EM Basic

Kawasaki:

Dr. Pushpa Shivaram, an assistant professor of pediatrics and pediatric cardiologist at the Medical College of Georgia, joins Dr. Zac Hodges and Sonal Dugar (M4) to discuss this very important topic in pediatric medicine.

What exactly is Kawasaki disease and why is this topic so important?

How do you make the diagnosis and what other diagnoses should you consider?

How can you diagnosis incomplete Kawasaki when the classic features are not all present?

What is the first-line treatment?

When should you get an echocardiogram?

When should you get your referral center involved?

All of this and more from the Department of Pediatrics and the Medical College of Georgia.

Check out our website for detailed show-notes: https://www.augusta.edu/mcg/pediatrics/residency/podcast.php

Special thanks to Dr. Reda Bassali, Dr. Leizl Domingo and Dr. Julisa Patel for providing peer review for this episode.

Questions, comments, or feedback? Please email us at [email protected]

Further Reading? Check out the clinical practice guideline from the American Heart Association with citation below.

McCrindle BW, Rowley AH, Newburger JW, et al. Diagnosis, Treatment, and Long-Term Management of Kawasaki Disease: A Scientific Statement for Health Professionals From the American Heart Association [published correction appears in Circulation. 2019 Jul 30;140(5):e181-e184]. Circulation. 2017;135(17):e927-e999. doi:10.1161/CIR.0000000000000484

Transfusion reactions are a dreaded complication in the ED. Join emergency physicians Michael Samuels and Dan McCollum as they discuss the following and more!

• How do you recognize different types of transfusion reactions?
• How are different reactions managed?
• What infections can be seen with blood transfusion?
• Why is TRALI such a feared complication?

Dr. Reda Bassali, professor of pediatrics and pediatric hospitalist at the Medical College of Georgia, joins Dr. Zac Hodges and Gavriella Mendel (M3) to discuss this very important topic in pediatric medicine.

What exactly is bronchiolitis and why is this topic so important?

How do you make the diagnosis and what other diagnoses should you consider?

What treatments work, and more importantly, which treatments do not?

What patients can go home and who needs to be admitted?

All of this and more from the Department of Pediatrics and the Medical College of Georgia.

Check out our website for detailed show-notes: https://www.augusta.edu/mcg/pediatrics/residency/podcast.php

Special thanks to Dr. Kathryn McLeod for providing peer review for this episode.

Citation:

Hodges, Z. (Host). Bassali, R. (Host). Mendel, G. (Host). McLeod, K. (Contributor). (2020, Nov 15). Bronchiolitis. (S1:18) [Audio Podcast Episode]. MCG Pediatric Podcast. Medical College of Georgia Augusta.

Questions, comments, or feedback? Please email us at [email protected]

Links:

NoseFrida-- https://www.nosefrida.com

Join Dan McCollum and Michael Stephens as they discuss the new vaccines against COVID-19.

• Are they studied well enough?
• How effective are they?
• What side effects occur, and are they serious?
• What do we NOT know about these vaccines?

The approved vaccines are safe, effective, and highly recommended. Listen to this to find out more about the data behind them.

A special thanks goes to Michael Stephens for his invaluable help with recording and editing.

Join ED clinical pharmacist Jimmy Pruitt and Dan McCollum as we discuss the reasons that the traditional "B52" cocktail of haloperidol, lorazepam, and diphenhydramine is badly in need of updating.

• Why this cocktail is slower than you think.
• Newer medications that are more effective.
• Smarter approaches to agitated patients.
• When ketamine should be used.

This podcast is being cross published with the "Pharm So Hard" podcast, an excellent podcast discussing many excellent clinical pharmacology topics.

Join Dan McCollum and EM clinical pharmacist RJ LaCoursiere as they discuss the use of buprenorphine for the treatment of Opioid Use Disorder.

• Who should be considered for treatment with Medication-Assisted Treatment (MAT)?
• Why should it be avoided if the patient isn't in acute withdrawal?
• What is a DEA X waiver and why should you look into getting waivered?
• How can we reduce stigma for these patients?

Free training can be found at https://nhsc.hrsa.gov/loan-repayment/receive-medication-assisted-treatment-training .

This podcast will be cross published with the Pharm So Hard podcast, so check them out for additional pharmacology pearls.

A special thanks to student doctor Michael Stephens for editing this podcast.

Dr. Renuka Mehta, a pediatric intensivist at the Medical College of Georgia, joins Drs Matthew Smith and Zac Hodges to discuss the fundamentals of respiratory failure.

What is the structure of the initial evaluation of a critically-ill child?

What is exactly is respiratory failure?

What is the role of non-invasive respiratory support in pediatric patients?

What are the indications for emergency intubation?

What are the general concepts that learners need to understand about invasive mechanical ventilation?

All of this and more from the Department of Pediatrics from the Medical College of Georgia.

Thanks to Dr. Smitha Mathew and Dr. Kathryn McLeod who also contributed to this discussion.

Please subscribe, rate and review.

Check out our website at https://www.augusta.edu/mcg/pediatrics/residency/podcast.php

Want further reading on this topic? Check out this Pediatrics in Review article on respiratory failure https://pedsinreview.aappublications.org/content/35/11/476

Join doctors Smitha Mathew, Kaitlin Verdone, Zac Hodges, and Dan McCollum as they navigate the difficult waters of pediatric sepsis. What exactly is sepsis? Are there any differences in the treatment of pediatric sepsis compared to adult sepsis? What should I do if I see a septic child at a small community Emergency Department? We discuss this and more in this episode!

Dr. Tony Zitek drops some knowledge on you about the deceptively complex topic of sore throats. What diagnoses are important other than strep and viral pharyngitis? Why should assess neck mobility during your physical examination? How should you treat common causes of sore throat? Join us for this and more on this episode!

Join Christopher Watson, Zac Hodges, and Dan McCollum as they discuss the management of pediatric traumatic brain injury.

• What should you look for on exam?
• When is intubation appropriate?
• How can you treat increased intracranial pressure?
• Where should you send your patient if you are at a community emergency department?

We go beyond the basics here, discussing a very challenging topic.