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In this episode I talk with Dr. David Sas, a Pediatric Nephrologist from the Mayo Clinic, about kids and kidney stones, with a discussion of stone diagnosis, management, and complications. We also discuss pyelonephritis, dysfunctional voiding, and long-term management and recurrence prevention after the initial diagnosis of all of these issues.

Spoiler alert: Dr. Sas mentions briefly in this episode the work he has done to develop a CURE for a rare genetic cause of renal stones, and his team at Mayo has a special interest in the evaluation of kids with kidney stones for genetic and underlying causes that can be managed to prevent future stones and kidney injury. If you have a patient with renal stones who needs assessment, I have listed his contact information and department website here:

https://www.mayoclinic.org/departments-centers/pediatric-nephrology-clinic
[email protected]

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In this episode I speak with Dr. Deb Kahal, Medical Director of the Holloway Community Program in Delaware, which provides testing and treatment for HIV, AIDS, and Hep C, and with Dr. Steve Eppes, Pediatric Infectious Disease Physician. We'll be reviewing the epidemiology of adolescent STIs, screening recommendations, treatment, and why it's important for us non-PCPs to address adolescent STIs.

Here is the link for the USPSTF (US Preventive Services Task Force) Infectious Disease Screening Recommendations:  uspreventiveservicestaskforce.org. These are the summary statements and are pretty detailed if you like in-depth reviews of the literature behind the decision making.

For a quicker reference table, the CDC has a table of screening guidelines: https://www.cdc.gov/std/treatment-guidelines/screening-recommendations.htm

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In this episode, I'll be reviewing button battery ingestions and superficial/mucosal injuries, including risk factors, pathophysiology, and management of known and suspected ingestions. Below is the link I mentioned to a time-lapse video modeling a button battery's effects on tissue, made by Dr. Robert Kramer who is a pediatric gastroenterologist. It's pretty impressive to watch!

https://youtu.be/-wI_Vl3LH78

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In this episode I'll be speaking with Carl Baum, a Pediatric Toxicologist and Emergency Medicine Physician from Yale School of Medicine about common pediatric toxidromes. We'll also cover assessment and management of the obtunded child, polysubstance ingestion, and some interesting toxicology tidbits. 

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In this episode, I'll review pediatric anaphylaxis, including diagnosis, management best practice, and aftercare for kids treated in the acute care setting. 

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In this episode, I'll be chatting with Pediatric Neurologists Drs. Richard Fischer and Mitra Assadi-Khansari about common neurologic emergencies in kids. We will focus on seizure evaluation and management (febrile, epileptic, and non-epileptiform) as well as a review of pediatric migraine headache.
For further reading about pediatric headache, the American Headache Society website provides practice guidelines summarizing literature on a variety of headache syndromes:
https://americanheadachesociety.org/news/?tag=pediatric-headache

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In this episode, I'll be reviewing best practice recommendations for bronchiolitis management, and evidence behind the advice for and against some of the most popular treatment options. 

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In this episode, I talk with Jennifer Calahan and Jennifer Valdez, two behavioral health experts, about the process for evaluating behavioral health emergencies, with general tips on medical screening and assessment as well as specific requirements for Delaware and neighboring states, and for the ChristianaCare hospital system.

Links to the assessment tools described today are:
https://cssrs.columbia.edu/ - Columbia Suicide Severity Rating Scale

https://www.nimh.nih.gov/research/research-conducted-at-nimh/asq-toolkit-materials - ASQ Screener (Ask Suicide-Screening Questions) by the NIH

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In this episode, I talk with Jenn Empfield, a pediatric emergency medicine pharmacist, about the use of steroids in croup, asthma, chronic lung disease exacerbations, and (not) bronchiolitis. We review literature and AAP recommendations regarding best medication choices, dosing, frequency, and cost/benefits of different regimens. If you're interested in reading further about these topics, click the links below for some of the literature reviewed in this session.

AAP Clinical Practice Guideline: The Diagnosis, Management, and Prevention of Bronchiolitis (free full text)

Single-Dose Dexamethasone is Not Inferior to 2 Doses in Mild to Moderate Pediatric Asthma Exacerbations in the Emergency Department

• PMID: 35507383
• DOI: 10.1097/PEC.0000000000002727

Two regimens of dexamethasone versus prednisolone for acute exacerbations in asthmatic Egyptian children (free full text)