94 Pediatric Sepsis

FromEM Basic

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94 Pediatric Sepsis

FromEM Basic

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Length:

36 minutes

Released:

Jul 27, 2020

Format:

Podcast episode

Description

Join doctors Smitha Mathew, Kaitlin Verdone, Zac Hodges, and Dan McCollum as they navigate the difficult waters of pediatric sepsis. What exactly is sepsis? Are there any differences in the treatment of pediatric sepsis compared to adult sepsis? What should I do if I see a septic child at a small community Emergency Department? We discuss this and more in this episode!

Released:

Jul 27, 2020

Format:

Podcast episode

Titles in the series (100)

Your boot camp guide to Emergency Medicine. Made for medical students and emergency medicine interns- each podcast goes through the workup, treatment, and disposition of common emergency medicine complaints

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Chest pain: Chest pain- its one of the most common chief complaints in the ED and we need to be the experts on this. This podcast reviews how to get a good history of the patient's chest pain, the relevant physical exam findings, how to work it up, and how... by EM Basic
35 min listen
Syncope: Syncope (or "passing out") is a chief complaint that we deal with a lot in the emergency department. While most causes of syncope are benign and need nothing more than reassurance, we need to be on the lookout for the serious causes of syncope. This... by EM Basic
31 min listen
Diabetic Ketoacidosis (DKA): This is a topic episode on Diabetic Ketoacidosis (DKA). We'll discuss the diagnosis and treatment of this complex disease process and how to avoid pitfalls that can harm the patient. There will also be tons of clinical pearls including treatment of... by EM Basic
21 min listen
Abdominal pain: Abdominal pain is one of the most common complaints in the ED. In this podcast we will review how to get a good history, how to do a solid abdominal exam, and a systematic method for figuring out how to effectively use imaging with to make a diagnosis... by EM Basic
28 min listen
EM Basic Intro: An introduction to the EM Basic Podcast and what it is all about by EM Basic
5 min listen
First Trimester Vaginal Bleeding: First trimester vaginal bleeding may not be as exciting as a GSW to the chest but it's something that we see a lot in the ED and we have the chance to make a positive impact even if the news isn't good. The workup can seem very cookbook at times but... by EM Basic
26 min listen
Female abdominal pain: A female with abdominal pain can turn into a very complicated patient, thus this chief complaint needs its very own podcast. We'll review the bread and butter basics go over some practical tips on how to avoid all the pitfalls with these patients. by EM Basic
26 min listen
Procedural Sedation Part 2- Medications: This episode is part 2 of the procedural sedation podcast. This episode focuses on the medications that we commonly use for procedural sedation. First, we'll review the use of oxygen during procedural sedation and then talk about basic airway... by EM Basic
33 min listen
EM Education Podcasts and Websites: This is a short episode on the EM podcasts and websites that I recommend to further your education. Since I take no money from anyone, these are my unbiased opinions of the best podcasts and websites out there. There are many more podcasts and... by EM Basic
13 min listen
Airway: Today we are breaking from the usual format and doing something a little different. If your patient doesn't have an adequate airway then we need to provide one. We are the experts in the emergent airway and there's a lot more to it than shouting out... by EM Basic
50 min listen
Shortness of breath: Shortness of breath is a chief complaint that we encounter each day in the ED. This chief complaint encompasses a huge differential and this is a long podcast. As always, I'll break this chief complaint down into the diagnoses that we... by EM Basic
39 min listen
The prehospital episode: By popular demand, this episode will be dedicated to talking about prehospital issues. I've had several people write me and ask for my 0.02 on how EMS can better be our "eyes and ears" in the field so here's my take on this question. I'll also talk... by EM Basic
14 min listen
Headache: We see patients with headache all the time in the ED. Most patients with headache don't have a life threatening diagnosis but its our job to pick up that small percentage of patients that do. In this episode we'll go through how to take a good... by EM Basic
47 min listen
Febrile infants: Infants with fever present a special challenge in the emergency department. Most of these children require large workups and admission to be sure that we aren't missing serious bacterial infections or meningitis. The risks are high here and we need to... by EM Basic
42 min listen
Back pain: Back pain is not usually the most exciting chart in the rack but there are many serious diagnoses lurking out there that we have to look out for. In this episode, we'll go over how to do a good back pain history and physical, catch the red... by EM Basic
27 min listen
EM Basic Essential Evidence- PECARN Head CT Rule: This episode reviews the article that most people call the PECARN head CT rule or the Kupperman head CT rule (named for the first author). This is an easy to use clinical decision rule that can help us reduce the number of head CTs that we do on... by EM Basic
20 min listen
Trauma resuscitation part 2- interventions: For the second part of trauma resuscitation, we'll discuss the various interventions that you may have to accomplish in the trauma bay. The first part is a continuation from the first episode and talks about the EFAST exam- a vital part of the... by EM Basic
25 min listen
EM Basic Essential Evidence- Admission for patients with minor head injury on coumadin- Annals of EM: In this episode, we'll talk about a recent article in Annals of Emergency Medicine that has a lot of people talking. This is a study that looked at patients on coumadin (warfarin) who had minor head injuries. The patients were admitted for 24 hours of... by EM Basic
20 min listen
How to give a good ED patient presentation: Being able to give a good ED patient presentation will not only help you get a good grade on your EM rotation, it will also make sure that nothing is missed in the patient's care. In this episode, I'll discuss the nuts and bolts of forming and... by EM Basic
29 min listen
Neuro exam supplement: Since I refer to the neuro exam from the headache episode, I decided to take that part of the episode and make a supplement so you can easily review the "5 minute ED neuro exam." Let me know if there are any other topics that you would like me to make... by EM Basic
9 min listen
Altered Mental Status: This podcast will discuss how to approach the patient with altered mental status. These patient present a special challenge because there are a ton of reasons why a patient may be altered. As always, we'll review the major points in the history and... by EM Basic
28 min listen
MI and ACS: This is a topic podcast on myocardial infarction (MI) and Acute Coronary Syndrome (ACS). There is a lot more to managing ACS then just recgonizing who has tombstone ST elevations on their EKG and activating the cath lab. In this episode, we'll go... by EM Basic
25 min listen
EM Basic Essential Evidence- Therapeutic Hypothermia: This episode of EM Basic Essential Evidence will review the two articles that led to the adoption of therapeutic hypothermia as a treatment for survivors of cardiac arrest. This is a simple yet highly effective therapy that improves survival and... by EM Basic
20 min listen
Airway update podcast: A week ago, I posted an airway review paper by Scott Weingart and Richard Levitan that I think is a must read. Today I decided to do a podcast reviewing the paper in order to really get it out there and talk about the major points. The best part of... by EM Basic
20 min listen
Procedural Sedation Part 1- Preparation: This is the first of two episodes on procedural sedation. In the ED we need to provide safe and effective procedural sedation and analgesia whenever we do painful procedures. It is our job to relieve anxiety and pain in our patients and we need to... by EM Basic
24 min listen
Dizziness: We're back with a podcast on...dizziness! While weak and dizzy is almost never the most exciting chart in the rack, we see it a lot in the ED. This is a chief complaint where we have to be on the lookout for the serious causes of dizziness among... by EM Basic
30 min listen
EM Basic Essential Evidence- 7 SAEM Occult Bacteremia: We're back with a new episode of Essential Evidence. This article is from Academic Emergency Medicine March 2009 and it talks about getting blood cultures in well appearing kids aged 3 to 36 months. We used to get a lot of blood cultures... by EM Basic
20 min listen
EM Basic Essential Evidence- The NEXUS Study: This episode will discuss the NEXUS study. NEXUS was a study that studied thousands of patients to validate a set of rules so that we can "clinically clear" patients with possible c-spine injury without getting an x-ray. This study has helped us... by EM Basic
20 min listen
Hyperkalemia: Hyperkalemia (high serum potassium) can be one of the most serious electrolyte disorders that we treat in the ED. We'll review how to interpret hyperkalemia in light of the patient's clinical condition, how to rapidly evaluate a patient with... by EM Basic
20 min listen
Trauma Resuscitation Part 1- the evaluation: Being able to run an effective trauma resuscitation is a necessary skill for any emergency medicine provider. In part 1 of this 2 part series, I'll go over how to properly assess a trauma patient who arrives to the ED. We'll go over how to prepare for... by EM Basic
25 min listen

More Episodes from EM Basic

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110 GI bleeds or Gastrointestinal Hemorrhage: Join Dr. Mike Wallace and Dan McCollum as they discuss the management of patients with gastrointestinal hemorrhage. What is the initial management of these patients? Who requires blood transfusions? Which patients require admission to the floor or... by EM Basic
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109 Ear and Nasal Foreign Bodies: Join Dr. Alex Koo as he discusses ear and nasal foreign bodies. He'll give you a brief run-down of anatomy, history, and physical, before diving into comprehensive, key concepts of foreign body removal. There will be some great tips and... by EM Basic
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106 MIS-C or Multisystem Inflammatory Syndrome in Children: Join Zac Hodges as he discusses MIS-C with two local experts. Dr. Pushpa Shivaram is a pediatric cardiologist and Dr. Julisa Patel is a pediatric rheumatologist. They discuss What this syndrome is How to make this tough diagnosis Proper... by EM Basic
21 min listen
105 Staying Cool Under Pressure or Building Sangfroid: Join emergency physician Dan Dworkis as he discusses with Dan McCollum how to remain cool under pressure. Dan and Dan discuss The importance of being cool under pressure The fallacy of believing experience equals the ability to handle pressure.... by EM Basic
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104 Dental Emergencies: Join Dr. Alex Koo, active duty Army emergency physician, as he discusses dental emergencies, a common emergency department complaint, but an uncommon educational topic. We'll discuss an approach to collecting a focused history,... by EM Basic
29 min listen
103 Pediatric IV Fluids: Pediatric intensivist Dr. Will Cagle joins the show to discuss the AAP Maintenance IV fluid guidelines and considerations when choosing IV fluids for pediatric inpatients. What do you need to know from the 2018 AAP maintenance IV fluid... by EM Basic
37 min listen
102 Transfusions of Blood Products: Join EM physicians Mike Samuels and Dan McCollum as they discuss different blood products that can be transfused. Why don't we commonly use whole blood? Who needs to receive packed red blood cells? Are there any dangers to giving platelets?... by EM Basic
26 min listen
101 Kawasaki Disease: Kawasaki: Dr. Pushpa Shivaram, an assistant professor of pediatrics and pediatric cardiologist at the Medical College of Georgia, joins Dr. Zac Hodges and Sonal Dugar (M4) to discuss this very important topic in pediatric medicine. What exactly is... by EM Basic
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100 Transfusion Reactions: Transfusion reactions are a dreaded complication in the ED. Join emergency physicians Michael Samuels and Dan McCollum as they discuss the following and more! How do you recognize different types of transfusion reactions? How are different... by EM Basic
19 min listen
99 Bronchiolitis: Dr. Reda Bassali, professor of pediatrics and pediatric hospitalist at the Medical College of Georgia, joins Dr. Zac Hodges and Gavriella Mendel (M3) to discuss this very important topic in pediatric medicine. What exactly is bronchiolitis and why is... by EM Basic
152 min listen
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34 min listen
97 The B52 is Trash: Join ED clinical pharmacist Jimmy Pruitt and Dan McCollum as we discuss the reasons that the traditional "B52" cocktail of haloperidol, lorazepam, and diphenhydramine is badly in need of updating. Why this cocktail is slower than you think. Newer... by EM Basic
34 min listen
96 Treatment of Opioid Withdrawal with Buprenorphine: Join Dan McCollum and EM clinical pharmacist RJ LaCoursiere as they discuss the use of buprenorphine for the treatment of Opioid Use Disorder. Who should be considered for treatment with Medication-Assisted Treatment (MAT)? Why should it be avoided... by EM Basic
21 min listen
95 Pediatric Respiratory Failure: August 10, 2020 Dr. Renuka Mehta, a pediatric intensivist at the Medical College of Georgia, joins Drs Matthew Smith and Zac Hodges to discuss the fundamentals of respiratory failure. What is the structure of the initial evaluation of a critically-ill... by EM Basic
34 min listen
93 Sore throat: Dr. Tony Zitek drops some knowledge on you about the deceptively complex topic of sore throats. What diagnoses are important other than strep and viral pharyngitis? Why should assess neck mobility during your physical examination? ... by EM Basic
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92 Pediatric Traumatic Brain Injury (TBI): Join Christopher Watson, Zac Hodges, and Dan McCollum as they discuss the management of pediatric traumatic brain injury. What should you look for on exam? When is intubation appropriate? How can you treat increased intracranial pressure? Where... by EM Basic
22 min listen
91 Urinary Tract Infections: Join emergency physician Tony Zitek as he guides you through the diagnosis and management of urinary tract infections. Which elements of the history and physical exam are key? What are the pearls and pitfalls in the diagnosis of UTI? ... by EM Basic
33 min listen
90 COVID-19 and the novel coronavirus: Join Dan McCollum as he discusses COVID-19, the disease caused by the novel coronavirus. What are the symptoms of this disease? How is it spread? What personal protective equipment is needed? What are key elements of the history and physical exam?... by EM Basic
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88 Pediatric Sickle Cell: Join physicians Eric Ring, Zac Hodges, and Dan McCollum as they discuss how to properly care for the pediatric patient with sickle cell disease. Dr. Eric Ring is a pediatric specialist in Hematology and Oncology at the Children's Hospital of... by EM Basic
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87 Pediatric DKA: Join Zac Hodges, Chris Watson, and Dan McCollum as they discuss the management of pediatric diabetic ketoacidosis, or DKA. What are key findings on the history and physical exam that point to DKA? What is the initial management of these... by EM Basic
23 min listen
PSA: Incidental Exposure to Fentanyl is NOT a thing!: Today's episode of the podcast is a myth busting on all the media reports about first responders overdosing by being exposed to fentanyl in the field by incidental contact. This is physically impossible and the misinformation out there has scared a... by EM Basic
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94 Pediatric Sepsis

94 Pediatric Sepsis

Description

Titles in the series (100)

More Episodes from EM Basic

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