Unquestionably, a lot of electrolyte panel laboratory studies get ordered reflexively and have little true clinical utility. The healthy kid (or adult for that matter) with vomiting and diarrhea for two days does not typically benefit from the “Chem 200”…
We have recently discussed how neonatal seizures are often very subtle and, unfortunately, commonly related to significant pathology (infection, hypoxic-ischemic encephalopahty, intracranial hemorrhage, hypoglycemia, inborn errors of metabolism, etc). Once we determine that we are dealing with a seizure, we…
We are all rather accustomed to managing the patient who is having a seizure. ABCDs… Airway, Breathing, Circulation, and Disrobe… and then Benzos if there is still shaking. This method works pretty well. But one population that deserves some specific…