Podcasts by empem.org » EMPEM Podcast Feed

Ethical CPR Decisions from 2014-06-09T12:10:05

We are honoured to be joined by an expert in the field of ethical decision making in CPR, Dr Barbara Hayes. Join us for a lively discussion as we navigate the perils of talking about death and dyi...

Constipation in Kids from 2013-11-22T06:46:07

Constipation... Does it make you want to run and hide? Or leave it for someone else to sort out? Join us for a structured approach to the diagnosis and management of constipation. And let us know ...

Holmesian Diagnostics from 2013-06-23T07:13:02

ACEM 2013 Winter Symposium in Broome was amazing. Here is Colin Parker's talk about Holmesian Diagnostics for a Nautical Model. A bit left-field, but we think you'll pick up a few handy hints... ...

Investigation of Pediatric Headaches from 2013-05-09T13:49:52

When faced with a worried family, we all would like to offer the appropriate reassurance, or do the appropriate test - without being too blase or too anxious. Headaches, in particular, are importa...

Headaches in kids from 2013-04-18T14:04:48

In this "noggin-cast" we explore the causes of headache, including Primary headache like migraine and tension headache, secondary headaches from viral illness, and a few other strange ones... Pedi...

Appendicitis tests in children from 2013-03-22T07:40:53

Pediatric UTI Controversies from 2012-12-20T04:01:01

Although the evidence is far from complete, the landscape of pediatric UTI is definitely changing, and the discussion is driving a less aggressive approach to investigating and following up UTI in ...

UTI in children from 2012-12-13T04:01:02

Why is Urinary Tract Infection in children different from cystitis or pyelonephritis in adults? In this podcast we discuss the diagnosis, important differentials, and treatment of pediatric Urinary...

Kiddy Tox from 2012-02-25T11:33:57

The principles of Clinical Toxicology are similar in kids and adults, but there are a few additional aspects to consider. Join us on a sketch of assessment and management of the poisoned child... o...

ISAAC blows wheezy whistle on APAP from 2012-01-26T04:00:48

Well Baby Oddities from 2012-01-12T04:00:33

From funny breathing to blue lips, baby boobs to milk regurgitation, a range of neonatal and infant oddities can present to our Emergency Departments. In this episode we discuss a few common prob...

Sick Baby: undifferentiated infant under 3 months from 2011-12-29T04:00:13

Young infants under 3 months can be pretty scary when they get properly sick. In many ways we just have to screen and treat for sepsis - and ask questions later... But there are a number of other d...

Just Awful from 2011-12-15T04:00:34

Some lessons for Pediatric Emergency Medicine, from 1971 - a children's book, about a boy who hurts his finger at school, and has to see the school nurse. James feels Just Awful - until after the ...

MeningoCoccal Disease: Pearls and Pitfalls from 2011-12-01T04:00:14

A tiny, frightening little bug: Neisseria meningitidis. Join us for a discussion of ways to protect yourself, and your patients, against the nasty threat of meningococcal disease. It creeps up on...

Meningitis: Steroids or not? from 2011-11-17T03:30:48

The role of steroids as adjunctive treatment for meningitis seems a bit unclear... A recent Cochrane review goes a long way to pointing us in the right direction, but still leaves a few questions o...

Meningitis Diagnosis and Management from 2011-11-03T15:22:59

Meningitis: dangerous, scary, tricky. The clinical features of meningitis are less straightforward in younger children, and some aspects of diagnosis and treatment are still up for discussion. Jo...

UltraSound uses in Pediatric Emergency Medicine from 2011-10-20T14:08:11

In this episode, we discuss the evolution of bedside clinical ultrasound use in the pediatric emergency medicine setting. Is it time for your Pediatric ED to join the UltraSound craze?

Intussusception-Rotavirus Vaccine Risk from 2011-10-06T10:00:38

Discussing vaccine efficacy and risks often engenders strong feelings from both sides of the river... the traditional believers AND the 'anti-vaxxers'. In this episode, we try to discover whether t...

Intussusception from 2011-09-22T14:06:34

In this episode, we explore the clinical presentation, investigation and management of this bowel-threatening condition. The classic triad is not commonly found, so be on the lookout for intussusc...

Assessing Self-Harm Risk from 2011-09-08T17:09:37

Assessing the risk of self harm or suicide in adolescents is a daunting concept for the occassional player. Last time, we discussed the HEADSS assessment tool for communicating with adolescent pati...

Adolescent Mischief from 2011-08-24T14:34:37

The challenges of being an adolescent, and of caring for adolescents! We have a good look at the HEEADSSS assessment tool, which will help you to structure your interaction with teenage patients in...

Fluid Controversies from 2011-08-11T14:56:40

Treating the wrong children with fluids will cause harm... as a recent NEJM paper about fluid boluses in very sick African children showed. We thought we'd get in on the discussion, before everyo...

Metabolic Kids in your ED from 2011-07-28T14:11:19

So, a well-looking child turns up to triage and gets given a high triage priority, simply because they have a Congenital Metabolic Disorder. Do we really have to jump to it, put in an IV cannula, ...

Metabolic Stuff for Dummies from 2011-07-14T11:43:31

Most 'flat' babies with acidosis will be septic, some might have another condition, but occasionally we will have the opportunity to diagnose and treat a congenital metabolic condition. Individual...

Treatment Options in Neonatal Jaundice from 2011-06-30T14:41:06

Neonatal Jaundice from 2011-06-16T12:41:12

It takes a long time and a lot of exposure to become comfortable with jaundiced newborns. Maybe we just become less cautious or less thorough over time... Most of us feel the need to slow down and ...

Clearing the Paediatric C-Spine from 2011-06-02T14:28:53

Fortunately, serious injuries to the cervical spine, whether bony, ligamentous, or spinal cord injury, are uncommon in the really young... which is lucky for us, because these youngsters are also m...

Cervical Spine Assessment in Children from 2011-05-19T14:52:50

No-one wants to miss a broken neck... The assessment of a potential cervical spine injury in a child is a bit different when compared to adults, due to the anatomical, physiological and behavioural...

Septic Arthritis, or Transient Synovitis? from 2011-05-04T14:57:39

Septic Arthritis: scary and dangerous. Transient Synovitis: bit of a limp for a few days... So how do we risk stratify children when these conditions look the same in the first couple of days? Wha...

Limping Child from 2011-04-21T13:19:12

Watchful waiting or invasive investigations? A limping child may have transient synovitis, or something more serious such as septic arthritis, osteomyelitis, or Perthes Disease.

Cranial CT for Minor Head Injury from 2011-04-07T13:58:12

With the recent expansion of observational data in minor head injuries, we seem to be getting closer to a sensible decision-rule for when to do a cranial CT scan for a child with a minor head injur...

Minor Head Injury from 2011-03-24T15:08:56

Minor Head Injury (GCS 14-15) is a source of many Emergency Department visits. Do we really need to keep these kids under observation for several hours? In this PEMcast we discuss the assessment a...

Asthma Medications: where’s the evidence? from 2011-03-10T14:07:19

In severe acute asthma in children, nothing seems to work as quickly or as well as we'd like... so where's the evidence that these intravenous medications actually work? This time, we skip joyfully...

Asthma from 2011-02-24T14:36:03

We see a LOT of asthma in children in our Emergency Departments - so we should know what to do when we are faced with severe or life-threatening asthma... But more often, we'll be dealing with mild...

Appendicitis: Improving Diagnostic Accuracy from 2011-02-10T13:31:17

What are the most helpful symptoms, signs and tests to confirm or exclude appendicitis? In this PEMcast, we look at scoring systems, blood tests and radiological investigations to improve our diagn...

Appendicitis: Utility of Tests from 2011-02-10T13:30:18

30-second summary of the utility of blood tests, imaging and scoring systems for diagnosing appendicitis.

Abdominal Pain in Children from 2011-01-27T14:38:34

Common conditions like gastroenteritis and constipation can mimic more significant diagnoses such as appendicitis and intussusception, so how do we sort the plain old tummy-ache from the more serio...

Croup: the steroid saga from 2011-01-13T08:13:59

Type and dose of steroid for croup is a quiet controversy that has been evolving over the last two decades or so. In this PEMcast we discuss the evolution of the evidence and the current state of ...

Croup from 2010-12-30T12:46:50

Croup is a potentially life-threatening upper airway obstruction that has a highly successful and satisfying treatment. The trick is to make sure you are dealing with croup, and not another cause ...

Fever: NICE to get guidance from 2010-12-16T12:52:32

NICE Clinical Guidance CG47: Feverish Illness in Young Children. In this PEMcast we look at the evidence behind the expert consensus, and put ourselves in the position of the front-line clinicians...

Fever: Fear and Tradition from 2010-12-02T15:51:44

Fever is probably the commonest presenting complaint we manage in Paediatric Emergency Departments. The cause is usually an infection... but not always. The infection is usually a benign, self-li...

Neonatal Hypoglycaemia from 2010-11-18T13:41:37

To bolus, or Not to bolus... that is the question. Actually, there are a few more questions too... How low is too low? What are the causes of neonatal hypoglycaemia? Any advances in research?

E for Exposure, Don’t Ever Forget Glucose from 2010-11-04T11:32:21

Exposure: getting a look at the whole patient, while preventing hypothermia.
DEFG: it's easy to get distracted by a sick-looking kid or a serious injury, but: Don't Ever Forget Glucose!

D is for Disability (part 2 of 2) from 2010-10-20T14:22:59

Severe Head Injury: is any treatment proven to work? Join us as we explore the literature behind currently accepted treatments for serious traumatic brain injury, in particular the role for therape...

D is for Disability (part 1 of 2) from 2010-10-07T15:32

AVPU or GCS? What is the utility of the Glasgow Coma Scale in assessing neurologic status in sick or injured children? In this PEMcast, we cover the basics of assessing D for Disability, and delve ...

Bronchiolitis (part 2 of 2) from 2010-09-23T13:41:50

Bronchiolitis: Effective treatment, at last? Nebulised Hypertonic (3%) Saline may reduce severity and hospital length of stay, if you believe a handful of small trials. In this episode we discuss...

Bronchiolitis (part 1 of 2) from 2010-09-09T14:37:50

Bronchiolitis is a common, usually mild respiratory condition affecting infants. This PEMcast outlines the essential points in diagnosis, assessment of severity, and management.

Circulation (part 2 of 2) from 2010-08-26T15:32:39

Maintenance intravenous fluids for sick children: what fluid, what rate? Long-held traditions of giving hypotonic intravenous fluids to children have been increasingly challenged, due to dangerous...

C is for Circulation (part 1 of 2) from 2010-08-12T15:59:01

Shock, dehydration, fluid management... How do we assess and manage the circulation in a paediatric emergency?
Learn about the clinical assessment of the Circulation in this PEMcast.

Breathing (part 4 of 4) from 2010-07-29T11:10:48

What is the role for Non-Invasive Ventilation in the Paediatric Emergency Department? We look at 1 review and 3 original papers to discuss in some depth whether we should be using BiPAP and other ...