Articles by Ghazala Q. Sharieff, MD, MBA
Otitis media is a common presenting complaint in the emergency department. This review will outline the latest American Academy of Pediatrics recommendations for the diagnosis and management of acute otitis media as well as provide a contingency plan for those patients who qualify to wait 48 hours prior to the initiation of antibiotic therapy.
With the flu and gastroenteritis season in full swing, the use of
ondansetron use in the emergency department can help decrease the need
for intravenous hydration. As more patients flood our already busy
hospitals and with the new norovirus strain infections, it is
increasingly more important for us to begin oral rehydration therapy as
soon as possible.
While most syncopal events in children are benign, there are certainly
serious syncope conditions which exist, mainly involving the
cardiovascular system. Fifteen to 20 percent of children will have one
episode with neurogenic syncope being the overall most common cause. The
physical examination is normal in up to 96% of children.
When kids present with lacerations, we have choices as to how to stitch them up. This journal club reviews the literature on the appropriate selection of sutures in children, and pits tissue adhesive head-to-head against adhesive strips.
While acute abdominal pain is a common presenting complaint in emergency
departments, the diagnosis of acute appendicitis can be extremely
difficult in young children, who may not have the classic findings that
are typically seen in older patients.