Art of Medicine: Discussing simple febrile seizures with parents
The next video in the Art of Medicine series focuses on how to talk with parents about simple febrile seizures. These can be incredibly scary, but fortunately the prognosis is almost uniformly great....
View ArticleWhy we do what we do: Benzodiazepines as first line therapy for status...
The return of Why we do what we do focuses on the first drug class in the management of status epilepticus – benzodiazepines. What make them such a good choice? How are they best administered? When...
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Symptoms associated with brain tumors in children
Many patients present to the Emergency Department with headaches – very few (almost none) have brain tumors despite a high level of parental concern. Let’s take a look at various symptoms and how...
View ArticleSynconvulsions: Just how common are convulsions in syncope? (Re-post)
This post originally appeared on PEMBlog back in August of 2014 and has been reposted because I think it is a really important topic. Certainly we’ve all taken care of of the patient with the chief...
View ArticleShake up your status epilepticus management
Seizures that won’t quit can be quite stressful in the Emergency Department. Check out this edition of PEMCurrents where I discuss the stepwise management of status epilepticus. You can also read my...
View ArticleWhat did we learn today?
Though it seems like a hodge podge of clinical topics – this compendium post of resources is designed to echo many of the teaching points at today’s bimonthly education session in the Queen City....
View ArticleThree seizure cases (updated with discussion)
Take a look at these three seizure cases that were first discussed with our residents this month. I’ll post my thoughts and additional learning resources very soon. A 9 month old female presents after...
View ArticlePost-Traumatic Headache Management
Increasingly we are seeing children in the days to weeks following traumatic brain injuries in the Pediatric Emergency Department. Most often these children present with persistent headaches. After a...
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From the Archives: Spring Break Edition
I am on Spring Break this week, spending time with the wife and kids. So, I won’t be posting any new content. However, you can still access (at least in my humble opinion) a veritable treasure trove of...
View ArticleMigraines Starter Pack
It’s the beginning of a new academic year- and whether or not you are entering the ED for the first time, or returning after a hiatus it’s a good time to catch up on the basics. That’s what these...
View ArticleOral caffeine for post lumbar puncture headache
Special thanks to our awesome pharmacist at Cincinnati Children’s, Michelle Caruso, for help with this post. It is enterovirus season – and with that comes viral (aseptic) meningitis. Now you may...
View ArticleBreath of the Wild! A podcast on breath holding spells
Don’t hold you breath while listening to this podcast – because you’d be doing so for longer than 20 seconds – and you will have apnea. Do however, listen to learn more about cyanotic and pallid breath...
View ArticleWhy we do what we do: Hypertonic saline for elevated intracranial pressure
Hypertonic saline is used to treat elevated intracranial pressure in children with traumatic brain injury. What is it and how does it work? Technically hypertonic saline is any sodium chloride solution...
View Article2017 Starter Pack: Migraine Headaches
It’s the beginning of a new academic year- and whether or not you are entering the ED for the first time, or returning after a hiatus it’s a good time to catch up on the basics. That’s what these...
View ArticleStarter Pack: Seizures
It’s the beginning of a new academic year – and whether or not you are entering the ED for the first time, or returning after a hiatus it’s a good time to catch up on the basics. That’s what these...
View ArticleWhy we do what we do: Benzodiazepines as first line therapy for status...
The return of Why we do what we do focuses on the first drug class in the management of status epilepticus – benzodiazepines. What make them such a good choice? How are they best administered? When...
View ArticleFacts on the Ground: Meningitis and Encephalitis are rare in complex febrile...
Welcome to Facts on the Ground a new series brought to you by Natan Cramer, Pediatric Emergency Medicine fellow from the University of Pittsburgh. Facts on the Ground is designed to be a concise...
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2019 PEMPix Online Case 1: Voodoo on you too
This is the first of three exclusive PEMPix cases that will be posted online in advance of the 2019 Section on Emergency Medicine programming at the American Academy of Pediatrics National Conference...
View ArticleEmergiQuiz: Myasthenia Gravis
For many years the EmergiQuiz presentations have been one of the highlights of the AAP National Conference and Exhibition Section on Emergency Medicine Program. Pediatric Emergency Medicine Fellows...
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You don’t need to do an LP on (most) patients with complex febrile seizures
It’s pretty clear that you don’t need to do an LP to rule out meningitis in simple febrile seizures. But what about complex febrile seizures? What if you consult a Neurologist and they recommend one?...
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