PEM Playbook

In Part One of this two-part series, we discussed re-emerging infectious threats that may creep into our EDs initially unnoticed.
We continue from Part One with the rest of the dreaded thirteen, from varicella through meningococcus

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. Morbidity and mortality varies by age and condition.

Myocardial infarction (MI) in children is uncommon, but underdiagnosed.
This is due to two main factors: the etiologies are varied; and the presenting symptoms are “atypical”.

Most newborns will have some jaundice.  Most jaundice is benign.
So, how can we sort through the various presentations and keep our newborns safe?

Children the world over are fascinated with what can possibly “fit” in their orifices. Diagnosis is often delayed. Anxiety abounds before and during evaluation and management.

When should you commit to getting urine?
When can you wait?
When should you forgo testing altogether?

‘Tis the season of… bronchiolitis. Listen and read about the latest play with the coach, Tim Horeczko.

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.

Seemingly vague, but potentially dangerous…common, but possibly with consequences……or maybe just plain frustrating.
Let’s talk risk stratification, diagnosis, and management!