by Jamie Martin, Children’s National with Shilpa Patel, Children’s National The Case The case is a 12 year old male with abdominal pain and vomiting for 1 day who is visiting from Korea. The challenge of the case is deciding how to appropriately address his abdominal tenderness. Here’s How You Answered Our Questions Denouement Radiology was […]
Hot Seat #58: 12 yo with abd pain and vomiting
by Jamie Martin, Children’s National with Shilpa Patel, Children’s National The Case 12 year old male with abdominal pain and vomiting for 1 day. Vomiting x3, NBNB. Pain is right-sided, upper > lower. Tactile fever reported, Tylenol PO x1 overnight. Decreased PO intake per parents. No diarrhea, last BM 3 days ago of regular character. Denies […]
AOTW: The Risk of Admission
Super interesting article with a CNCM first author (Dr. Stockwell of the PICU)! A Trigger Tool to Detect Harm in Pediatric Inpatient Settings The authors developed a novel pediatric trigger tool to determine rates of harm in hospitalized patients. The tool searched the medical record for high risk words, phrases or orders (for example, naloxone […]
Hot Seat #57 Denouement: 15 mo old with abd pain for 10 days
by Katie Donnelly, Children’s National with Jamil Madati, Children’s National The Case The case is a 15 month old female presenting with abdominal pain for 10 days. The challenge of this case was how to best determine the cause of her abdominal pain and the appropriate treatment of her found intussusception. Here’s How You Answered Our […]
EM/HM Conference: Direct Admission Take Home Points
by Mordechai Raskas (EM) and Elena Aragona (HM), Children’s National Direct Admission take home points: Direct Admissions · Nationally: Direct admissions account for ~1 in 4 pediatric hospitalizations. There is wide variation in direct admission processes · Direct admissions can decrease ED volumes and decrease healthcare costs · ~1 in 4 admissions at CNMC are direct; these include […]