Pediatric Vital Signs: What Are We Missing?

FromPediatric Emergency Playbook

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Pediatric Vital Signs: What Are We Missing?

FromPediatric Emergency Playbook

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Length:

31 minutes

Released:

Dec 1, 2021

Format:

Podcast episode

Description

https://wp.me/p6B1Mm-Co

Released:

Dec 1, 2021

Format:

Podcast episode

Titles in the series (100)

You 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. This is your Pediatric Emergency Playbook.

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Altered Mental Status in Children: How do you approach the child who may be altered? Altered mental status in children can be subtle. Look for age-specific behaviors that range from irritability to anger to sleepiness to decreased interaction. In the altered child,... by Pediatric Emergency Playbook
37 min listen
Adventures in RSI: Pediatric airway management is a skill that integrates the three types of knowledge as described by the ancient Greeks: episteme, or theoretical knowledge, techne, or technical knowledge, and phronesis, or practical wisdom, also called prudence. Here... by Pediatric Emergency Playbook
52 min listen
Pediatric Status Epilepticus: Do you have a plan for your little patient when he just won’t stop seizing? What do you do when your typical treatment is not enough? Get up-to-date in the understanding and management of pediatric status epilepticus. Definition of status... by Pediatric Emergency Playbook
24 min listen
Supraglottic Airways: When you give only after you're asked, you've waited too long. – John Mason First, learn to bag Place a towel roll under the scapulae to align oral, pharyngeal, and tracheal axes: Karsli C. Can J Anesth. 2015. Use airway adjuncts such as... by Pediatric Emergency Playbook
33 min listen
Multisystem Trauma in Children, Part Two: Massive Transfusion, Trauma Imaging, and Resuscitative Pearls: A 5-year-old boy was playing with his older brother in front of their home when he was struck by a car. He sustained a femur fracture, splenic laceration, and blunt head trauma – the so-called Waddell’s triad. On arrival, he was in... by Pediatric Emergency Playbook
38 min listen
$Multisystem Trauma in Children, Part Two: Massive Transfusion, Trauma Imaging, and Resuscitative Pearls: A 5-year-old boy was playing with his older brother in front of their home when he was struck by a car. He sustained a femur fracture, splenic laceration, and blunt head trauma – the so-called Waddell’s triad. On arrival, he was in...$
The Higher Tech Kid in the ED: Comfortable with G-tubes, tracheostomies, and VP shunts? Good. Get ready for the next level: Vagus Nerve Stimulators, Intrathecal Pumps, and Ventricular Assist Devices. Details in Audio: Vagus Nerve Stimulators For intractable epilepsy;... by Pediatric Emergency Playbook
31 min listen
Pediatric Pain: N.B.: This month's show notes are a departure from the usual summary. Below is a reprint (with permission) of a soon-to-be released chapter, Horeczko T. "Acute Pain in Children". In Management of Pain and Procedural Sedation in Acute Care.... by Pediatric Emergency Playbook
52 min listen
Multisystem Trauma in Children, Part One: Airway, Chest Tubes, and Resuscitative Thoracotomy: Traumatized children need your full attention. Protocols work well for adults, but trauma in children requires that we exercise our clinical muscles just a bit more. Two main reasons: Children have specific injury... by Pediatric Emergency Playbook
35 min listen
Neonatal Jaundice: Most newborns will have some jaundice. Most jaundice is benign. So, how can we sort through the various presentations and keep our newborns safe? Pathologic Jaundice When a baby is born with jaundice, it’s always bad. This is pathologic... by Pediatric Emergency Playbook
40 min listen
The Technologically Dependent Child in the ED: EMS is bringing you a child with a VP shunt, port-a-cath, trached on a vent, seizing, hypotensive, and now desaturating – ETA – 3 minutes. Are you ready? Medicine is evolving. As technology advances, we need to meet the challenge of... by Pediatric Emergency Playbook
36 min listen
Pediatric Elbow Injuries: Johnny has fallen on an outstretched hand, and comes to you with a swollen, painful elbow. Position of comfort, analgesia, xrays, and now what? What am I seeing -- or not seeing -- here? First a refresher on radiographic... by Pediatric Emergency Playbook
42 min listen
Cyanosis: Your eyes may fool you... Keep your differential diagnosis open. Selected References Aravindhan N, Chisholm DG. Sulfhemoglobinemia presenting as pulse oximetry... by Pediatric Emergency Playbook
37 min listen
Urine Trouble: When should you commit to getting urine? When can you wait? When should you forgo testing altogether? When do I get urine? Symptoms – either typical dysuria, urgency, frequency in a verbal child, or non-descript abdominal pain or vomiting in a... by Pediatric Emergency Playbook
53 min listen
Vomiting in the Young Child: Nothing or Nightmare: In the young child, vomiting is the great imitator: Gastrointestinal, Neurologic, Metabolic, Respiratory, Renal, Infectious, Endocrine, Toxin-related, even Behavioral. To help us organize, below is a review of can't-miss diagnoses by age. The... by Pediatric Emergency Playbook
47 min listen
Big Labs, Little People: Troponin, BNP, D-Dimer, and Lactate in Children by Pediatric Emergency Playbook
32 min listen
Approach to Shock: Do we recognize shock early enough? How do we prioritize our interventions? How can we tell whether we’re making our patient better or worse? World wide, shock is a leading cause of morbidity and mortality in children, mostly for... by Pediatric Emergency Playbook
39 min listen
Intranasal Medications: Intranasal medications, if understood and employed properly, are a great choice to avoid and IV or as a bridge until IV access is obtained. Learn the strengths and limits of intranasal fentanyl, midazolam, ketamine, and dexmedetomidine. Pain... by Pediatric Emergency Playbook
34 min listen
The Fussy Infant: A Social Visit or Your Most Dangerous Presentation Tonight? [Details in Audio] This post and podcast are dedicated to Henry Goldstein, B.Pharm, MBBS for his tireless dedication to all things #FOAMed,... by Pediatric Emergency Playbook
47 min listen
Foreign Bodies in the Head and Neck: Children the world over are fascinated with what can possibly “fit” in their orifices. Diagnosis is often delayed. Anxiety abounds before and during evaluation and management. Most common objects:1,2 Food Coins Toys ... by Pediatric Emergency Playbook
47 min listen
Pediatric Headache: Some Relief for All: Seemingly vague, but potentially dangerous... common, but possibly with consequences... ...or maybe just plain frustrating. Let's talk risk stratification, diagnosis, and management. Primary or Secondary? We can make headache as easy or as... by Pediatric Emergency Playbook
30 min listen
Altered Mental Status in Children (REBROADCAST): PEMplaybook.org by Pediatric Emergency Playbook
37 min listen
EKG Killers: Part One: PEMplaybook.org by Pediatric Emergency Playbook
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Vaccine Preventable Illness Part One: PEMplaybook.org by Pediatric Emergency Playbook
39 min listen
Please STOP LIMPING!: "She won't walk", or "He just looks like he's limping". So many things can be going on -- how do we tackle this chief complaint? You’re dreading a big work-up. You almost want to tell the kid – please, STOP LIMPING... STOP LIMPING! S –... by Pediatric Emergency Playbook
33 min listen
Electrical Injuries: Hertz So Bad: Victims of electrical injuries present either in extremis or as the seeming well patient with insidious, developing disease. A targeted history usually gets you the information you need. Four main things to find out: 1. Household... by Pediatric Emergency Playbook
36 min listen
MI in Children: Myocardial infarction (MI) in children is uncommon, but underdiagnosed. This is due to two main factors: the etiologies are varied; and the presenting symptoms are “atypical”. We need a mental metal detector! Case examples... by Pediatric Emergency Playbook
37 min listen
Concussion: How do we make the diagnosis? What now? Concussion in Sport Group Guidelines Concussion Recognition Tool (for coaches, trainers on field) Child Sports Concussion Assessment Tool, 5th Ed. (Child SCAT); Ages 5-12 Sports Concussion Assessment... by Pediatric Emergency Playbook
34 min listen
Harpoon or Hook? Deductive Clinical Reasoning: a PEM Primer by Pediatric Emergency Playbook
22 min listen
Blunt Head Trauma: PECARN Head CT Decision Tool by Pediatric Emergency Playbook
30 min listen
Bronchiolitis: "By the pricking of my thumbs, Something wheezing this way comes." -- Witches in Macbeth, with apologies to William Shakespeare "Bronchiolitis is like a pneumonia you can’t treat. We support, while the patient heals." -- Coach, still... by Pediatric Emergency Playbook
38 min listen

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Pediatric Vital Signs: What Are We Missing?

Pediatric Vital Signs: What Are We Missing?

Description

Titles in the series (100)

More Episodes from Pediatric Emergency Playbook

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