The Higher Tech Kid in the ED

This month’s Podcast of the Month is from the Pediatric Emergency Playbook. In a 30 minute podcast Tim Horeczko (Emergency Physician, and Educator) demystifies vagus nerve stimulators, intrathecal pumps, and ventricular assist devices. Through clinical cases, he provides some useful tips and tricks for what to do when the ‘higher tech kid’ presents to ED…

Spina bifida 6 – prognosis

This series is covering all you need to know about spina bifida. In the previous posts we looked at issues around diagnosis and antenatal counselling. This week, we look at the prognosis for patients with spina bifida.

Spina bifida 5 – fertility

This series is covering all you need to know about spina bifida. In the previous posts we looked at issues around diagnosis and antenatal counselling. In this post, we look at fertility problems associated with spina bifida.

Infantile botulism

Milla is a 4 month old girl, brought into ED by her parents.  She’s been quieter than normal for the last couple of days and today seems really weak and not sucking on the breast any more.  On examination she has poor head control and marked hypotonia.  They also mention a history of constipation for…

Status epilepticus

The batphone rings at 5am. You are given a 5 minute ‘heads up’ by paramedics regarding a 3 year old child they are rushing to you with lights & sirens. She has a history of seizure disorder and has been actively seizing for 45 minutes….

Do antibiotics affect CSF results?

Paediatricians often have to make a decision about whether to just go ahead and give antibiotics in suspected meningitis, or wait for a lumbar puncture (LP) – this could be due to parental refusal, an unstable patient, or a failed attempt. There is often a discussion about repeating the LP later that day, or even…

Ventriculoperitoneal shunts

An 8 yr old boy presents after three vomits at home.  He has a background of spastic diplegic cerebral palsy and has a ventriculo-peritoneal (VP) shunt.  He is usually ambulatory and attends mainstream school. What goes wrong with VP shunts? How can we assess them for failure or infection?

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