News
Entertainment
Science & Technology
Life
Culture & Art
Hobbies
News
Entertainment
Science & Technology
Culture & Art
Hobbies
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
Medical Music Mondays: Batteries Down the Hatch – PEMBlog
Swallowing button batteries is a dumb idea. It can melt your esophagus and stuff. Endoscopy is the way to remove them. But if you have a long delay there are sucralfate protocols. But just don't swallow them in the first place. Lyrics If a button battery is swallowed please do not delay The electric charge can melt the mucosal wall
Medical Music Mondays: Asthma Status – PEMBlog
What if a boy band from the year 2000 wrote a song about he management of status asthmaticus and then someone made a video and then posted that video to a Pediatric Emergency Medicine blog. You'd think that would be pretty silly right? Lyrics Difficulty breathing, asthma’s bad tonight albuterol and atrovent Dexamethasone All right! Magnesium infusion Terb and ketamine If you need
Medical Music Mondays: Tick, Tick, Boom! – PEMBlog
Lyme disease has 3 stages. I have a hard time remembering them. Perhaps some pop punk will help? Learn about Early, Early disseminated, and Late Lyme. And remember, It's Doxycycline Time! Lyrics Tick, Tick, Tick, Tick, BOOM! It's Lyme! Doxycycline Time! Tick, Tick, Tick, Tick, BOOM! Early disease is just one E M lesion Maybe one tick bite in the
Racemic Epinephrine is on a national shortage in the United States (May 2024) – PEMBlog
Racepinephrine (Racemic epinephrine) is used for croup patients who have stridor at rest and post extubation stridor. It is currently on national shortage and many facilities have a very limited supply of the nebules on hand. In times of shortage, intravenous EPINEPHRINE 1 mg/mL can be utilized as a nebulized solution in place of racepinephrine
Medical Music Mondays: A Nursemaid’s Lullaby – PEMBlog
Hyperpronation is better than supination-flexion for Nursemaid's Elbow reduction. Also they call it pulled elbow in Australia. Which is a better name. Swiftly listen to this brief educational song. Lyrics subluxation of the annular ligament about the radial head it's called a nursemaids elbow, I know you're well read there's a couple maneuvers that will make
Podcast Episode: Febrile Seizures – PEMBlog
Febrile Seizures are among the most common neurological problema in young children, occurring in 1 out of 50 children between the ages of 6 months and 5 years of age. This episode of PEM Currents: The Pediatric Emergency Medicine Podcast is a Question and Answer style exploration of some of the most common learning points
Medical Music Mondays: Simple Febrile Seizures – PEMBlog
Simple febrile seizures are scary for parents - but all that is really needed is reassurance and education. Lyrics Febrile seizures, you're warm and you're shaking Not like a teen who's convulsing and faking The fever spikes, unconscious and stiff tonic and clonic it's over in a jiff Simple febrile seizures they may seem scary, Parents are trembling
Happy 17th Anniversary to my Amazing Wife! – PEMBlog
The only annual "non-medical" post to PEMBlog is here. My annual anniversary video that I produce for my wife. https://youtu.be/zFzDu03XnlI Ok, so it has become clear by now that I'm having difficulty making it to Hallmark to buy an appropriate anniversary card. Are there any stores still open in the Greater
Tools you should use: Pediatric NIH Stroke Scale – PEMBlog
Pediatric strokes are rare and challenging to diagnose. There is a validated Pediatric Stroke Scale from the NIH that can be used in conjunction with a stroke protocol that involves Neurology, Radiology, and a local/regional Stroke Team. Review the tool at MD Calc, the direct link is - https://www.mdcalc.com/calc/10270/pediatric-nih-stroke-scale-nihss
How to Find More Quality Blog Posts on Respiratory Infections in Children: Findings from a SOAR Review – PEMBlog
Be sure to check out our previous posts on: BRONCHIOLITIS, EPIGLOTTITIS, PNEUMONIA, and CROUP The Problem: Free open access medical education (aka FOAM) is great in that it allows for asynchronous, focused learning. But there are some challenges when it comes to
Sweet! A Metabolic Disorders focused podcast episode – PEMBlog
This episode will help you better prepare for and manage children with inborn errors of metabolism in the Emergency Department. Consider it a supplement to what you remember from Biochemistry and the instructions on the family's laminated care plan sheet. My special guest podcaster, Emily Groopman, is an actual Pediatric Geneticist in training
How to Find a Quality Blog Post on Croup: Findings from a SOAR Review – PEMBlog
Be sure to check out our previous posts on: BRONCHIOLITIS, EPIGLOTTITIS, and PNEUMONIA The Problem: Free open access medical education (aka FOAM) is great in that it allows for asynchronous, focused learning. But there are some challenges when it comes to the utilization
How to Find a Quality Blog Post on Epiglottitis: Findings from a SOAR Review – PEMBlog
Be sure to check out our previous post on: BRONCHIOLITIS The Problem: Free open access medical education (aka FOAM) is great in that it allows for asynchronous, focused learning. But there are some challenges when it comes to the utilization of FOAM: – Decentralization of FOAM resources – Concerns about the quality of information being presented The
How to Find a Quality Blog Post on Bronchiolitis: Findings from a SOAR Review – PEMBlog
First Author Name of Blog Post Date of Publication Link rMETRIQ Score Misch, Michael Episode 59 - Bronchiolitis 2/9/15 Click To Open 18 Milne, Ken SGEM #167: The management of bronchiolitis in community hospitals 12/18/16
Introducing Babble Royale the new speaker competition from the American Academy of Pediatrics Section on Emergency Medicine – PEMBlog
New this year at the AAP NCE we will be hosting a brand new session that will highlight the talents of some of the very best educators in PEM. Faculty in the first ten years following training will be eligible to submit their very best presentation in any format on any topic Four
A Vitamin K Deficient Bleeding AKA Hemorrhagic disease of the newborn podcast – PEMBlog
Newborn infants need intramuscular injections of Vitamin K in order to produce critical clotting factors. If they don't get it they can have potentially life threatening bleeding. This is a podcast episode that reviews Vitamin K Deficient Bleeding AKA Hemorrhagic disease of the newborn. @PEMTweets on... sigh "X" (Twitter)
Rash Week! An atypical antibiotic reaction – PEMBlog
Just look at the rash - then scroll down to reveal the diagnosis. That's it. This child was placed on Amoxicillin for acute otitis media and this rash developed after 9 days of treatment. The child has fever and swollen feet as well. It's Serum Sickness Like Reaction! This
Rash Week! A painful postnatal pectoral – PEMBlog
Just look at the rash - then scroll down to reveal the diagnosis. That's it. This is a baby with swollen, erythematous skin of the chest wall. It's Neonatal Mastitis! This is a skin and soft tissue infection of the breast tissue in a newborn. The treatment is directed