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It’s not the heart? Red flags in children with chest pain
It’s not the heart way more often than it is the heart when it comes to pediatric chest pain in the Emergency Department. The purpose of this post is to highlight factors in the history and physical...
View ArticleA GREAT EKG review from Don’t Forget the Bubbles
dontforgetthebubbles.com/ten-not-to-be-missed-paediatric-ecgs/ Do you struggle with EKGs sometimes? I’ll admit it, I do. That’s why the above linked post from Don’t Forget the Bubbles was so incredibly...
View ArticleBriefs: Breath holding spells
A case for your consideration A reasonably terrified mom brings her 17 month old boy into the ED after an apparent seizure. She states that her older daughter took a piece of candy away from the...
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A podcast episode on return to sports guidelines after a COVID-19 diagnosis
Even though we won’t be “clearing” patients in the ED we still need to be familiar with return to sports recommendations for children and adolescents who have had COVID-19. Remember, these are just...
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PEMPix 2022 Online Case 04: Space Mountain
PEMPix is the American Academy of Pediatrics Section on Emergency Medicine’s annual visual diagnosis competition. This year, in addition to the 10 finalists I will be presenting at the National...
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My commotio cordis podcast episode
Commotio cordis is caused by the blunt impact of a hard object directly over the heart occurring during a specific window of ventricular repolarization leading to immediate collapse, ventricular...
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Tools you should use: Subtle Anterior STEMI Calculator
It is possible for an adolescent to have a myocardial infarction. Maybe they had a previous history of Kawasaki Disease – or they have myocarditis, or a lipid metabolism disorder. It is also true that...
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A review of the utility of the ECG in Pediatric Syncope
Syncope is described as a brief loss of consciousness and postural tone caused by transient global cerebral hypoperfusion. It is followed by a complete recovery. An estimated 80% of pediatric syncope...
View ArticleMedical Music Mondays: Turn the Heart Rate Down
Supraventricular tachycardia is really fun to convert. You go do all kinds of vagal maneuvers which are basically heart games. Then there’s the REVERT maneuver – it works great! Search for it and learn...
View ArticleCaring for Patients with Duchenne Muscular Dystrophy in the Emergency...
Duchenne Muscular Dystrophy (DMD) is a complex and progressive disease requiring highly specialized care, especially in emergency situations. The condition affects multiple organ systems—muscular,...
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