageal reflux (GER) and gastritis in children and adolescents. I'll make the important distinction between gastritis - which is diagnosed only via endoscopy - and dyspepsia, the term best used to describe the symptoms many patients experience.
Medical Music Mondays: Fear the Reefer (Cannabis Hyperemesis) – PEMBlog
Cannabis Hyperemesis Syndrome can make habitual smokers miserable! They will got some relief from hot showers - but many need fluids, ondansetron, topical capsaicin, and even Haldol. Lyrics Don't fear the reefer? Cannabis hyper-emesis syndrome says you do Intractable vomiting, many hot showers What, oh what, will we do? You didn't think this would happen You just decided to smoke Now you're puking
EmergiQuiz 2024 Online Case Diagnoses Revealed – PEMBlog
EmergiQuiz is an annual case-based presentation sponsored by the AAP Section on Emergency Medicine that challenges the audience to think through the differential diagnosis for four amazing cases. Traditionally these cases are presented live at the AAP National Conference and Exhibition. Since 2020 the AAP Section on Emergency Medicine has also been sponsoring the
PEMPix 2024 Online Case #4: Frozen Ever After – PEMBlog
PEMPix is the American Academy of Pediatrics Section on Emergency Medicine’s annual visual diagnosis competition. This year, in addition to the 10 finalists Maneesha Agarwal will be presenting at the National Conference and Exhibition we will be sharing four cases online in advance of the conference. This is the last of the four cases.
PEMPix 2024 Online Case #3: It’s a Small World – PEMBlog
PEMPix is the American Academy of Pediatrics Section on Emergency Medicine’s annual visual diagnosis competition. This year, in addition to the 10 finalists Maneesha Agarwal will be presenting at the National Conference and Exhibition we will be sharing four cases online in advance of the conference. This is the third of the four cases.
EmergiQuiz 2024 Online Case Presentations – PEMBlog
EmergiQuiz is an annual case-based presentation sponsored by the AAP Section on Emergency Medicine that challenges the audience to think through the differential diagnosis for four amazing cases. Traditionally these cases are presented live at the AAP National Conference and Exhibition. Since 2020 the AAP Section on Emergency Medicine has also been
PEMPix 2024 Online Case #2: Flight of Passage – PEMBlog
PEMPix is the American Academy of Pediatrics Section on Emergency Medicine’s annual visual diagnosis competition. This year, in addition to the 10 finalists Maneesha Agarwal will be presenting at the National Conference and Exhibition we will be sharing four cases online in advance of the conference. This is the second of the four cases.
Medical Music Mondays: HSP – PEMBlog
What if the Fab Four from Liverpool sang about Henoch-Schönlein purpura - AKA IgA vasculitis. Wouldn't that be neat? Probably not. Anyway. Listen to this song, it's fun. Lyrics H-S-P Palpable purpura and swelling of the knee protein in the pee hypertension is a thing that you might see If the urine and B-P are okay You can send them home to
PEMPix 2024 Online Case #1: Mission: SPACE – PEMBlog
PEMPix is the American Academy of Pediatrics Section on Emergency Medicine’s annual visual diagnosis competition. This year, in addition to the 10 finalists Maneesha Agarwal will be presenting at the National Conference and Exhibition we will be sharing four cases online in advance of the conference. This is the first of the four cases.
Medical Music Mondays: The World Has Turned And I’m Stuck Here – PEMBlog
Acquired torticollis is a self limited spasm of the neck muscles - often he sternocleidomastoid - that responds well to ibuprofen, heat, and gentle massage and stretching exercises. I thought you'd appreciate the "wry" sense of humor in the album cover... You'd think I'd write a song about asthma and a child that's a "Weezer?" Lyrics The
Medical Music Mondays: Dewdrops on a Rose Petal – PEMBlog
Dewdrops on a rose petal describes the classic appearance of the lesions in varicella infections. Chicken pox is preventable by vaccines you know... Lyrics Dewdrops on a rose petal Vaccines test your mettle it's chicken pox you silly fox! prodrome fever, body hurts then the rash arrives in spurts Varicella's itchy lesions most on trunk for some reason scabbing over, different stages once all crusted, not
Medical Music Mondays: Blindsided – PEMBlog
In honor of the return of football season I decided to post this tune... Concussions are nothing to mess around about - and sometimes you don't know you have one until a bit later. So a conservative plan involves resting until symptoms improve and following up with your doctor. No one knows if listening to "bro
Medical Music Mondays: Keep on Dancing (The Zofran Plan) – PEMBlog
Ondansetron is an antiemetic that reduces vomiting episodes in many illnesses. It also helps reduce the risk of IV fluids and admission in children with acute gastroenteritis. Also, AI images are weird and why did I end up with a picture of a Bruno mars look a like sitting on the toilet? Lyrics It might seem crazy
Podcast: ECPR – PEMBlog
This episode of PEM Currents discusses ECPR (Extracorporeal Cardiopulmonary Resuscitation), an advanced procedure used in cases of cardiac arrest when traditional CPR fails. ECPR involves using ECMO (Extracorporeal Membrane Oxygenation) to take over heart and lung functions, offering a last-resort option that is becoming more common in large pediatric hospitals. While ECPR shows
Medical Music Mondays: Scabies for the Babies – PEMBlog
Scabies is everywhere! It's also very treatable with permethrin topically. It's also important to remember that patients and families feel unclean and stigmatized by this common infection - but they shouldn't! Also "Scabies for the Babies" will be stuck in your head. I promise... Lyrics It’s scabies for the babies Woo hoo We got scabies for the babies Do you? I
Exploring the Use of Intranasal Dexmedetomidine for Anxiolysis and Minimal Sedation – PEMBlog
Intranasal dexmedetomidine is one of the latest sedative options that’s gaining traction, especially for non-painful procedures. Let’s take a closer look at what makes this medication so useful, particularly when given intranasally. What is Dexmedetomidine? Dexmedetomidine, often known by its brand name Precedex, is a
Medical Music Mondays: At Your Throat Like Strep – PEMBlog
If the Wu Tang clan produced a track about strep throat in children it might sought like this. Also ODB could be "Oropharyngeal Disease Bacteria." Lyrics I'm at your throat like strep erythema, fever and exudate pain when I swallow It hurts and so can relate swollen lymph nodes in the neck belly pain headache and more stuff can you treat it? he is
Morning Report on Febrile Seizures – PEMBlog
Recently, I had the opportunity to present a morning report to the residents and medical students at Cincinnati Children’s, focusing on the topic of febrile seizures. The session was highly engaging, with a lot of interest from the audience, as febrile seizures are a common but often frightening experience for families.
Medical Music Mondays: Time is Testicle – PEMBlog
Time is testicle! Acute scrotal pain must be evaluated promptly in the ED. You'll see swelling, extreme pain, sidling testis, and absent cremaster reflex. You've got 4 to 6 hours at most to get the patient to surgery. Time is testicle! Also yacht rock. Lyrics Pain started suddenly Testicle twists freely Side lying swollen now Cremaster gone, holy cow! Now pain
Medical Music Mondays: Dogmentin – PEMBlog
Dog bites are unfortunately common in the Emergency Department. Remembering which ones to suture for cosmetic concerns while assuring we reduce the risk of infections is important. Also, most should get antibiotics. Which one? Dogmentin! (It's a portmanteau of Dog and Augmentin)... Lyrics What you're hearin' is true, dog bites on the rise Take a big chunk outta
Medical Music Mondays: Stones Ahead – PEMBlog
Bogus man! Kids can get kidney stones too. This alt-rock homage discusses imaging, pain control, and more. Lyrics Everyone knows that kidney stones cause so much pain colicky anguish radiation to the flank and symptoms all the same toradol is the first choice along with fluids if you're a nice doc an ultrasound can show hydronephrosis if a stone's blocked kidney
Fracture Fridays: Monkey Bars and Elbow Scars – PEMBlog
The Case An intrepid child presents to the Emergency Department after falling from the monkey bars. He has significant pain and swelling about the elbow, along with very limited voluntary range of motion, but his neurovascular status is intact. The X-Rays show the following:
Medical Music Mondays: A Fallopian Twist of Fate – PEMBlog
Ovarian Torsion causes lots of pain and vomiting. If you want to get a transabdominal ultrasound you need a full bladder. Also Motown is cool. Lyrics It's a fallopian twist of fate Pain and vomiting won't abate You thought it was gas And that it would pass But now you hope it's not too late Ultrasound of the belly Transabdominal needs jelly A full
Accept no imitators! Listen to this great podcast episode on syphilis – PEMBlog
Syphilis has gone by many nicknames over the years including "The Great Pretender" and "The Great Imitator." Emily Labudde, MD, a Pediatric Emergency Medicine fellow at Children's Healthcare of Atlanta and recent pediatric residency graduate from Cincinnati Children’s discusses the various manifestations of this sexually transmitted infection, and how we can't miss this
Medical Music Mondays: Seize the Moment – PEMBlog
Dude! If you could remember the rockin' drug sequence to for anti epileptics in the Emergency Department that would be totally awesome! Wait, there's a hair metal song with lyrics to that effect? Rad! Lyrics Benzo, Benzo, second line Seizures stop in record time! Seizures longer than five minutes straight Need medication to help them abate Lorazepam's great if you have
Medical Music Mondays: So Hot! (The Heat Stroke Song) – PEMBlog
Heat Stroke is a serious medical diagnosis that can be differentiated from other forms of heat illness. If only there were a calypso song to teach you the main findings... Lyrics Hot, So Hot, It's Heat Stroke Got to cool them down Hot, Hot with heat stroke You must cool them down Core Temp greater than 40 or 104 Dry hot skin
Medical Music Mondays: No X-Ray Today (Bronchiolitis!) – PEMBlog
It's a new wave of information! RSV causes bronchiolitis. OK, so it's not new. We can make a clinical diagnosis, and X-Rays are not necessary for most children with Bronchiolitis. Lyrics Wheezing and coughing subcostal retractions Nasal secretions suctioning action RSV causes the typical cases Worried looks on parental faces Usual course with typical findings Normal
Medical Music Mondays: Something’s BRUE-ing Here – PEMBlog
It used to be ALTE but now it's BRUE. Brief Resolved Unexplained Event. It is a better name after all. And it makes for better puns. Lyrics Sudden brief resolved single episode baby's under a year old Cyanosis pallor or breathing and tone change altered responsiveness and no way to explain something's brewing here Brief resolved unexplained event observation's warranted for high
Medical Music Mondays: Turn the Heart Rate Down – PEMBlog
Supraventricular tachycardia is really fun to convert. You go do all kinds of vagal maneuvers which are basically heart games. Then there’s the REVERT maneuver - it works great! Search for it and learn it. Or watch this video. https://vimeo.com/340221382 Lyrics S V T! A heart rate so fast as fast as can be
Podcast: Cervical Spine Injuries & Imaging in Children – PEMBlog
Cervical Spine Injuries are fortunately rare in children. this episode is all about learning when to suspect them, how to immobilize the C-spine properly, and which imaging test to choose. It was inspired by a hot-off-the-presses publication from the Pediatric Emergency Care Applied Research Network (PECARN) focused on clinical decision rules for cervical