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Coming Soon
Ah, the suspense! In early September, look for the launch of this pediatric emergency medicine podcast that will bring you and me in a huddle of best practice care plans for our most vulnerable of...
View ArticleThe Undifferentiated Sick Infant
You have all of the skills you need to care for an acutely ill infant. Learn a few pearls to make this a smoother endeavor. The Pediatric Assessment Triangle is a rapid, global assessment tool using...
View ArticleCarpe Cerebrum: Seize the Brain
Do you have a plan for your little patient when he just won’t stop seizing? What do you do when your typical treatment is not enough? Get up-to-date in the understanding and management of pediatric...
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Intranasal Medications and You
Intranasal medications, if understood and employed properly, are a great choice to avoid and IV or as a bridge until IV access is obtained. Learn the strengths and limits of intranasal fentanyl,...
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Official Podcast Launch — Join Us!
The Playbook is pleased to announce the Official Podcast Launch! You make tough calls when caring for acutely ill and injured children. Join us for strategy and support — through clinical cases,...
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FOAM and the Rhizome: Ebullient Connections
Technology is a double-edged sword. It can enable us to cut our work in half — or double our efforts when we realize that we just made things too complicated. As Free Open Access Medical Education...
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The Technologically Dependent Child in the ED
EMS is bringing you a child with a VP shunt, port-a-cath, trached on a vent, seizing, hypotensive, and now desaturating – ETA – 3 minutes. Are you ready? Medicine is evolving. As technology advances,...
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Adventures in RSI
Pediatric airway management is a skill that integrates the three types of knowledge as described by the ancient Greeks: episteme, or theoretical knowledge, techne, or technical knowledge, and...
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Electrical Injuries: Hertz So Bad
Victims of electrical injuries present either in extremis or as the seemingly well patient with insidious, developing disease. A targeted history usually gets you the information you need. Four main...
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Vomiting in the Young Child: Nothing or Nightmare
In the young child, vomiting is the great imitator: Gastrointestinal, Neurologic, Metabolic, Respiratory, Renal, Infectious, Endocrine, Toxin-related, even Behavioral. To help us organize, below is a...
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Multisystem Trauma in Children Part One: Airway, Chest Tubes, and...
Traumatized children need your full attention. Protocols work well for adults, but trauma in children requires that we exercise our clinical muscles just a bit more. Two main reasons: Children have...
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Multisystem Trauma in Children Part Two: Massive Transfusion, Trauma Imaging,...
A 5-year-old boy was playing with his older brother in front of their home when he was struck by a car. He sustained a femur fracture, splenic laceration, and blunt head trauma – the so-called...
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Big Labs, Little People: Troponin, BNP, D-Dimer, and Lactate
It’s a busy shift. Today no one seems to have a chief complaint. Someone sends a troponin on a child. Good, bad, or ugly, how are you going to interpret the result? And while we’re at it – what labs...
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Altered Mental Status in Children
How do you approach the child who may be altered? Altered mental status in children can be subtle. Look for age-specific behaviors that range from irritability to anger to sleepiness to decreased...
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Approach to Shock
Do we recognize shock early enough? How do we prioritize our interventions? Are we making our patient better or worse? World wide, shock is a leading cause of morbidity and mortality in children,...
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Please, Just STOP LIMPING!
“She won’t walk“, or “He just looks like he’s limping“. So many things can be going on — how do we tackle this chief complaint? You’re dreading a big work-up. You almost want to tell the kid: please,...
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Subcutaneous Rehydration
Have you ever been in any of these situations? ⇒ You have a stable child who just needs fluids, but no laboratory tests ⇒ You’ve tried PO hydration, to no avail, despite anti-emetics ⇒ You’re...
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Pediatric Headache: Some Relief for All
Seemingly vague, but potentially dangerous… common, but possibly with consequences… …or maybe just plain frustrating. Let’s talk risk stratification, diagnosis, and management. Primary or Secondary? We...
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GI Bleeding in Children
Blood in the vomit. Blood in the stool. Blood in the diaper. How far do I go in my investigation? What do I really have to worry about? The differential diagnosis of GI bleeding in children is broad....
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Pediatric Elbow Injuries
Johnny has fallen on an outstretched hand, and comes to you with a swollen, painful elbow. Position of comfort, analgesia, xrays, and now what? What am I seeing — or not seeing — here? First a...
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