Archive for category: Pediatrics

Validation of the Step-By-Step Approach to Febrile Infants

11 May
May 11, 2017

Background: Fever without source in infants less than three months old presents a difficult diagnostic dilemma for ED physicians.  Over the past 25 years several algorithms have been developed to help guide clinicians, most notably the Rochester, Philadelphia and Boston Criteria, in determining which infants require admission vs. outpatient management.  These studies were designed published […]

Pediatric Septic Hip

06 Mar
March 6, 2017

Pediatric Septic Hip Definition: Bacterial infection of the hip joint space and synovial fluid Background: Causes Hematogenous spread in bacteremia Local spread (i.e. from osteomyelitis) Direct inoculation (traumatic or surgical) High-Risk Subgroups Age < 2 years (peak incidence 6 – 24 months) Immunocompromised state (i.e. AIDS, active cancer, etc) Functional asplenia (i.e. sickle cell disease) Complications […]

Forget the PediaLyte and Just use Dilute Apple Juice in Mild Gastroenteritis

02 Jun
June 2, 2016

BACKGROUND: Every year in the United States there are an estimated 178.8 million episodes of acute gastroenteritis resulting in 473,832 hospitalizations.  Most of the evidence surrounding oral rehydration centers around Oral Rehydration Therapy (ORT) studies in low-income countries where children suffer from more extensive gastrointestinal losses.  Theoretically, electrolyte maintenance solutions are recommended in order to prevent […]

August 2015 REBELCast

17 Aug
August 17, 2015

Welcome to the August 2015 REBELCast, where Swami, Matt, and I are going to tackle a couple of topics. First topic: renal colic. Renal colic is a commonly seen condition encountered in emergency departments and the use of medical expulsive therapy (MET) is commonly recommended by our urology colleagues. Proponents of MET in the treatment of ureteric colic advocate for them […]

The Challenge of Fever in Kids

27 Jul
July 27, 2015

FEVER shows up beside the name of a new 3 year old that has just been checked into your department. This can be accompanied by many feelings when you see it from “Why are they here ?” to “I hope the child is not dying.” This is a reasonable range of thoughts depending on your […]

Optimization WordPress Plugins & Solutions by W3 EDGE