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Dilemmas: The Art of Medicine

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AOTW: Lumbar Punctures

By Jamil Madati Sorry for the delay in getting this out. Was busy searching for an article that would nicely summarize how the Affordable Care Act impacts us in the ED… lucky for you guys I couldn’t find one! Instead, to dove tail into the awesome ED-HM conference this week I decided to include the […]

Hot Seat #47 Denouement: 2 week old F w/ tachypnea and retractions

by Kaynan Doctor, Children’s National with Desiree Seevaye, Children’s National The Case 2 week old female presenting with her mother for tachypnea and retractions.  This case offered a great discussion on work-up needed and disposition required (NICU vs floor vs home). Here’s How You Answered Our Questions #1: Other <3 yrs: review CXR w/ rads, ribs […]

EM/HM Conference: Febrile Infant Take Home Points

by Jason Woods (EM) and Abbey Nerlinger (HM), Children’s National Febrile Infant take home points: – There is large ED inter-hospital variation in care among febrile neonates/infants with minimal effect on hospital revisits and readmissions according to recent study in pediatrics – Philadephia, Rochester, Boston criteria are more or less applicable depending on age of […]

Hot Seat #47: 2 week old F w/ tachypnea and retractions

by Kaynan Doctor, Children’s National with Desiree Seevaye, Children’s National The Case 2 week old female presenting with her mother for tachypnea and retractions. Mom reports that for the past 4 days she has been increasingly more congested and has been grunting when sleeping. In the last 2 days there has been intermittent choking with […]

Hot Seat #46 Denouement: 15 yo F w/ combativeness and AMS

by Fareed Saleh, Children’s National with Maybelle Kou, Inova Children’s Hospital The Case 15 yo F p/w combativeness and altered mental status after playing field hockey outside on a hot day where she consumed copious amounts of water and Gatorade. This case offers a great review of how to approach a patient with AMS and how to […]