Pediatric Emergency Playbook
101 episodes - English - Latest episode: about 2 months ago - ★★★★★ - 292 ratingsYou make tough calls when caring for acutely ill and injured children. Join us for strategy and support -- through clinical cases, research and reviews, and best-practice guidance in our ever-changing acute care landscape.
Please visit our site at http://PEMplaybook.org/ for show notes and to get involved with the show -- see you there!
Homepage Apple Podcasts Google Podcasts Overcast Castro Pocket Casts RSS feed
Episodes
Resuscitative Umbilical Vein Catheterization
December 01, 2023 08:01 - 16 minutes - 24.8 MBpemplaybook.org
Brief, Huddle, and Debrief in the PED
June 01, 2023 08:30 - 38 minutes - 54.7 MBhttps://pemplaybook.org/?p=2760
The Abdominal Exam in Children
March 01, 2023 09:00 - 27 minutes - 39.9 MBHemolytic Uremic Syndrome
February 01, 2023 09:00 - 31 minutes - 45.4 MBEnvironmental Injuries in Children
December 01, 2022 09:01 - 39 minutes - 56.8 MBpemplaybook.org/podcast/environmental-injuries-in-children/
PEM Myths
November 01, 2022 07:00 - 38 minutes - 56.7 MBFocus On: Maneuvers for Murmurs
July 01, 2022 09:07 - 19 minutes - 27.4 MBPathologic Murmurs in Children
June 01, 2022 09:02 - 30 minutes - 41.4 MBBenign Murmurs in Children
May 01, 2022 10:00 - 23 minutes - 33.2 MBFocus On: Pyloric Stenosis
January 01, 2022 10:00 - 16 minutes - 24 MBMyth: “No olive, no problem” Reality: Rare finding, since we diagnose earlier Pyloric stenosis occurs in young infants because the pyloric sphincter hypertrophies, causing near-complete obstruction of the gastric outlet. More common in boys, preterm babies, first-born. Less common in older mothers. Association with macrolide use. Presentation Young infant arrives with forceful vomiting, but can’t quite get enough to eat “the hungry, hungry, not-so-hippo...
Pediatric Vital Signs: What Are We Missing?
December 01, 2021 09:30 - 31 minutes - 47.4 MBhttps://wp.me/p6B1Mm-Co
Focus On: Gun Shot Wounds in Children
November 01, 2021 08:00 - 17 minutes - 25.8 MBhttps://wp.me/p6B1Mm-Cd
Focus On: Inguinal Hernias in Children
September 01, 2021 08:00 - 13 minutes - 19.9 MBHernia Myth: “If it’s not strangulated, it’s elective” Reality: Unlike in adults, all hernias in children are repaired at the time of diagnosis because: The risk of incarceration and strangulation is high There is a 30% risk of testicular infarction due to pressure on the gonadal vessels It is not worth messing around and “trying to navigate the system” Most groin hernias in children are indirect inguinal hernias (incomplete closure of processus vaginalis). Most indirect hernias ...
Constipation and the way out
March 01, 2021 09:30 - 48 minutes - 71.9 MBConstipation as a diagnosis can be dangerous, mainly because it is a powerful anchor in our medical decision-making. Chances are, you’d be right to chalk up the pain to functional constipation — 90% of pediatric constipation is functional, multifactorial, and mostly benign — as long as it is addressed. We’re not here for “chances are“; we’re here for “why isn’t it?“ Ask yourself, could it be: Anatomic malformations: anal stenosis, anterior displaced anus, sacral hematoma Metabolic:...
Pediatric IV Tips and Tricks
February 01, 2021 10:00 - 26 minutes - 31.6 MBTop 10 [details in audio] Set the stage – exude confidence and be prepared Choose the right cannula size – a smaller working IV is infinitely better than none Feeling is better than looking – trust yourself Mark the site – things get wonky when you take your hands off to disinfect Tourniquets can mess you up – try to use a holder’s hand to occlude the vein The holder rules – get as many hands on deck as you need. Tension is good – a little counter traction on the skin with your non...
Vagal Maneuvers In Children
January 01, 2021 09:30 - 28 minutes - 33.6 MBhttps://pemplaybook.org/?p=2234
Conjunctivitis
December 01, 2020 09:00 - 44 minutes - 51.4 MBGo or No Go: Pediatric Presedation Assessment
November 01, 2020 08:00 - 43 minutes - 50.3 MBhttps://pemplaybook.org/?p=2211
Pediatric Hand Fractures
September 01, 2020 08:30 - 43 minutes - 50.6 MBTuft Fracture Yeh PC et al. Pediatric Hand Fractures. Techniques in Orthopaedics. 2009. Seymour Fracture Nellans et al. Pediatric Hand Injuires. Hand Clin. 2013 November ; 29(4): 569–578 Yeh PC et al. Pediatric Hand Fractures. Techniques in Orthopaedics. 2009. Mallet Fracture Adolescent with mallet finger and Kirschner wire fixation. Nellans et al. Pediatric Hand Injuires. Hand Clin. 2013 November ; 29(4): 569–578 Mallet finger in splint. Yeh PC et al. Pediatric Hand Fractures. Techn...
Heat-Related Illness
August 01, 2020 08:30 - 44 minutes - 51.4 MBA spectrum — but will you recognize the blurry signposts? Temperature (core) Presentation Management Miliaria Crystallina Normal Salt-colored tiny papules, easily burst; not pruritic Modify environment; light clothing; hydration Miliaria Rubra Normal Discrimiate, red papules, not assocaited with follicles; pruritic Above plus cool compresses; calamine lotion; symptomatic tx for pruritis Miliaria Profunda Normal Confluent flesh-colore...
Diarrhea
July 01, 2020 08:30 - 50 minutes - 58.8 MBTraditional Approach: Secretory -- poisoned mucosal villi -- "the sieve" Cytotoxic -- destroyed mucosal villi -- "the shred" Osmotic -- malabsorption -- "the pull" Inflammatory -- edema, motility -- "the push" Lots of overlap, difficult to apply to clinical signs and symptoms. Bedside Approach: Fever/No Fever, Bloody/No Blood Non-bloody, febrile -- most likely viral Non-bloody, afebrile -- may be viral Bloody, febrile -- likely bacterial Non-bloody, afebrile...
Zen and the Art of Pediatric Readiness
May 01, 2020 08:00 - 30 minutes - 35.9 MBPediatric Readiness is not just an ideal -- it's a tangible plan, a toolkit, and even better, an attitude How to improve your institution, and your own personal pediatric readiness. National Pediatric Readiness Project (NPRP) Los Angeles County Pediatric Readiness Project
Major Burns in Children
February 01, 2020 10:00 - 43 minutes - 50.9 MBLund and Browder Chart to Estimate Burn Size in Children Parkland Formula for Burns Amount needed in addition to maintenance fluids: 4 mL/kg x BSA% = X Add 1/2 of X to maintenance over the 1st 8 hours Add the other 1/2 of X to maintenance over the next 16 hours Escharotomy Guide and the "Roman Breastplate" Yin et al. Bedside Escharotomies for Burns Classic Paragraph Selected References Mahar PD et al. ...
EtCO2 Masterclass
November 01, 2019 07:29 - 45 minutes - 52.9 MBNeck Masses in Children
October 01, 2019 08:30 - 39 minutes - 46.5 MBThe differential diagnosis is long... You need an approach. The Rule of 3s: 3 minutes -- Traumatic 3 days -- Inflammatory 3 months -- Neoplastic 3 years -- Congenital 3 Minutes? Traumatic 3 Days? Inflammatory [caption id="attachment_1777" align="alignnone" width="262"] Cervical Node Chain; Lymphadenopathy[/caption] [caption id="attachment_1773" align="alignnone" width="298"] Bacterial Lymphadenitis[/caption] [caption id="attachment_1772" align="alignnone" width...