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Morning Report on Febrile Seizures

PEMBlog

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, with a lot of interest from the audience, as febrile seizures are a common but often frightening experience for families.

Seizures 105
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Choosing Wisely – Investigations for Paediatric Patients presenting with Psychiatric Symptoms

Don't Forget the Bubbles

14-year-old Katy presents to the paediatric Emergency Department (ED), alone, complaining of suicidal ideation. A 2023 Quality Improvement (QI) project involved the introduction of a medical clearance algorithm for children presenting with psychiatric emergencies. Acad Emerg Med. Ann Emerg Med. Ann Gen Psychiatry.

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"The crowner hath sat on her and finds it Christian burial." [Hamlet]

Advanced Emergency Nursing from AENJ

Act V, scene I [Text from Folger Shakespeare Library] [Audio recording of Dramatic Reading; Chapter Vox] [Video recording of Act V, scene1] Most deaths that are brought to, or occur in, an emergency department will require, at least, discussion with the local Coroner or Medical Examiner. No "practice procedures" should be done.

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PEM Currents – Agitation in Children – Episode 4: Safe prehospital transport

EMDocs

Podcast: Play in new window | Download (Duration: 15:51 — 21.8MB) Subscribe: Apple Podcasts | Google Podcasts | RSS Safe prehospital transport of the agitated child In episode 1 of this series, we discussed differentiating organic vs psychiatric causes of agitation in children.

EMS 77
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Cardiac Rhythms/ECG Module

Don't Forget the Bubbles

Prioritise listening to the first 30 minutes which given a good overview of aetiology and treatment (53 mins) Basics of cardiac rhythm problems in the ED Palpitations are a common reason for children to present to the emergency department, the majority of these will be benign from a cardiac perspective and instead related to stress or anxiety.

EKG/ECG 98
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Sickle Cell Disease Module

Don't Forget the Bubbles

Do not use pethidine since it can cause seizures and CNS hyperexcitability. A 6-year-old girl from Saudi Arabia was referred by her General Practitioner to the local emergency department. Alternatives to morphine are hydromorphone or fentanyl. She complained of cough and runny nose for 3 days. 2019, 3 rd edition.