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Palms and Soles
“The Thinker’s Rash…” MAKES A MRC “Makes a Mark” Measles Arthritis Kawasaki Endocarditis Syphilis Allergy/Atopy Meningococcemia Rickettsia Coxsackie Measles Koplik spots appear in the mouth before the...
View ArticlePediatric Myths
Selected References Bjorklund KA, Rice DM, Amalfi AN. Pediatric Digital Necrosis Secondary to Dressing Application: A Case Series. Hand (N Y). 2018 Jul;13(4):NP14-NP16. doi: 10.1177/1558944718772387....
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Environmental Injuries in Children
General Principles Larger Body Surface Area to Mass Ratio These two objects have the same surface area, but cylinder contains more volume (mass) Higher Metabolic Rate Immature Blood-Brain Barrier Thin...
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Push-Dose Epi
Push-dose epinephrine, or low-dose bolus epinephrine, can be given safely in adults and children. In children, consider for severe anaphylaxis or asthma resistant to IM administration, or for...
View ArticleHemolytic Uremic Syndrome
Selected References Pundzienė B et al. Long-term follow-up of children with typical hemolytic uremic syndrome. Medicina. 51(3); 2015. Talathi S et al. Transaminases at Presentation and Association...
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The Abdominal Exam in Children
The abdominal exam in children starts with the general assessment; the Pediatric Assessment Triangle: Good lighting and exposure are important Your approach will be based on the child’s developmental...
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Wound Care at Home
You always have a moment before departure to explain and troubleshoot ahead of time. Thanks, Sean Fox! Take that moment, come up with a plan together.
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Fontanelle Facts
A low-frequency, high-risk presentation… Selected References Alamo L, Beck-Popovic M, Gudinchet F, Meuli R. Congenital tumors: imaging when life just begins. Insights Imaging. 2011 Jun;2(3):297-308....
View ArticleBriefing, Huddling, and Debriefing in the PED
MO_04_03_0915-0945_Debriefing_HoreczkoDownload Selected ReferencesAnders Ericsson K et al. Deliberate Practice and Proposed Limits on the Effects of Practice onthe Acquisition of Expert Performance:...
View ArticleStridor, Stertor, and Noisy Breathing
Selected References Dobbie AM, White DR. Laryngomalacia. Pediatr Clin North Am. 2013 Aug;60(4):893-902. doi: 10.1016/j.pcl.2013.04.013. Epub 2013 Jun 14. PMID: 23905826. Klinginsmith M, Goldman J....
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Neonatal Resuscitation
Selected References Aramendi E, Irusta U. To interrupt, or not to interrupt chest compressions for ventilation: that is the question! J Thorac Dis. 2016 Jan;8(1):E121-3. doi:...
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Resuscitative Umbilical Vein Catheterization
Supplies If you have a kit, use it. If *you* are the kit, get all of your supplies together: Sterile gloves (full gown donning if you have time) 5 Fr umbilical line (3.5Fr for premature baby)...
View ArticleTorticollis
Selected References Fąfara-Leś A, Kwiatkowski S, Maryńczak L, et al. Torticollis as a first sign of posterior fossa and cervical spinal cord tumors in children. Childs Nerv Syst. 2014; 30:425....
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From the Ashes of SIRS: the Phoenix Sepsis Score
Sick or Not Sick works until it doesn’t. The “gap kids” may need observation or further investigation. SIRS is OUT — your clinical judgement is IN. Use the Phoenix Sepsis Score to determine the...
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