WeR4Peds
WeR4Peds
Pediatric emergency medicine physician
This is a chance for us to discuss why we do what we do in the ED. Cover photo by Daniele Levis Pelusi on Unsplash
Vomiting & Diarrhea
I like this article that describes the signs and symptoms of dehydration: "Validity and reliability of clinical signs in the diagnosis of dehydration in children" by M Gorelick et al.  Pediatrics 1997;99(5).  
Nov 30, 2020
13 min
Suspected congenital heart disease
While we encounter more children in the ED with 'known' than 'suspected' congenital heart disease, reviewing the evaluation of children with 'suspected' congenital heart disease reminds us of our typical cardiac evaluation of children.
Nov 30, 2020
13 min
RSV bronchiolitis
Respiratory Syncytial Virus. An interesting podcast on HFNC is: "Noninvasive Ventilation in Pediatrics with Dr. Phoebe Yager."  https://resident360.nejm.org/curbside-consults/noninvasive-ventilation-in-pediatrics-with-dr-phoebe-yager
Nov 30, 2020
13 min
DKA--diabetic ketoacidosis
What criteria do we use for an insulin infusion? pH < 7.3 and/or serum bicarb (HCO3) < 15.
Nov 30, 2020
11 min
Croup
Croup and nebulized treatments as aerosol generating procedures during COVID-19.
Nov 30, 2020
11 min
Wheezing in children
Questions for today: Why do we call it wheezing? Who gets what type of steroids? How frequently can we dose bronchodilator treatments?
Nov 30, 2020
15 min
Urinary tract infections in infants
Questions for today: Why do we always want to get a culture on every urine we send? Why do we need a catheterization (we can't rely on a bag urine)?
Nov 30, 2020
10 min
Fever in the 29 to 60 day old infant
What is different about the diagnostic evaluation and treatment of children aged 29 to 60 days old with fever, compared to the 0 to 28 day olds? How do we decide whether a lumbar puncture is necessary?
Nov 30, 2020
11 min
Fever in the 0 to 28 day old infant
This will review how we think about infants 0 to 28 days old with a fever. Risk of serious bacterial infections in infants aged < 60 days presenting to emergency departments with a history of fever only. Ramgopal S, et al. Journal of Pediatrics. 2019;204:191-5.
Nov 30, 2020
11 min
Strep pharyngitis
Welcome to the first episode.  Here we discuss who gets strep throat and why we always want to send a culture if the rapid strep is negative.
Nov 30, 2020
10 min