Vomiting & Diarrhea

I like this article that describes the signs and symptoms of dehydration: "Validity and reliability of clinical signs in the diagnosis of dehydration in children" by M Gorelick et al.  Pediatrics 1997;99(5).  

While we encounter more children in the ED with 'known' than 'suspected' congenital heart disease, reviewing the evaluation of children with 'suspected' congenital heart disease reminds us of our typical cardiac evaluation of children.

Respiratory Syncytial Virus. An interesting podcast on HFNC is: "Noninvasive Ventilation in Pediatrics with Dr. Phoebe Yager."  https://resident360.nejm.org/curbside-consults/noninvasive-ventilation-in-pediatrics-with-dr-phoebe-yager

What criteria do we use for an insulin infusion? pH < 7.3 and/or serum bicarb (HCO3) < 15.

Croup and nebulized treatments as aerosol generating procedures during COVID-19.

Questions for today: Why do we call it wheezing? Who gets what type of steroids? How frequently can we dose bronchodilator treatments?

Questions for today: Why do we always want to get a culture on every urine we send? Why do we need a catheterization (we can't rely on a bag urine)?

What is different about the diagnostic evaluation and treatment of children aged 29 to 60 days old with fever, compared to the 0 to 28 day olds? How do we decide whether a lumbar puncture is necessary?

This will review how we think about infants 0 to 28 days old with a fever. Risk of serious bacterial infections in infants aged < 60 days presenting to emergency departments with a history of fever only. Ramgopal S, et al. Journal of Pediatrics. 2019;204:191-5.

Welcome to the first episode.  Here we discuss who gets strep throat and why we always want to send a culture if the rapid strep is negative.