Pediatric Emergency Playbook - podcast cover

Pediatric Emergency Playbook

Tim Horeczko, MD, MSCR, FACEP, FAAPpemplaybook.org
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. Please visit our site at http://PEMplaybook.org/ for show notes and to get involved with the show -- see you there!
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Episodes

Push-Dose Epi

pemplaybook.org/podcast/push-dose-epi/

Jan 01, 202328 min

Eczema

PEMplaybook.org

Mar 01, 202231 min

Focus On: Pyloric Stenosis

Myth : “No olive, no problem” Reality : Rare finding, since we diagnose earlier Pyloric stenosis occurs in young infants because the pyloric sphincter hypertrophies, causing near-complete obstruction of the gastric outlet. More common in boys, preterm babies, first-born. Less common in older mothers. Association with macrolide use. Presentation Young infant arrives with forceful vomiting, but can’t quite get enough to eat “the hungry, hungry, not-so-hippo”. Early presentation from 3 to 5 weeks o...

Jan 01, 202216 min

Focus On: Inguinal Hernias in Children

Hernia Myth : “ If it’s not strangulated, it’s elective” Reality : Unlike in adults, all hernias in children are repaired at the time of diagnosis because : The risk of incarceration and strangulation is high There is a 30% risk of testicular infarction due to pressure on the gonadal vessels It is not worth messing around and “trying to navigate the system” Most groin hernias in children are indirect inguinal hernias (incomplete closure of processus vaginalis). Most indirect hernias are in boys ...

Sep 01, 202113 min
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