Journal Feed Weekly Wrap-Up
Journal Feed covers IN fentanyl for pediatric sickle cell crisis, replacing the nail after nail bed repair, and IV fluid volumes in sepsis.
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#FOAMped
Journal Feed Weekly Wrap-Up
Journal Feed covers macrolides and survival in severe community-acquired pneumonia, obtaining the best glottic view in kids, and the PEN-FAST decision tool.
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EM@3AM: Kawasaki Disease
A 3-year-old male presents to the ED with one week of daily fevers >102°F associated with four days of rash on the trunk. His parents have been managing his fevers with acetaminophen and ibuprofen, but became worried today when they noticed redness and swelling of the tongue in addition to swelling in the hands and feet. Vital signs demonstrate a rectal temperature 39.5°C, BP 92/60, HR 130, RR 35, and SpO2 of 98%. Physical exam demonstrates an ill appearing child with bilateral conjunctival injection; erythematous tongue with dry, fissured lips; right sided cervical lymphadenopathy; an erythematous maculopapular rash on the chest, abdomen, and back; and nonpitting edema of the hands and feet. What is the most likely diagnosis?
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Journal Feed Weekly Wrap-Up
This week Journal Feed looks at three pediatric articles.
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EM@3AM: Impetigo
A 9-month-old male presents with a rash and fever for 4 days. Mom reports the rash began in the axillae and groin and spread to the trunk. She notes the rash started as small, erythematous lesions that have progressed to bullae which are unroofing. The rash is associated with intermittent fevers (Tmax of 102°F) and diarrhea. The patient’s vital signs include T 101.2F, BP 93/56, HR 163, RR 40, SpO2 of 99% on room air. On physical exam, the patient appears pale with a prolonged capillary refill. His skin exam is significant for an erythematous rash with scattered ruptured bullae with brown crust and a collarette of scales across the trunk, axillae, perineal and flexural thigh areas. What is the diagnosis?
Neurogenic Shock: Definition, Identification, and Management in the ED
Kira Brayan and Jenny Beck-Esmay cover neurogenic shock!
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52 in 52 – #28: A Randomized Trial of High-Flow Oxygen Therapy in Infants with Bronchiolitis
The 52 in 52 series is back with an RCT on HFNC in infants with bronchiolitis.
Pediatric Small Talk – A Twist of Lyme: An Approach to Clinical Scenarios in Lyme Endemic Areas
Pediatric Small Talk by Joe Ravera is back with Lyme Disease!
52 in 52 – #27: Immediate Transfusion in African Children with Uncomplicated Severe Anemia
This week the 52 in 52 series covers an RCT from the New England Journal of Medicine: Immediate Transfusion in African Children with Uncomplicated Severe Anemia.
Pediatric Small Talk – Urine Trouble: An Approach to Pediatric UTIs
This month Pediatric Small Talk brings you an approach to pediatric UTI.
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