Jeremy Root MD, Children’s National Health System With Sabrina Guse MD, Children’s National Health System The Case 17 yo F with a complex medical history presents with a constellation of strange neurologic symptoms. While respondents agreed that the patient would eventually receive an extensive inpatient workup, the challenge of this case lay in determining how […]
Persistent postconcussive symptoms – hot off the presses
Zemek R, et al. Clinical risk score for persistent postconcussion symptoms among children with acute concussion in the emergency department. JAMA. 2016;315(10): 1014-1025. Background: Approximately 33% of patients with concussion experience symptoms longer than 2 weeks in duration. There are no validated tools to predict children at high risk for prolonged symptoms. Objective: To devise […]
Hot Seat # 71: 17 yo F w/ subacute neurologic changes in setting of recent IVIG infusion
Jeremy Root MD, Children’s National Health System With Sabrina Guse MD, Children’s National Health System The Case 17 year-old female with a history of POTS and Ehlers-Danlos syndrome presents to the ED with headache, lower back pain, weakness, and inability to talk for one week. Mother says patient was seen by her cardiologist three weeks […]
Hot Seat #70 Denouement: 14 yo F w/ continued low-grade fever and cough
Jared Friedman MD, INOVA Children’s Hospital with Jennifer Chapman MD, Children’s National Health System The Case 14 yo F history of mild intermittent asthma with multiple bouncebacks to the PMD and Peds ED due to continued, worsening fever and cough. The challenge of this case was how to best address diagnosis/treatment at each step in her […]
AOTW Part Deux : Skin Glue for Peripheral IVs
Bugden, S et al. Skin glue reduces the failure rate of emergency department-inserted peripheral venous catheters: a randomized controlled trial. Annals of Emergency Medicine. 2015 Dec 31. pii: S0196-0644(15)01535-8 (epub ahead of print) 33-69% of peripheral IVs eventually fail due to infection, phlebitis, occlusion, or dislodgment. A novel approach is use of medical grade cyanoacrylate […]