• PodNooga Coming Soon - PEM Chatt

  • 著者： Toni Dobson
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PodNooga Coming Soon - PEM Chatt

著者： Toni Dobson
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  • Coming Soon!
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Coming Soon!
身体的病い・疾患 衛生・健康的な生活 生物科学
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エピソード
  • 03 | Septic Joint with Dr. Jordan Foutch

    03 | Septic Joint with Dr. Jordan Foutch
    2024/11/06
    Septic Joint: In this episode of PEM Chatt, Dr. Jordan Foutch discusses the approach to evaluating a limping child in the pediatric emergency department. He emphasizes the importance of considering septic arthritis as a possibility, especially when fever is present. Dr. Foutch outlines the initial workup, including physical examination techniques, lab tests like CBC, inflammatory markers, and imaging studies. He explains the Kocher criteria for risk stratification and discusses the management approach, including when to involve orthopedics and consider joint aspiration or MRI. The conversation also covers various mimickers of septic joint, such as transient synovitis, osteomyelitis, and non-orthopedic conditions. Dr. Foutch provides valuable insights on communicating with parents, making admission decisions, and key pearls for diagnosing and managing limping children in the emergency setting. Link to Kocker Criteria: https://www.mdcalc.com/calc/1817/kocher-criteria-septic-arthritis Link to references: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10974044/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5774603/ https://www.uptodate.com/contents/evaluation-of-limp-in-children?search=limp child&source=search_result&selectedTitle=1~113&usage_type=default&display_rank=1 https://www.uptodate.com/contents/bacterial-arthritis-clinical-features-and-diagnosis-in-infants-and-children?search=septic arthritis child&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1
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    39 分
  • 02 | Orbital Cellulitis with Dr. Tamarrah Davis

    02 | Orbital Cellulitis with Dr. Tamarrah Davis
    2024/11/06
    Orbital Cellulitis: Dr. Tamarrah Davis, a pediatric emergency medicine physician, joins PEM Chatt to discuss the diagnosis and management of preceptal and orbital cellulitis in children. This episode covers key differences between the two conditions, examination techniques, treatment options, and important considerations for emergency advanced practice providers. Throughout the episode, Dr. Davis shares practical advice on communicating with families about treatment decisions and imaging, as well as pitfalls and pearls for managing these eye infections in the pediatric emergency setting. Great illustrations of the anatomy: https://jamanetwork.com/journals/jama/fullarticle/2758601 Link to References: https://www.uptodate.com/contents/preseptal-cellulitis?search=periorbital%20cellutlis&source=search_result&selectedTitle=1%7E21&usage_type=default&display_rank=1 https://www.uptodate.com/contents/orbital-cellulitis?search=orbital%20cellulitis&source=search_result&selectedTitle=1%7E28&usage_type=default&display_rank=1
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    24 分
  • 01 | Bronchiolitis with Dr. Shelley Murphy

    01 | Bronchiolitis with Dr. Shelley Murphy
    2024/11/06
    Dr. Shelley Murphy discusses evidence-based bronchiolitis management in pediatric patients. She explains that bronchiolitis is a viral infection affecting the airways, commonly caused by RSV, rhinovirus, or human metapneumovirus. Key points include the importance of nasal suctioning as primary treatment, using a scoring system to assess severity and guide management, avoiding unnecessary treatments like albuterol or steroids unless specifically indicated, and criteria for admission. Dr. Murphy also covers the use of high-flow nasal cannula, fluid management, and considerations for intubation. She emphasizes effective communication with parents, clear discharge instructions, and recognizing when hospital admission is necessary. The episode provides valuable insights into evidence-based management of bronchiolitis in the pediatric emergency setting, including common pitfalls and practical advice for healthcare providers dealing with this common condition. Link to Scoring Tool and Protocol: Bronchiolitis Scoring and Protocol.docx Link to References: https://www.uptodate.com/contents/bronchiolitis-in-infants-and-children-treatment-outcome-and-prevention?search=bronchiolitis&source=search_result&selectedTitle=1%7E150&usage_type=default&display_rank=1 https://journals.lww.com/jpcr/fulltext/2020/07050/acute_bronchiolitis_in_children.16.aspx
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    47 分

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