Response to Hot Seat #40: 3 yo with bloody stools Although lower GI bleeding in children may be indicative of a serious illness, usually it is not.  Our very own Stephen Teach published a retrospective review of 109 cases (?his fellow’s project – pretty awesome) in which only four had life threatening diagnoses (https://www.dropbox.com/s/b53127f2haoqj43/1-s2.0-S0196064494703507-main.pdf) – […]

The Case by Sonny Tat, Children’s National with Shilpa Patel, Children’s National 3 year-old previously healthy girl presents to your ER with abdominal pain and bloody stools. The patient had abdominal pain starting yesterday. After a few hours, the patient had a bowel movement with dark red blood, which may have eased the pain. She […]

by Lenore Jarvis (EM) and Lisa Herrmann (HM), Children’s National · The things to consider regarding safety of giving IV potassium relate primarily to the concentration and rate of the infusion o IV KCl can be given on an acute care floor and does not necessarily require a PICU or Cardiology consult. Telemetry required only […]

by Kaynan Doctor Children’s National 2 month old previously healthy male presenting to the ED with altered mental status. For the past 2 days his mother has noticed “eye rolling” with reduced tracking as well as increased fatigue. On the day prior to arriving his mother noted that he slept for 23 hours. No recent […]

by Sonny Tat, Children’s National Shoulder dislocations are a common dislocation that presents to an emergency room. Anterior dislocation is the most common type of dislocation (95%), followed by posterior and inferior dislocations. Anterior dislocations are the result of a direct blow to an externally rotated, outstretched arm that is adducted. Traditionally, plain radiographs were […]