This week’s case highlighted a child with lower extremity pain and weakness. Regarding initial imaging, the discussion focused on differentiating between pain and weakness. Weakness would prompt learners to lean more towards CT or MRI, which would provide more information and still include an evaluation of the bones and joint spaces. Urgent sedated MRI brain […]
Hot Seat #244: Gait Expectations
Case by Gabrielle Jasmin MD, CNH PEM Fellow 8-year-old male with history of eczema presents with RLE weakness. Mom reports that the child was recently seen in an outside hospital’s emergency department 2 weeks prior to presentation for cough and cold symptoms along with right leg calf and hip pain. At that time, he was […]
Hot Seat #243 Denouement
This week’s case highlighted a patient with fever and umbilical drainage who progressed into septic shock. The patient was started on ceftriaxone, vancomycin, and clindamycin for septic shock vs TSS. Started on NE in the ED for persistently widened pulse pressures. Transferred to the PICU, where she continued pressors until the next morning. Started on […]
Hot Seat #243: Rash Decisions
Case by Maria Elena Arrate MD, CNH PEM Fellow A 15-month-old female presents to the ED for fever and umbilical drainage. Seen 9 days ago for drainage from the belly button that had been ongoing for 6 weeks, and intermittent fevers. Had been on a course of a first generation cephalosporin for soft tissue infection […]
Push-Pull Fluid Bolus in Pediatrics
✅ Indications for Push-Pull Bolus: Typical Fluid Dose: Push-Pull Technique Using a 3-Way Stopcock Equipment Needed: ✅ Steps to Set Up: ✅ Pro Tips: Keep the IV site visible—stop immediately if infiltration is suspected. Use the largest-bore IV possible for effective flow rates. Limit disconnections to maintain sterility and prevent air embolism. Monitor for signs […]