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Otitis Media

FromPediatric Emergency Playbook

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Otitis Media

FromPediatric Emergency Playbook

ratings:

Length:

51 minutes

Released:

Mar 1, 2020

Format:

Podcast episode

Description

PEMplaybook.org

Released:

Mar 1, 2020

Format:

Podcast episode

Titles in the series (100)

You make tough calls when caring for acutely ill and injured children. Join us for strategy and support, through clinical cases, research and reviews, and best-practice guidance in our ever-changing acute-care landscape. This is your Pediatric Emergency Playbook.

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Intranasal Medications: Intranasal medications, if understood and employed properly, are a great choice to avoid and IV or as a bridge until IV access is obtained. Learn the strengths and limits of intranasal fentanyl, midazolam, ketamine, and dexmedetomidine. Pain... by Pediatric Emergency Playbook
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Multisystem Trauma in Children, Part One: Airway, Chest Tubes, and Resuscitative Thoracotomy: Traumatized children need your full attention. Protocols work well for adults, but trauma in children requires that we exercise our clinical muscles just a bit more. Two main reasons: Children have specific injury... by Pediatric Emergency Playbook
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Adventures in RSI: Pediatric airway management is a skill that integrates the three types of knowledge as described by the ancient Greeks: episteme, or theoretical knowledge, techne, or technical knowledge, and phronesis, or practical wisdom, also called prudence. Here... by Pediatric Emergency Playbook
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Altered Mental Status in Children: How do you approach the child who may be altered? Altered mental status in children can be subtle. Look for age-specific behaviors that range from irritability to anger to sleepiness to decreased interaction. In the altered child,... by Pediatric Emergency Playbook
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The Fussy Infant: A Social Visit or Your Most Dangerous Presentation Tonight? [Details in Audio] This post and podcast are dedicated to Henry Goldstein, B.Pharm, MBBS for his tireless dedication to all things #FOAMed,... by Pediatric Emergency Playbook
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GI Bleeding in Children: Blood in the vomit. Blood in the stool. Blood in the diaper. How far do I go in my investigation? What do I really have to worry about? The differential diagnosis of GI bleeding in children is broad. (Here is the complete differential... by Pediatric Emergency Playbook
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Multisystem Trauma in Children, Part Two: Massive Transfusion, Trauma Imaging, and Resuscitative Pearls: A 5-year-old boy was playing with his older brother in front of their home when he was struck by a car. He sustained a femur fracture, splenic laceration, and blunt head trauma – the so-called Waddell’s triad. On arrival, he was in... by Pediatric Emergency Playbook
38 min listen
$Multisystem Trauma in Children, Part Two: Massive Transfusion, Trauma Imaging, and Resuscitative Pearls: A 5-year-old boy was playing with his older brother in front of their home when he was struck by a car. He sustained a femur fracture, splenic laceration, and blunt head trauma – the so-called Waddell’s triad. On arrival, he was in...$
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Pediatric Pain: N.B.: This month's show notes are a departure from the usual summary. Below is a reprint (with permission) of a soon-to-be released chapter, Horeczko T. "Acute Pain in Children". In Management of Pain and Procedural Sedation in Acute Care.... by Pediatric Emergency Playbook
52 min listen
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Electrical Injuries: Hertz So Bad: Victims of electrical injuries present either in extremis or as the seeming well patient with insidious, developing disease. A targeted history usually gets you the information you need. Four main things to find out: 1. Household... by Pediatric Emergency Playbook
36 min listen
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Please STOP LIMPING!: "She won't walk", or "He just looks like he's limping". So many things can be going on -- how do we tackle this chief complaint? You’re dreading a big work-up. You almost want to tell the kid – please, STOP LIMPING... STOP LIMPING! S –... by Pediatric Emergency Playbook
33 min listen
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The Pediatric Surgical Abdomen: Abdominal pain is common; so are strongly held myths and legends about what is concerning, and what is not. One of our largest responsibilities in the Emergency Department is sorting out benign from surgical or medical causes of abdominal pain.... by Pediatric Emergency Playbook
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Approach to Shock: Do we recognize shock early enough? How do we prioritize our interventions? How can we tell whether we’re making our patient better or worse? World wide, shock is a leading cause of morbidity and mortality in children, mostly for... by Pediatric Emergency Playbook
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Pediatric Dysrhythmias: PEMplaybook.org by Pediatric Emergency Playbook
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Subcutaneous Rehydration: Have you ever been in any of these situations? ⇒ You have a stable child who just needs fluids, but no laboratory tests ⇒ You’ve tried PO hydration, to no avail, despite anti-emetics ⇒ You’re poking the... by Pediatric Emergency Playbook
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Urine Trouble: When should you commit to getting urine? When can you wait? When should you forgo testing altogether? When do I get urine? Symptoms – either typical dysuria, urgency, frequency in a verbal child, or non-descript abdominal pain or vomiting in a... by Pediatric Emergency Playbook
53 min listen
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The Technologically Dependent Child in the ED: EMS is bringing you a child with a VP shunt, port-a-cath, trached on a vent, seizing, hypotensive, and now desaturating – ETA – 3 minutes. Are you ready? Medicine is evolving. As technology advances, we need to meet the challenge of... by Pediatric Emergency Playbook
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Vomiting in the Young Child: Nothing or Nightmare: In the young child, vomiting is the great imitator: Gastrointestinal, Neurologic, Metabolic, Respiratory, Renal, Infectious, Endocrine, Toxin-related, even Behavioral. To help us organize, below is a review of can't-miss diagnoses by age. The... by Pediatric Emergency Playbook
47 min listen
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Bronchiolitis: "By the pricking of my thumbs, Something wheezing this way comes." -- Witches in Macbeth, with apologies to William Shakespeare "Bronchiolitis is like a pneumonia you can’t treat. We support, while the patient heals." -- Coach, still... by Pediatric Emergency Playbook
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List or Gist? Inductive Clinical Reasoning: a PEM Primer by Pediatric Emergency Playbook
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Just Say No To (These) Drugs: Dogma often dictates routine care. There are times when we have to attend to paradigm shifts. An easy way to save lives? Just say no to (these) drugs: Codeine Normally metabolized into codeine-6-glucuronide (50-70%) and norcodeine... by Pediatric Emergency Playbook
25 min listen
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Pediatric Elbow Injuries: Johnny has fallen on an outstretched hand, and comes to you with a swollen, painful elbow. Position of comfort, analgesia, xrays, and now what? What am I seeing -- or not seeing -- here? First a refresher on radiographic... by Pediatric Emergency Playbook
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Ovarian Torsion: Ovarian torsion is like the MI of the pelvis. Sometimes all it takes is a good story to investigate. When to worry, when to walk it off, and when to work it up: What is the typical presentation of ovarian torsion? There is... by Pediatric Emergency Playbook
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Otitis Media

Otitis Media

Description

Titles in the series (100)

More Episodes from Pediatric Emergency Playbook