Podcasts by Pediatric Emergency Playbook

Pediatric Emergency Playbook

You make tough calls when caring for acutely ill and injured children. Join us for strategy and support -- through clinical cases, research and reviews, and best-practice guidance in our ever-changing acute care landscape.

Please visit our site at http://PEMplaybook.org/ for show notes and to get involved with the show -- see you there!

Further podcasts by Tim Horeczko, MD, MSCR, FACEP, FAAP

Podcast on the topic Medizin

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Pediatric Emergency Playbook
Resuscitative Umbilical Vein Catheterization from 2023-12-01T08:01

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Pediatric Emergency Playbook
Update 2023 from 2023-09-01T08:01

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Pediatric Emergency Playbook
Neonatal Resuscitation from 2023-08-01T07:30

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Pediatric Emergency Playbook
Stridor, Stertor, and Noisy Breathing from 2023-07-01T08:01

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Pediatric Emergency Playbook
Brief, Huddle, and Debrief in the PED from 2023-06-01T08:30

https://pemplaybook.org/?p=2760

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Pediatric Emergency Playbook
Fontanelle Facts from 2023-05-01T07:00

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Pediatric Emergency Playbook
Wound Care at Home from 2023-04-01T07:00

https://pemplaybook.org/?p=2670

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Pediatric Emergency Playbook
The Abdominal Exam in Children from 2023-03-01T09:00

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Pediatric Emergency Playbook
Hemolytic Uremic Syndrome from 2023-02-01T09:00

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Pediatric Emergency Playbook
Push-Dose Epi from 2023-01-01T09:01

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Pediatric Emergency Playbook
Environmental Injuries in Children from 2022-12-01T09:01

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Pediatric Emergency Playbook
PEM Myths from 2022-11-01T07:00

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Pediatric Emergency Playbook
Palms and Soles from 2022-10-01T08:00

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Pediatric Emergency Playbook
The Febrile Infant from 2022-09-01T10:00:39

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Pediatric Emergency Playbook
Animal Bites in Children from 2022-08-01T08:03:24

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Pediatric Emergency Playbook
Focus On: Maneuvers for Murmurs from 2022-07-01T09:07

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Pediatric Emergency Playbook
Pathologic Murmurs in Children from 2022-06-01T09:02

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Pediatric Emergency Playbook
Benign Murmurs in Children from 2022-05-01T10:00

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Pediatric Emergency Playbook
The Newborn and Infant Neuro Exam from 2022-04-01T08:30

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Pediatric Emergency Playbook
Eczema from 2022-03-01T09:00

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Pediatric Emergency Playbook
Sickle Cell Complications from 2022-02-01T09:00

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Pediatric Emergency Playbook
Focus On: Pyloric Stenosis from 2022-01-01T10:00

 
 
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Pediatric Emergency Playbook
Pediatric Vital Signs: What Are We Missing? from 2021-12-01T09:30

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Pediatric Emergency Playbook
Focus On: Gun Shot Wounds in Children from 2021-11-01T08:00

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Pediatric Emergency Playbook
Syndromes You Should Know from 2021-10-01T08:00

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Pediatric Emergency Playbook
Focus On: Inguinal Hernias in Children from 2021-09-01T08:00

Hernia

Myth: “If it’s not strangulated, it’s elective”

Reality: Unlike in adults, all hernias in children are re...

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Pediatric Emergency Playbook
Focus On: Pediatric Emergency Eye Exam from 2021-08-01T08:00

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Pediatric Emergency Playbook
Focus On: Breath Holding Spells from 2021-07-01T08:00

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Pediatric Emergency Playbook
Overdose: Just Right (?) from 2021-06-01T08:30

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Pediatric Emergency Playbook
Overdose: Too Cold! from 2021-05-01T09:00

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Pediatric Emergency Playbook
Overdose: Too Hot! from 2021-04-01T09:00

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Pediatric Emergency Playbook
Constipation and the way out from 2021-03-01T09:30

Constipation as a diagnosis can be dangerous, mainly because it is a powerful anchor in our medical decision-making.

Chances are, you’d be right to chalk up the pain to functional c...

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Pediatric Emergency Playbook
Pediatric IV Tips and Tricks from 2021-02-01T10:00

Top 10

[details in audio]

  1. Set the stage Listen

Pediatric Emergency Playbook
Vagal Maneuvers In Children from 2021-01-01T09:30

https://pemplaybook.org/?p=2234

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Pediatric Emergency Playbook
Conjunctivitis from 2020-12-01T09:00

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Pediatric Emergency Playbook
Go or No Go: Pediatric Presedation Assessment from 2020-11-01T08:00

https://pemplaybook.org/?p=2211

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Pediatric Emergency Playbook
Caustic Ingestions from 2020-10-01T08:30

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Pediatric Emergency Playbook
Pediatric Hand Fractures from 2020-09-01T08:30

Tuft Fracture

Pediatric Emergency Playbook
Heat-Related Illness from 2020-08-01T08:30

A spectrum — but will you recognize the blurry signposts?

...

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Pediatric Emergency Playbook
Diarrhea from 2020-07-01T08:30

Pediatric Emergency Playbook
DKA Like A Boss from 2020-06-01T08:00

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Pediatric Emergency Playbook
Zen and the Art of Pediatric Readiness from 2020-05-01T08:00

Pediatric Emergency Playbook
Pediatric Dysrhythmias from 2020-04-01T08:30

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Pediatric Emergency Playbook
Otitis Media from 2020-03-01T09:30

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Pediatric Emergency Playbook
Major Burns in Children from 2020-02-01T10:00

<...

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Pediatric Emergency Playbook
Anemia. Now What? from 2020-01-01T10:00

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Pediatric Emergency Playbook
Pediatric Sports Injuries from 2019-12-01T10:30

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Pediatric Emergency Playbook
EtCO2 Masterclass from 2019-11-01T07:29:24

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Pediatric Emergency Playbook
Neck Masses in Children from 2019-10-01T08:30

The differential diagnosis is long...

You need an approach.

 

The Rule of 3s:

3 minutes -- Traumatic

3 days -- Inflammatory

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Pediatric Emergency Playbook
Intraosseous Devices from 2019-09-01T08:30

Pediatric Emergency Playbook
Cyanosis from 2019-08-01T09:00

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Pediatric Emergency Playbook
Failure to Thrive from 2019-07-01T08:30

Failure to Thrive (FTT) is not just for the clinics. We need to be on the lookout, because if we find it, there is already a big problem.

Pediatric Emergency Playbook
Mass Casualty Incident from 2019-06-01T09:30

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Pediatric Emergency Playbook
Altered Mental Status in Children (REBROADCAST) from 2019-05-01T09:00

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Pediatric Emergency Playbook
Myocarditis from 2019-04-01T09:00

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Pediatric Emergency Playbook
Medical Errors Waiting to Happen from 2019-03-01T10:00

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Pediatric Emergency Playbook
The Notorious VBG from 2019-02-01T10:30

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Pediatric Emergency Playbook
Guess or Process? Abductive Clinical Reasoning: a PEM Primer from 2019-01-01T10:00

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Pediatric Emergency Playbook
List or Gist? Inductive Clinical Reasoning: a PEM Primer from 2018-12-01T17:00

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Pediatric Emergency Playbook
Harpoon or Hook? Deductive Clinical Reasoning: a PEM Primer from 2018-11-01T09:30

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Pediatric Emergency Playbook
Knee Pain from 2018-10-01T09:00

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Pediatric Emergency Playbook
Anaphylaxis from 2018-09-01T09:30

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Pediatric Emergency Playbook
Strep Throat from 2018-08-01T09:00

Does Your Patient Have Streptococcal Pharyngitis?

No Problem -- I'll just Swab.

Not So Fast...

 

Fagan Nomogram for Likelihood Ratios

1. Decide on your...

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Pediatric Emergency Playbook
Concussion from 2018-07-01T09:00

How do we make the diagnosis?

What now?

 

Concussion in Sport...

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Pediatric Emergency Playbook
EKG Killers: Part Two from 2018-06-01T09:30

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Pediatric Emergency Playbook
EKG Killers: Part One from 2018-05-01T10:30

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Pediatric Emergency Playbook
Hypertension in Children from 2018-04-01T10:00

 

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Pediatric Emergency Playbook
The Fussy Infant from 2018-03-01T10:30

A Social Visit or Your Most Dangerous Presentation Tonight?

[Details in Audio]

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Pediatric Emergency Playbook
Airway Master Moves from 2018-02-01T11:00

You know how to intubate safely.  You can recite all of the Ps backwards and forwards.

Until you can't.

Real-time trouble-shooting.

[Details in Audio]

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Pediatric Emergency Playbook
Ovarian Torsion from 2018-01-01T10:30

Ovarian torsion is like the MI of the pelvis.  Sometimes all it takes is a good story to investigate.

When to worry, when to walk it off, and when to work it up:

 

 

...

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Pediatric Emergency Playbook
Just Say No To (These) Drugs from 2017-12-01T11:30

Dogma often dictates routine care.

There are times when we have to attend to paradigm shifts.

An easy way to save lives?  Just say no to (these) drugs:

Codeine...

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Pediatric Emergency Playbook
Blunt Head Trauma from 2017-11-01T10:30

Not all head trauma is minor.

Not all minor head trauma is clinically significant.

 

How can we sort out the overtly ok from the sneakily serious?

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Pediatric Emergency Playbook
The Higher Tech Kid in the ED from 2017-10-01T10:30

Comfortable with G-tubes, tracheostomies, and VP shunts?

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Pediatric Emergency Playbook
Vaccine Preventable Illness Part Two from 2017-09-01T10:30

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Pediatric Emergency Playbook
The Pediatric Surgical Abdomen from 2017-08-01T10:30

Abdominal pain is common; so are strongly held myths and legends about what is concerning, and what is not.

 

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Pediatric Emergency Playbook
Vaccine Preventable Illness Part One from 2017-07-01T10:30

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Pediatric Emergency Playbook
MI in Children from 2017-06-01T10:30

Myocardial infarction (MI) in children is uncommon, but underdiagnosed.  This is due to two main factors: the etiologies are varied; and...

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Pediatric Emergency Playbook
Neonatal Jaundice from 2017-05-01T10:30

Most newborns will have some jaundice.  Most jaundice is benign.

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Pediatric Emergency Playbook
Foreign Bodies in the Head and Neck from 2017-04-01T10:30

Children the world over are fascinated with what can possibly “fit” in their orifices.  Diagnosis is often de...

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Pediatric Emergency Playbook
Supraglottic Airways from 2017-03-01T11:30

When you give only after you're asked, you've waited too long.

– John Mason

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Pediatric Emergency Playbook
Urine Trouble from 2017-02-01T11:30

When should you commit to getting urine?

When can you wait?

When should you forgo testing a...

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Pediatric Emergency Playbook
Pediatric Pain from 2017-01-01T11:30

N.B.: This month's show notes are a departure from the usual summary.  Below is a reprint (with permission) of a soon-to-be released chapter, Horeczko T. "Acute Pain in Children". In Listen

Pediatric Emergency Playbook
Bronchiolitis from 2016-12-01T11:30

"By the pricking of my thumbs,

Something wheezing this way comes."

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Pediatric Emergency Playbook
Pediatric Elbow Injuries from 2016-11-01T10:30

Johnny has fallen on an outstretched hand, and comes to you with a swollen, painful elbow.

 

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Pediatric Emergency Playbook
GI Bleeding in Children from 2016-10-01T11:00

Blood in the vomit.

Blood in the stool.

Blood in the diaper.

How far do I go in my ...

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Pediatric Emergency Playbook
Pediatric Headache: Some Relief for All from 2016-09-01T11:00

Seemingly vague, but potentially dangerous...

common, but possibly with consequences...

...or maybe just plain frustrati...

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Pediatric Emergency Playbook
Subcutaneous Rehydration from 2016-08-01T11:00

Have you ever been in any of these situations?

⇒   You have a stable child who just needs fluids, but no laboratory tests
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Pediatric Emergency Playbook
Please STOP LIMPING! from 2016-07-01T10:30

"She won't walk", or "He just looks like he's limping".

So many things can be going on -- how do we tackle thi...

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Pediatric Emergency Playbook
Approach to Shock from 2016-06-01T10:00

Do we recognize shock early enough?

How do we prioritize our interventions?

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Pediatric Emergency Playbook
Altered Mental Status in Children from 2016-05-01T10:00

How do you approach the child who may be altered?

 

Altered mental status in children can be subtle.  Look for age-specific b...

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Pediatric Emergency Playbook
Big Labs, Little People from 2016-04-01T10:00

It's a busy shift.  Today no one seems to have a chief complaint.

Someone sends a troponin on a child.  Good, bad, or u...

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Pediatric Emergency Playbook
Multisystem Trauma in Children, Part Two: Massive Transfusion, Trauma Imaging, and Resuscitative Pearls from 2016-03-01T11:30

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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Pediatric Emergency Playbook
Multisystem Trauma in Children, Part One: Airway, Chest Tubes, and Resuscitative Thoracotomy from 2016-02-01T11:30

Traumatized children need your full attention.

Protocols work well for adults, but trauma in children requires that we exercise ...

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Pediatric Emergency Playbook
Vomiting in the Young Child: Nothing or Nightmare from 2016-01-01T11:00

In the young child, vomiting is the great imitator:

Gastrointestinal, Neurologic, Metabolic, Respiratory, Renal, Infectious, End...

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Pediatric Emergency Playbook
Electrical Injuries: Hertz So Bad from 2015-12-01T10:00

Victims of electrical injuries present either in extremis or as the seeming well patient with insidious, developing disease.

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Pediatric Emergency Playbook
Adventures in RSI from 2015-11-01T10:00

Pediatric airway management is a skill that integrates the three types of knowledge as described by the ancient Greeks: episteme, or theoretical knowledge, techne<...

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Pediatric Emergency Playbook
The Technologically Dependent Child in the ED from 2015-10-01T10:00

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 techno...

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Pediatric Emergency Playbook
Intranasal Medications from 2015-09-01T11:00

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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Pediatric Emergency Playbook
Pediatric Status Epilepticus from 2015-09-01T10:30

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 pedia...

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Pediatric Emergency Playbook
The Undifferentiated Sick Infant from 2015-09-01T10:00

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 ass...

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  Temperature (core) Presentation