Category Procedures / Tips

Positioning for Lumbar Puncture

Positioning for Lumbar Puncture I am likely jinxing myself (and anyone working in the Peds ED while reading this… sorry), but it is useful (at least I think so). Just close your eyes and imagine that it is 0530hrs and…

Strep Pharyngitis

Background – Pharyngitis is most commonly caused by viral infections. – Bacterial play a much smaller; Group A Strep (GAS) is the leader of this small pack. – GAS is primarily a disease of children (5-15yrs is the “sweet spot;”…

Systolic Blood Pressure Guide

• Recall that hypotension, as demonstrated by numeric values, is a later finding in children. • The child that does exhibit low blood pressure readings has progressed down that “slipper slope” of shock to a considerable extent. • PALS traditionally…

Testicular Torsion

Torsion is the most significant condition on the DDx of patient with scrotal pain. Prompt diagnosis is imperative: The success rate of saving the testicle decreases after 6-8 hours. At 12 hours, is the success rate is near 0% (BUT…

Bronchiolitis – “Seriously, what should I do?”

Bronchiolitis is the most common lower respiratory infection in infants. – Characterized by acute inflammation, edema and necrosis of epithelial cells lining small airways, increased mucus production, mucous plugging, bronchospasm and V/Q mismatch. – Diagnosis is based on clinical history…

Cardiopulmonary Resuscitation 2010 Update

The American Heart Association just published the updates to CPR for both adults and children. Below are the Pediatric highlights: 5-15% of pediatric arrests are V.Fib: Peds arrest is primarily due to a respiratory insult (we are aware of this).…

Nonspecific diarrheal illness or HUS?

            Certainly we have been seeing (and will continue to see) a lot of nonspecific diarrheal illness in the Ped ED. Before you dismiss the patient as having “gastroenteritis,” consider whether this is something else,…