pediatric emergency medicine

Ep 196 Pediatric Meningitis Recognition, Workup and Management

In this episode: recognition, risk stratification, decision tools, indications for lumbar puncture in the febrile pediatric patient, tips and trick on performing LPs in children, and ED management of pediatric meningitis. We answer such questions as: what are the test characteristics of the various clinical features of meningitis across various ages? How does one differentiate between meningitis and retropharyngeal abscess on physical exam? How do the Canadian and American guidelines on work up of well-appearing febrile infants compare when to it comes to indications for lumbar puncture? Which patients with suspected meningitis require imaging prior to lumbar puncture? How do we best interpret the various CSF tests to help distinguish between viral and bacterial meningitis? What are the indications and timing of administering dexamethasone in the pediatric patient with suspected meningitis? and many more.... EM Cases is Free Open Access; please consider a donation to help ensure that EM Cases remains Free Open Access on our donation page https://emergencymedicinecases.com/donation/

By Anton Helman|2024-08-06T17:06:20-04:00July 8th, 2024|Categories: EM Cases, Emergency Medicine, Episodes, Medical Specialty, Pediatrics|Tags: dexamethasone, febrile infant, febrile seizure, lumbar puncture|0 Comments

EM Quick Hits 54 Button Battery Ingestion, C. difficile, ECG in Tox, Bed Bugs, Fibrinogen in Trauma, Cold Air for Croup

Olivia Ostrow on the management of button battery ingestions, Brit Long on C difficile infection, Jesse McLaren on an approach to ECG's in the tox patient, Joe Mullally on the identification and treatment of bed bug bites, Andrew Petrosoniak on fibrinogen replacement in bleeding trauma patients, Justin Morganstern on Cold Air for Croup... https://emergencymedicinecases.com/donation/

By Shaila Gunn|2024-02-12T08:01:52-05:00January 23rd, 2024|Categories: Cardiology, EM Cases, EM Quick Hits, Emergency Medicine, Gastroenterology, Medical Specialty, Pediatrics, Toxicology, Trauma|Tags: bed bugs, button battery, c.difficle, croup, ECG interpretation, fibrinogen, toxicology, trauma|0 Comments

EM Quick Hits 53 Postpartum Hemorrhage, Serotonin Syndrome, TBI Herniation Syndromes, Ulcerative Colitis, Pediatric C-Spine Immobilization, Global EM

On this month's EM Quick Hits podcast: Anand Swaminathan on update to ED management of postpartum hemorrhage, Nour Khatib on serotonin syndrome and its mimics, Katie Lin on an approach to recognition and management of severe TBI and brain herniation syndromes, Hans Rosenberg on the ED management of ulcerative colitis, Heather Cary on pediatric c-spine immobilization controversies and techniques, Navpreet Sahsi on the difference between humanitarian and development work... Please support EM Cases with a donation: https://emergencymedicinecases.com/donation/

By Shaila Gunn|2024-04-02T22:26:49-04:00November 28th, 2023|Categories: EM Cases, EM Quick Hits, Emergency Medicine, Gastroenterology, Medical Specialty, Neurology, Obstetrics & Gynecology, Pediatrics, Resuscitation, Toxicology, Trauma|Tags: brain herniation, c-spine, c-spine collar, cardiocerebral resuscitation, cerebral herniation, colitis, global EM, postpartum hemorrhage, serotonin syndrome, tbi, ulcerative colitis|0 Comments

EM Quick Hits 52 Infant Vomiting, Orbital Cellulitis, Prehospital TXA in Trauma, Prevention and Treatment of Delirium, Procedural Skills Decay, Altitude Sickness

In this month's EM Quick Hits podcast: Sarah Reid on an approach to Infant Vomiting, Brit Long on Orbital Cellulitis essentials, Justin Morgenstern on the PATCH trial - Prehospital TXA in Trauma, Christina Shenvi on Prevention and Treatment of Delirium, Jason Hine on Procedural Skills Decay, Aaron Billin on Altitude Sickness... Please support EM Cases with a donation: https://emergencymedicinecases.com/donation/

By Anton Helman|2024-04-02T22:27:17-04:00October 17th, 2023|Categories: Ears Nose & Throat, EM Cases, EM Quick Hits, Emergency Medicine, Hematology, Medical Specialty, Pediatrics, Special Populations, Trauma|Tags: Acute Mountain Sickness, delirium, HAPE, orbital cellulits, PATCH trial, tranexamic acid, TXA|1 Comment

EM Quick Hits 50 Normal Unenhanced CT Renal Colic DDx, Perichondritis, Magnesium in Pediatric Asthma, Steroids for Pneumonia, OMI Cath Lab Activation

On this month's EM Quick Hits podcast David Carr on differential diagnosis of normal unenhanced CT renal colic, Leeor Sommer on recognition and management of perichondritis and auricular abscess, Suzanne Schuh on IV magnesium sulphate for pediatric asthma, Jess McLaren on Occlusion MI ECG interpretation requiring cath lab activation and Justin Morgenstern on update on steroids for pneumonia... Please support EM Cases with a donation: https://emergencymedicinecases.com/donation/

By Anton Helman|2024-05-21T01:54:07-04:00July 18th, 2023|Categories: Cardiology, Ears Nose & Throat, EM Quick Hits, Emergency Medicine, Genitourinary, Medical Specialty, Pediatrics, Respirology|Tags: ACS, atrial fibrillation, chest pain, community acquired pneumonia, ECG, hyperacute T wave, magnesium sulphate, occlusion MI, pediatric asthma, PRAM score, renal infarct, Sgarbosa criteria, STEMI, steroids|0 Comments

EM Quick Hits 49 Stroke Management Update, Intussusception, 5 Penetrating Trauma Tips, Skin Foreign Body Hack, CT Radiation Risk, Emergency Fund

On this month's EM Quick HIts podcast: Anand Swaminathan on EVT for large vessel occlusion strokes, Sarah Reid on picking up intussusception, Andrew Petrosoniak on 5 Penetrating Trauma Tips, Peter Toth on using a slit lamp to manage skin foreign body hack, Nour Khatib and Jonathan Wallace on CT Radiation Risk and Matt Poyner on setting up an emergency fund...

By Anton Helman|2024-05-21T01:55:42-04:00June 6th, 2023|Categories: EM Cases, EM Quick Hits, Emergency Medicine, Medical Specialty, Neurology, Pediatrics, Plastics, Trauma|Tags: CT radiation, emergency fund, endovascular therapy, GSW, intussusception, ischemic stroke, penetrating trauma, skin foreign body, slip lamp|2 Comments

EM Quick Hits 45 ETCO2 in Cardiac Arrest, Organ Donation, Paraphimosis, Medicolegal Myths, QI Corner

Understanding why ETCO2 is recommended in cardiac arrest with Swami, practical steps to organ donation in the ED with Dr. Andrew Healy, using your hospital food court to treat paraphimosis, rectal prolapse and food bolus obstruction with Dr. Sarah Foohey, QI Corner with Dr. Tahara Bhate, 4 Medicolegal Myths with Dr. Jennifer C. Tang on this month's EM Quick Hits podcast...

By Anton Helman|2024-05-21T01:47:40-04:00January 2nd, 2023|Categories: EM Cases, EM Quick Hits, Emergency Medicine, Medical Specialty, Pediatrics, Resuscitation|Tags: ETCO2, food bolus obstruction, medicolegal, organ donation, paraphimosis, QI Corner, rectal prolapse|5 Comments

Ep 177 Bronchiolitis – Diagnostic Challenges and Management Pitfalls

In this main episode podcast Anton discusses with world expert and bronchiolitis researcher Dr. Suzanne Schuh, the challenges of the diagnosis and management of bronchiolitis during a time of crisis in pediatric emergency medicine and offers some evidence-based solutions to improving outcomes while minimizing valuable resources, as part of our 'Best of University of Toronto EM' series...

By Anton Helman|2022-12-20T13:37:33-05:00December 20th, 2022|Categories: EM Cases, Emergency Medicine, Medical Specialty, Pediatrics|Tags: bronchiolitis, CPAP, HFNC, nasal suctioning, oximetry|7 Comments

EM Quick Hits 43 Pediatric Cannabis Poisoning, Esophageal Perforation, Brugada, Career Transitions in EM

On this month's EM Quick Hits podcast: Best of University of Toronto EM with Yaron Finkelstein on pediatric cannabis poisoning pitfalls, Brit Long on recognition and management of esophageal perforation, Jesse McLaren on 3 questions to diagnose Brugada Syndrome, Tahara Bhate on QI Corner, Constance Leblanc on maintaining wellness in career transitions from CAEP 2022...

By Anton Helman|2022-10-11T11:01:51-04:00October 11th, 2022|Categories: Cardiology, EM Cases, EM Quick Hits, Emergency Medicine, Gastroenterology, Medical Specialty, Pediatrics|Tags: Brugada, cannabis poisoning, esophageal perforation, QI Corner, wellness|2 Comments

Ep 173 Febrile Infant – Risk Stratification and Workup

In this main episode podcast on ED risk stratification and workup of the febrile infant, recorded at the CAEP 2022 Conference in Quebec City with Dr. Brett Burstein and Dr. Gary Joubert, we answer such questions as: Which febrile infants require lumbar puncture? How accurate is procalcitonin in identifying low risk febrile infants? What is the difference between serious bacterial infection (SBI) and invasive bacterial infection (IBI) and why is this important in the work up of the febrile infant? How do the PECARN, Step-by-Step and Aronson decision tools for identifying febrile infants at low risk for IBI and SBI? Can EM Cases incorporate all these decision tools and the upcoming Canadian Pediatric Society position statement on febrile infants recommendations into one concise algorithm? and many more...

By Anton Helman|2023-06-12T10:40:53-04:00August 30th, 2022|Categories: EM Cases, Emergency Medicine, Episodes, Medical Specialty, Pediatrics|Tags: IBI, lumbar puncture, PECARN, procalcitonin, SBI, Step-by-Step|0 Comments