Archive

Medical Category: Pediatrics

Rebellion21: The Pyretic Neonate – A Cautionary Tale for Decision-Making Rules via Hilary Fairbrother, MD

In this 16-minute presentation from Rebellion in EM 2021, Dr. Hilary Fairbrother, MD describes the Clinical Decision Rule formulated and validated in the PECARN network for fever in patients who are less than 60 days old. She reviews the rule …

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Pediatrics

Oral Sucrose for Pain Control in Infants: A Useless Practice?

Background: Oral sweet solutions have been used for some time as a pain-reducing agent for procedures in the neonatal population.  However, there has been some mixed results in its effectiveness, especially in the <12 months of age group. Nasopharyngeal aspiration (NPA) …

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Pediatrics

Delayed Antibiotic Prescriptions for Children: DAP, IAP, vs NAP

Background: Respiratory tract infections (RTIs) are a common reason for medical visits in kids.  Most RTIs are self-limited and the addition of antibiotics rarely alters the course of disease. However, antibiotics are frequently prescribed for these conditions.  Antibiotic overuse is …

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Pediatrics

Do Ondansetron Prescriptions Reduce Pediatric Return Visits for Nausea and Vomiting?

Background: Acute gastroenteritis (AGE) is a very common emergency department (ED) presentation, with “approximately 1.5 million pediatric outpatient visits and 200,000 admissions” each year (Benary).   Treatment for AGE is mainly supportive, utilizing rehydration therapy and antiemetic medications.  One common and …

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Abdominal and GastroinstestinalPediatrics

Slipped Capital Femoral Epiphysis (SCFE)

Definition: Medial or posterior slippage of the femoral capital epiphysis relative to the metaphysis Epidemiology: Classic patient group: overweight adolescent boys Over 80% of SCFE involves children with a BMI > 95th percentile (Manoff 2005). Average age of onset: 12 …

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OrthopedicsPediatrics

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