For those of you who may have missed the most recent press release from the CDC on August 14th, the incidence of the potentially deadly West Nile Virus is back with a vengeance.
Think you know everything about the lowly abscess? Think again. New research suggests you might want to use ultrasound before you lance, and suture before you pack.
(ALTEs) are a common presenting
complaint to the emergency department. According to the National
Institutes of Health 1986 definition – which remains the current
definition – an ALTE is an episode that is frightening to the observer
and is characterized by some combination of apnea, color change, change in muscle tone, and choking or
gagging. In pediatrics, the observer sometimes fears that the infant has
A 35-year-old female is brought to the emergency department by ambulance
after she was the restrained driver in a vehicle that was rear-ended at
low speed. Her only notable injury is a complicated tongue laceration
that resulted when she bit down on her tongue during impact. There is a
moderate amount of bleeding which EMS was unable to completely control
but the patient is maintaining her airway.
Pediatric seizures are a common emergency department complaint. The prior definition of status epilepticus (SE) was: “More than 30 minutes of continuous seizure activity or two or more sequential seizures without full recovery of consciousness between seizures.”
A 29-year-old African American male presents to the emergency department
with a chief complaint of left arm pain. The patient states he was
using a power drill with a quarter-inch drill bit several hours prior to
arrival when it accidentally slipped and drilled into his left forearm. This CME will demonstrate how to check forearm compartment pressures with the stryker compartment pressure monitor
Pediatric DKA management has always been fraught with concern regarding fluid management due to the risk of cerebral edema. While cerebral edema is uncommon, it has devastating complications and is always in the forefront of our management techniques.
The patient is a 51-year-old male who presents to the ED with a
complaint of severe abdominal pain and cramping of 8 hours duration
associated with diaphoresis, low-grade fevers, and anorexia. According
to the patient, his symptoms began approximately 1 hour after suffering a
scrotal bite from “some insect” while trying on a pair of boxer shorts
his wife had just given him for Valentine’s Day.
Sickle Cell Disease (SCD) is an inherited disorder that
affects nearly 100,000 Americans. Since its discovery 101 years ago, SCD
has fallen largely under the academic jurisdiction of hematology.
Today, a small group of clinicians/researchers/scientists (mostly
hematologists) works to add to the body of sickle cell literature
The issue of serious bacterial illness in children is an ongoing debate and new articles are emerging that help shed some light on the topic. This journal club will review lab tests that are better indicators of serious bacterial illness, how to reduce the rate of blood culture contaminants, the significance of the clinical examination for the diagnosis of meningitis and whether or not a routine lumbar puncture is necessary in children less than 18 months of age with a first time, simple febrile seizure.