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Ped EM Case Conference - Dr. Smith
1. Children have fantastic physiologic reserve but will fall off the cliff quick if illness is under appreciated.2. Listen to parents - even if they are being too persistent, they know their children...
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Carolinas Case COnference - Dr. West
Placental AbruptionSuspect in blunt abdominal traumaClinical diagnosis – suspect with vaginal bleeding (though 20% don’t have bleeding), abdominal/back pain, fetal distress. US is only 25-50%...
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HELLP - Dr. Yavorcik
HELLP- >20 weeks pregnancy with RUQ/epigastric pain, HTN- Elevated AST/ALT, Low Platelets on CBC/COMP - should trigger diagnosis - reflex order smear, OB consultation, Heme/Onc consultation- Fear...
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Atypical Pediatric Seizures - Dr. Magill
Simple PartialSensory (aura)Brief motorComplex PartialSecondary GeneralizedJuvenile Atypical SeizuresBECTS- benign childhood epilepsy with centrotemporal spikesAka Benign Rolandic EpilepsyNocturnal...
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Cervical Artery Dissection - Dr. Asimos
1. Remember to consider spontaneous cervical artery dissection in the differential diagnosis of a headache patient.2. The majority of patients who develop an spontaneous cervical artery dissection...
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Delivery Complications - Dr. Lounsbury
Uncommonly encountered however critical to manageAlways Type & Cross, difficult to predict complicationsStage 2 complications includeShoulder Dystocia- difficult to predict and morbid. Consider...
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TEAM Conference: Ped Hip - Dr. Smith
Always think hip in a young child with knee painPrompt evaluation and orthopedic consultation imperative with septic hipDo not delay antibiotics after joint/blood cultures obtainedHip pain in a...
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Steroids for Shock - Dr. Thacker
Consider administration of steroids in patients with shock that is unresponsive to appropriate IV fluid resuscitation and vasopressors.Consider adrenal crisis in any patient who has risk factors...
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Naloxone and Street Drugs - Dr. Murphy
Naloxone:Think about having a discussion regarding use of IM/IN naloxone and the availability of kits with our high risk patients or their families – if they have a ton of opioid/opiate prescriptions...
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Carolinas Ped EM Case Conference - Dr. Magill
Family Presence During a CodeFamilies want to be given the choice to be present. Most like to be present and feel they comfort the child and that witnessing the resuscitative efforts help with the...
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Describing Derm like a Pro - Dr. Lawson
1. A systematic approach to describing rashes should include the following: - Identification of primary lesion type with or without secondary changes; - Lesion color; - Lesion...
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Carolinas Case COnference - Dr. Robertson
Steven-Johnsons Syndrome:- Diffuse, PAINFUL rash after viral prodrome, mucocutaneous lesions- Severity described by percentage of bulous lesions: SJS at < 10% coverage (10% mortality) vs. TEN at...
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Osteomyelitis in Kids - Dr. Smith
1. Osteomyelitis can be difficult to detect in the ED so always maintain a high suspicion for it in children with refusal to bear weight or persistent pain in a long bone.2. Bloodwork rarely helps...
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Runs of Wide-Complex Tachycardia on Telemetry - Dr. Littmann
Differential DiagnosisSVT with aberrancy (SVT with RBBB or SVT with LBBB)Nonsustained VTArtifactUncertain (“I don’t know”) – this is a better choice than incorrect guessing! When the intrinsic rhythm...
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TEAM Case: Ped Status Epilepticus - Dr. Magill
Define status epilepticus:>5 min seizure- impending status epilepticus>30 min- established SE>60 min- refractory SEConsider etiologies:Trauma/bleedAVM MalformationFebrile...
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Case Reports & Case Series: Strengths, Weaknesses, and “How-To” of this low...
1: Case reports and case series are foundational to clinical research.2: Case reports and case series provide the opportunity for clinicians to describe novel clinical management and treatment of...
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Toxic Alcohols - Dr. Snow
Always include toxic alcohols in your differential of anion gap metabolic acidosis.K.I.L.R for acidosis: Ketoacids, Ingestion, Lactate, Renal Toxic alcohols in 3 easy steps: R.B.D. = Recognize the...
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CMC Case CONFERENCE - Dr. Nichols
Pediatric pericardial effusion/pericarditis1) Kids with chest pain also hide gremlins2) Consider bedside echo for all pediatric chest pain visits!3) Effusions of 500cc, circumferential, or 2 cm on CT...
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Sharpen Your Calipers - Dr. Littmann
The Role of the ECG in Acute Nontraumatic BLE Weakness Acute bilateral lower extremity paralysisThe differential diagnosis of acute nontraumatic bilateral weakness is broadMost causes have unique...
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Sedation After Intubation - Dr. Graboyes
Remember analgesia first strategy after intubations Goal RASS of -1 to -2, not -5Limit use of benzodiazepines and paralytics
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