PEM Review 006, May 26th – CHEST PAIN // DRUGS // RHEUMATIC FEVER // STATUS EPILEPTICUS // HSP // ED HACKS

PEMgeek3

Welcome new twitter followers!

Your weekly roundup of the best new paediatric #FOAMed resources starts here. Enjoy 🙂

Chest-Pain-2    1. CHEST PAIN… HEART SINK? Chest pain in paeds ED doesn’t really drum up the excitement that it does among our adult colleagues/patients. How should we balance our approach when we know that the likelihood of cardiac disease is extremely low (yet still present..)? Pragmatism vs paranoia…  Read this by @pedemmorsels (summary, ‘be vigilant, but be reasonable’ – could apply this to many other areas of medicine, and life!) This, on the clinical features of benign chest pain, is also a useful read (@PEMtweets)

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Doxycycline_W288                   2. DOXYCYCLINE – KNOW YOUR POISON  Possibly of more interest to American colleagues – but here in the UK we may well see returning travellers with tick-borne illnesses. Doxycycline can be used to treat Rocky Mountain Spotted Fever and Lyme disease (among other indications). @epmonthly

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jones

3. RHEUMATIC FEVER – the Jones criteria  are one of those lists of things which I will never ever be able to drum into my brain and get to stay there – good thing reminders like this come along occasionally.  Thanks @andyneil for the words and @medcomic for the image

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random_pills     4. STATUS EPILEPTICUS: WHICH BENZO IS BEST? @stemlyns Journal Club dissect this paper, a trial of diazepam vs lorazepam for status epilepticus. Although there was no significant difference found in the trial, there is an interesting discussion around methodology which is well worth getting your head around.

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ct   5. CASE OF THE WEEK a vomiting, limping toddler – and a diagnosis not to miss. Some great CT images with this case.  @epmonthly

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hsp      6. HSP: Team this short presentation with this excellent case video (@LMellick) and you have a comprehensive recap of HSP crammed into 7 minutes. Can’t say that’s not worth your time!

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doc       7. GPPAEDSTIPS is a great blog authored by @sailordoctor which should be of interest to GPs, EM docs and paediatricians… all of whom are occasionally guilty of forgetting that they’re on the same team. This week’s post (regarding an ‘inappropriate’ referral) inspired me to go and look at the evidence for treating umbilical granulomas. No consensus – although silver nitrate and clobetasol are both effective, they each have potential harmful side effects. Many granulomas will self resolve.

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paediatric-first-aid-300x225      8. PAEDIATRIC HACKS – some useful little tips to make things smoother for you, the kid and the parents in paediatric ED, featured on R.E.B.E.L. EM. (@srrezaie) *petitions pharmacy to start stocking ice lollies*

Come back next week and please share, far and wide.

@PEMgeek

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