Journal Feed covers STI testing accuracy, exam for occult scaphoid fractures, and predicting dehydration severity in pediatric DKA.
A tough case in a rural ED...
Episode 80 of the emDOCs podcast covers traumatic arthrotomy, or open joint. What history and exam findings suggest the disease, what testing should you obtain, and what is the management?
An 8-year-old boy presents with left eyelid swelling for 2 days. Parents report the swelling has progressively worsened and is greater in the upper eyelid. It is associated with erythema, warmth, and tenderness. They also note subjective fevers. For the past week, the patient had watery rhinorrhea, dry cough, and nasal congestion. Parents deny recent trauma or known insect bite. The patient’s vitals include T 100.2F, BP 113/67, HR 123, RR 26, SpO2 of 99% on room air. On physical exam, the patient is non-toxic appearing. His eye exam is significant for edema and erythema to the left periorbital region greater in the upper eyelid. There is mild warmth but no crusting or active drainage. His extraocular movements are intact and painless, and there is no conjunctivitis or chemosis. What is the diagnosis?
We are in the midst of a staggering mental health crisis. Thousands of children and adolescents spend days at time in Emergency Departments waiting for definitive mental health disposition.
This week we look at chronic organophosphate toxicity.
Journal Feed looks at C spine injuries in elderly patients with ground level falls, traction technique for manual testicular detorsion, and prophylactic antibiotics for alcohol-related hepatitis.
There are protocols in place that assist highly trained Emergency Medical Service providers in assuring that agitated children are safely transported to their destination. This podcast episode is all about what prehospital providers should do to get these agitated children safely to the ED.
