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PEMcasts: Paediatric Emergency Medicine - basic and advanced topics - brought to you by EMPEM.org, a humble EM and PEM webucation shack...

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empem.org » EMPEM Podcast Feed episodes:

06.09.2014
Ethical CPR Decisions
We are honoured to be joined by an expert in the field of ethical decision making in CPR, Dr Barbara Hayes. Join us for a lively discussion as we navigate the perils of talking about death and dying, and...
06.23.2013
Holmesian Diagnostics
ACEM 2013 Winter Symposium in Broome was amazing. Here is Colin Parker's talk about Holmesian Diagnostics for a Nautical Model. A bit left-field, but we think you'll pick up a few handy hints... Scroll through the slides as...
01.26.2012
ISAAC blows wheezy whistle on APAP
This debate is going to be HUGE… Does paracetamol (acetaminophen) cause asthma? A series of large international studies and reviews dedicated to the question raise some interesting questions. There appears to be an epidemiological association – not the same as a...
12.15.2011
Just Awful
Some lessons for Pediatric Emergency Medicine, from 1971 - a children's book, about a boy who hurts his finger at school, and has to see the school nurse. James feels Just Awful - until after the 3-part treatment...
12.15.2011
Just Awful
Some lessons for Pediatric Emergency Medicine, from 1971 - a children's book, about a boy who hurts his finger at school, and has to see the school nurse. James feels Just Awful - until after the 3-part treatment...
12.01.2011
MeningoCoccal Disease: Pearls and Pitfalls
A tiny, frightening little bug: Neisseria meningitidis. Join us for a discussion of ways to protect yourself, and your patients, against the nasty threat of meningococcal disease. It creeps up on you... when you least expect.
11.17.2011
Meningitis: Steroids or not?
The role of steroids as adjunctive treatment for meningitis seems a bit unclear... A recent Cochrane review goes a long way to pointing us in the right direction, but still leaves a few questions open. Join us for a...
11.03.2011
Meningitis Diagnosis and Management
Meningitis: dangerous, scary, tricky. The clinical features of meningitis are less straightforward in younger children, and some aspects of diagnosis and treatment are still up for discussion. Join us for a discussion with our local Paediatric Infectious Diseases...
10.20.2011
UltraSound uses in Pediatric Emergency Medicine
In this episode, we discuss the evolution of bedside clinical ultrasound use in the pediatric emergency medicine setting. Is it time for your Pediatric ED to join the UltraSound craze?
10.06.2011
Intussusception-Rotavirus Vaccine Risk
Discussing vaccine efficacy and risks often engenders strong feelings from both sides of the river... the traditional believers AND the 'anti-vaxxers'. In this episode, we try to discover whether there is a real link between rotavirus vaccines and this rare...
09.22.2011
Intussusception
In this episode, we explore the clinical presentation, investigation and management of this bowel-threatening condition. The classic triad is not commonly found, so be on the lookout for intussusception, an uncommon cause of belly-pain, unwellness or altered mental state...
09.08.2011
Assessing Self-Harm Risk
Assessing the risk of self harm or suicide in adolescents is a daunting concept for the occassional player. Last time, we discussed the HEADSS assessment tool for communicating with adolescent patients, and this is a great place to start. ...
08.24.2011
Adolescent Mischief
The challenges of being an adolescent, and of caring for adolescents! We have a good look at the HEEADSSS assessment tool, which will help you to structure your interaction with teenage patients in an open-minded and non-judgemental way.
08.11.2011
Fluid Controversies
Treating the wrong children with fluids will cause harm... as a recent NEJM paper about fluid boluses in very sick African children showed. We thought we'd get in on the discussion, before everyone goes throwing the baby out...
07.28.2011
Metabolic Kids in your ED
So, a well-looking child turns up to triage and gets given a high triage priority, simply because they have a Congenital Metabolic Disorder. Do we really have to jump to it, put in an IV cannula, and call the...
07.14.2011
Metabolic Stuff for Dummies
Most 'flat' babies with acidosis will be septic, some might have another condition, but occasionally we will have the opportunity to diagnose and treat a congenital metabolic condition. Individually these conditions are rare, but as a group they are...
06.30.2011
Treatment Options in Neonatal Jaundice
Phototherapy treatment will be sufficient for the vast majority of infants with unconjugated hyperbilirubinaemia who need treatment. When it gets more serious, we turn to higher-risk treatments like IntraVenous Immunoglobulin or exchange transfusion. What evidence do we have to guide...
06.16.2011
Neonatal Jaundice
It takes a long time and a lot of exposure to become comfortable with jaundiced newborns. Maybe we just become less cautious or less thorough over time... Most of us feel the need to slow down and consider all the...
06.02.2011
Clearing the Paediatric C-Spine
Fortunately, serious injuries to the cervical spine, whether bony, ligamentous, or spinal cord injury, are uncommon in the really young... which is lucky for us, because these youngsters are also more difficult to assess, and some clinicians feel uncomfortable trying...
05.19.2011
Cervical Spine Assessment in Children
No-one wants to miss a broken neck... The assessment of a potential cervical spine injury in a child is a bit different when compared to adults, due to the anatomical, physiological and behavioural differences. In this PEMcast we walk...
05.04.2011
Septic Arthritis, or Transient Synovitis?
Septic Arthritis: scary and dangerous. Transient Synovitis: bit of a limp for a few days... So how do we risk stratify children when these conditions look the same in the first couple of days? What clinical features, and what...
04.21.2011
Limping Child
Watchful waiting or invasive investigations? A limping child may have transient synovitis, or something more serious such as septic arthritis, osteomyelitis, or Perthes Disease.
04.07.2011
Cranial CT for Minor Head Injury
With the recent expansion of observational data in minor head injuries, we seem to be getting closer to a sensible decision-rule for when to do a cranial CT scan for a child with a minor head injury. How do...
02.10.2011
Appendicitis: Utility of Tests
30-second summary of the utility of blood tests, imaging and scoring systems for diagnosing appendicitis.
01.27.2011
Abdominal Pain in Children
Common conditions like gastroenteritis and constipation can mimic more significant diagnoses such as appendicitis and intussusception, so how do we sort the plain old tummy-ache from the more serious causes? In this PEMcast we take a quick tour through the...
01.13.2011
Croup: the steroid saga
Type and dose of steroid for croup is a quiet controversy that has been evolving over the last two decades or so. In this PEMcast we discuss the evolution of the evidence and the current state of play.
12.30.2010
Croup
Croup is a potentially life-threatening upper airway obstruction that has a highly successful and satisfying treatment. The trick is to make sure you are dealing with croup, and not another cause of upper airway obstruction. In this episode...
12.16.2010
Fever: NICE to get guidance
NICE Clinical Guidance CG47: Feverish Illness in Young Children. In this PEMcast we look at the evidence behind the expert consensus, and put ourselves in the position of the front-line clinicians who might benefit from the guidance offered by...
12.02.2010
Fever: Fear and Tradition
Fever is probably the commonest presenting complaint we manage in Paediatric Emergency Departments. The cause is usually an infection... but not always. The infection is usually a benign, self-limiting viral illness... but not always. Join us while we...
11.18.2010
Neonatal Hypoglycaemia
To bolus, or Not to bolus... that is the question. Actually, there are a few more questions too... How low is too low? What are the causes of neonatal hypoglycaemia? Any advances in research?
11.04.2010
E for Exposure, Don’t Ever Forget Glucose
Exposure: getting a look at the whole patient, while preventing hypothermia. DEFG: it's easy to get distracted by a sick-looking kid or a serious injury, but: Don't Ever Forget Glucose!
10.20.2010
D is for Disability (part 2 of 2)
Severe Head Injury: is any treatment proven to work? Join us as we explore the literature behind currently accepted treatments for serious traumatic brain injury, in particular the role for therapeutic hypothermia.
10.07.2010
D is for Disability (part 1 of 2)
AVPU or GCS? What is the utility of the Glasgow Coma Scale in assessing neurologic status in sick or injured children? In this PEMcast, we cover the basics of assessing D for Disability, and delve a little deeper into the...
09.23.2010
Bronchiolitis (part 2 of 2)
Bronchiolitis: Effective treatment, at last? Nebulised Hypertonic (3%) Saline may reduce severity and hospital length of stay, if you believe a handful of small trials. In this episode we discuss 4 original papers related to Hypertonic Saline for...
09.09.2010
Bronchiolitis (part 1 of 2)
Bronchiolitis is a common, usually mild respiratory condition affecting infants. This PEMcast outlines the essential points in diagnosis, assessment of severity, and management.
09.09.2010
Bronchiolitis (part 1 of 2)
Bronchiolitis is a common, usually mild respiratory condition affecting infants. This PEMcast outlines the essential points in diagnosis, assessment of severity, and management.
08.26.2010
Circulation (part 2 of 2)
Maintenance intravenous fluids for sick children: what fluid, what rate? Long-held traditions of giving hypotonic intravenous fluids to children have been increasingly challenged, due to dangerous adverse effects. In this PEMcast, we look at a few papers to...
08.12.2010
C is for Circulation (part 1 of 2)
Shock, dehydration, fluid management... How do we assess and manage the circulation in a paediatric emergency? Learn about the clinical assessment of the Circulation in this PEMcast.
07.29.2010
Breathing (part 4 of 4)
What is the role for Non-Invasive Ventilation in the Paediatric Emergency Department? We look at 1 review and 3 original papers to discuss in some depth whether we should be using BiPAP and other non-invasive technologies for children with...

What's empem.org » EMPEM Podcast Feed about?

Download our free app to listen on your phone

empem.org » EMPEM Podcast Feed episodes:

Ethical CPR Decisions

Holmesian Diagnostics

ISAAC blows wheezy whistle on APAP

Just Awful

Just Awful

MeningoCoccal Disease: Pearls and Pitfalls

Meningitis: Steroids or not?

Meningitis Diagnosis and Management

UltraSound uses in Pediatric Emergency Medicine

Intussusception-Rotavirus Vaccine Risk

Intussusception

Assessing Self-Harm Risk

Adolescent Mischief

Fluid Controversies

Metabolic Kids in your ED

Metabolic Stuff for Dummies

Treatment Options in Neonatal Jaundice

Neonatal Jaundice

Clearing the Paediatric C-Spine

Cervical Spine Assessment in Children

Septic Arthritis, or Transient Synovitis?

Limping Child

Cranial CT for Minor Head Injury

Appendicitis: Utility of Tests

Abdominal Pain in Children

Croup: the steroid saga

Croup

Fever: NICE to get guidance

Fever: Fear and Tradition

Neonatal Hypoglycaemia

E for Exposure, Don’t Ever Forget Glucose

D is for Disability (part 2 of 2)

D is for Disability (part 1 of 2)

Bronchiolitis (part 2 of 2)

Bronchiolitis (part 1 of 2)

Bronchiolitis (part 1 of 2)

Circulation (part 2 of 2)

C is for Circulation (part 1 of 2)

Breathing (part 4 of 4)