Jun 29, 2018
Author: Sam Killian, MD
Educational Pearls:
- Recent study examining fasting and adverse events during procedural sedation found no association between fasting duration and any type of adverse event.
- Of the 6,183 children in the study, about 6 vomited during the procedure, and about 300 vomited recently after the...
Jun 27, 2018
Author: Chris Holmes, MD
Educational Pearls:
- There is a risk of cerebral edema in pediatrics with DKA if over resuscitated.
- Recent study comparing normal saline vs. ½ normal saline showed no difference in rates of cerebral edema regardless of rate of infusion.
- Recommend sticking with a fluid resuscitation...
Jun 25, 2018
Author: Sue Chilton, MD
Educational Pearls:
- IV drug use and spinal procedures are major risk factors.
- Classic triad of back pain, focal neurological deficit and fever. However, presence of fever is highly variable. Neurologic deficits may not present until later, but then they can have a rapid progression of...
Jun 22, 2018
Author: Aaron Lessen, MD.
Educational Pearls:
- When foley is stuck, balloon may not have deflated.
- Make sure balloon is not in the urethra, which can block drainage.
- Cut off the port as it may be obstructed.
- If still not draining, pass guide wire through port to unclog catheter.
- Other techniques have been...
Jun 20, 2018
Educational Pearls:
- Snake bites commonly occur between April and October.
- Rattlesnake bites are the most common.
- Venom contains proteins/enzymes that cause local inflammation, coagulopathy, and systemic effects (hypotension, angioedema, renal failure, etc.) along with neurotoxins may cause fasciculations, ptosis,...