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Dilemmas: The Art of Medicine

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AOTW: Limping By on Splint Placement

This comes from a NY Times article  Mistakes in Treating Childhood Fractures published late last week that references an abstract presented at the AAP Conference.  This abstract seems to be getting a good bit of press (second only to keynote speaker Hilary Clinton getting heckled by someone with a bullphone), so this may be brought […]

AOTW: Chikungunya

Dear All, The gPEM team was supposed to go to Jamaica in a month for a conference, but this was unfortunately just canceled because of an outbreak keeping the hospital busy there. This outbreak appears to be secondary to a virus, Chikungunya.  So, from Enterovirus to Ebola… here’s an other one to potentially expect in […]

Hot Seat #44 Denouement: 3 yo F s/p appendectomy with fever

by Mordechai Raskas, Children’s National with Dave Mathison, Children’s National The Case 3 year-old female, bounceback to the ED s/p appendectomy 3 days ago, now with fever, poor po intake, headache, and emesis. Also with concerns for an unreported significant fall. Here’s How You Answered Our Questions Overall, attendings seemed to be more concerned about […]

AOTW:Don’t blame the nurse

While this mini blurb is about the Ebola case in Dallas, it’s more a caution to the licensed provider (MD/NP/PA) to read the triage note on every patient that we see. Don’t Blame the Nurse (here’s the link!)

Hot Seat #44: 3 yo F s/p appendectomy with fever

by Mordechai Raskas, Children’s National with Dave Mathison, Children’s National The Case 3 year-old female, bounceback to the ED s/p appendectomy 3 days ago, now with fever, poor po intake, headache, and emesis. Tmax 104 F. 4 days prior had been seen in ED and found to have appendicitis by ultrasound. Appendix removed the following […]