Psychogenic Nonepileptic Seizures (PNES) in Children and Adolescents
Psychogenic nonepileptic seizures, or PNES, are common, frequently misunderstood, and increasingly encountered in pediatric Emergency Departments. These events closely resemble epileptic seizures but...
View ArticleMedical Music Mondays: Convulsive Syncope
At least 40% of the time when someone faints they have some abnormal movements. These aren’t seizures! Convulsive syncope is what we call it when someone faints and jerks a bit. Lyrics Sunday morn and...
View ArticleMedical Music Mondays: Migraine Cocktail
Migraines are terrible. In the Emergency Department the “Migraine Cocktail” successfully treats 90+ percent of patients. Prochlorperazine and Toradol to the rescue! Also, it’s hard to make an AI...
View ArticleMedical Music Mondays: Terror of the Night
Night terrors are super scary. And the kid doesn’t even remember them! They’re more like sleep walking than nightmares and parents are often worried that it’s a seizure or something more serious....
View ArticleCaring for Patients with Duchenne Muscular Dystrophy in the Emergency...
Duchenne Muscular Dystrophy (DMD) is a complex and progressive disease requiring highly specialized care, especially in emergency situations. The condition affects multiple organ systems—muscular,...
View ArticleMorning Report on Febrile Seizures
Recently, I had the opportunity to present a morning report to the residents and medical students at Cincinnati Children’s, focusing on the topic of febrile seizures. The session was highly engaging,...
View ArticleMedical Music Mondays: Seize the Moment
Dude! If you could remember the rockin’ drug sequence to for anti epileptics in the Emergency Department that would be totally awesome! Wait, there’s a hair metal song with lyrics to that effect? Rad!...
View ArticleMedical Music Mondays: A Nursemaid’s Lullaby
Hyperpronation is better than supination-flexion for Nursemaid’s Elbow reduction. Also they call it pulled elbow in Australia. Which is a better name. Swiftly listen to this brief educational song....
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Podcast Episode: Febrile Seizures
Febrile Seizures are among the most common neurological problema in young children, occurring in 1 out of 50 children between the ages of 6 months and 5 years of age. This episode of PEM Currents: The...
View ArticleMedical Music Mondays: Simple Febrile Seizures
Simple febrile seizures are scary for parents – but all that is really needed is reassurance and education. Lyrics Febrile seizures, you’re warm and you’re shaking Not like a teen who’s convulsing and...
View ArticleTools you should use: Pediatric NIH Stroke Scale
Pediatric strokes are rare and challenging to diagnose. There is a validated Pediatric Stroke Scale from the NIH that can be used in conjunction with a stroke protocol that involves Neurology,...
View ArticleTalking to families about why we don’t need tests after febrile seizures or...
Did you know that lab tests and CT scans are not recommended for most children who fully recover after a simple febrile seizure or a first-time, unprovoked generalized seizure? Choosing Wisely...
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You don’t need labs or CT scans in children who have recovered after a simple...
This is a blog post designed to disseminate the important work of Choosing Wisely, an initiative of the the American Board of Internal Medicine Foundation, the goal of which is the spark conversations...
View ArticleBriefs: Abdominal Migraines
Let me start off by stating that yes – abdominal migraines are a thing. They fit under the umbrella of migraine variants – which are episodic syndromes related to migraines but presenting with...
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PEMPix 2022 Online Case 01: Big Thunder Mountain
PEMPix is the American Academy of Pediatrics Section on Emergency Medicine’s annual visual diagnosis competition. This year, in addition to the 10 finalists I will be presenting at the National...
View ArticleWhy we do what we do: Hypertonic saline for elevated intracranial pressure
Take Home Point: Hypertonic saline is used to treat elevated intracranial pressure in children with traumatic brain injury. Note: This post is an update from 2018 What is it and how does it work?...
View ArticleBriefs: Breath holding spells
A case for your consideration A reasonably terrified mom brings her 17 month old boy into the ED after an apparent seizure. She states that her older daughter took a piece of candy away from the...
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A deliriously educational podcast… about delirium
Yes, PEM Currents is a Pediatric Emergency Medicine podcast, but during the COVID-19 pandemic we may be tasked with seeing patients outside of our area of expertise. Plus, there’s a lot we can learn...
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A podcast on stroke in adults
Yes, PEM Currents is a Pediatric Emergency Medicine podcast, but during the COVID-19 pandemic we may be tased with seeing patients outside of our area of expertise. Plus, there’s a lot we can learn...
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A podcast on the management of status epilepticus
Status epilepticus can be very stressful in the Pediatric Emergency Department. This episode of PEM Currents: The Pediatric Emergency Medicine Podcast focuses on management, and will guide you through...
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