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 the role of CPR.

Ethical CPR Decisions

Constipation... Does it make you want to run and hide? Or leave it for someone else to sort out? Join us for a structured approach to the diagnosis and management of constipation.  And let us know your favourite recipe, or a few poo pearls...

Constipation in Kids

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 you listen - on empem.org.

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 you listen - on <a href="http://empem.org/2013/06/holmesian-diagnostics/" rel="nofollow" target="_blank">empem.org</a>.

Holmesian Diagnostics

When faced with a worried family, we all would like to offer the appropriate reassurance, or do the appropriate test - without being too blase or too anxious.  Headaches, in particular, are important because the tests are usually not required, and are either unavailable or potentially harmful. In Noggin-cast part 2, we explore the relevant literature with regard to investigating headaches in children.

Investigation of Pediatric Headaches

In this "noggin-cast" we explore the causes of headache, including Primary headache like migraine and tension headache, secondary headaches from viral illness, and a few other strange ones...  Pediatric Emergency Departments see a few children a day with headache. So how do we pick out the serious ones?

Headaches in kids

Appendicitis tests in children

Although the evidence is far from complete, the landscape of pediatric UTI is definitely changing, and the discussion is driving a less aggressive approach to investigating and following up UTI in children.  But are we swinging too far in the other direction? We work in a fragmented system, where we need to kick-start the correct follow-up for our patients, who may otherwise miss out if we don't get them on the right track before they leave the Emergency Department.

Pediatric UTI Controversies

Why is Urinary Tract Infection in children different from cystitis or pyelonephritis in adults? In this podcast we discuss the diagnosis, important differentials, and treatment of pediatric Urinary Tract Infection.

UTI in children

The principles of Clinical Toxicology are similar in kids and adults, but there are a few additional aspects to consider. Join us on a sketch of assessment and management of the poisoned child... or the potentially poisoned child.

Kiddy Tox

ISAAC blows wheezy whistle on APAP

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

Excellent

EM and PEM webucation...<br>PEMcasts: Paediatric Emergency Medicine - basic and advanced topics - brought to you by <a href="http://EMPEM.org" rel="nofollow" target="_blank">EMPEM.org</a>, a humble EM and PEM webucation shack...

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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 possibilities, before jumping to a benign diagnosis.

Neonatal Jaundice

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 collectively common enough that we will encounter them in our Emergency Departments.  Classifying these conditions is an ever-changing minefield, but fortunately, understanding the basic principles is not too bad... especially with a bit of expert guidance from our guest brain.

Metabolic Stuff for Dummies

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 blood tests can we use to help us - without over-investigating every minor limp? We turn to the medical literature and try to sort this out - join us on our hippy mission...

Septic Arthritis, or Transient Synovitis?

Treatment Options in Neonatal Jaundice

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 we balance the radiation (and other) risks against the risk of missing an important intracranial injury?  Several decision rules have been published - join us for a tour of their ups and downs!

Cranial CT for Minor Head Injury

In severe acute asthma in children, nothing seems to work as quickly or as well as we'd like... so where's the evidence that these intravenous medications actually work? This time, we skip joyfully through some hand-picked papers informing the use of Magnesium, Ipratropium, Aminophylline, and discussthe upside and downside of intravenous Salbutamol (albuterol).

Asthma Medications: where’s the evidence?

We see a LOT of asthma in children in our Emergency Departments - so we should know what to do when we are faced with severe or life-threatening asthma... But more often, we'll be dealing with mild and moderate asthma.  Join us for an audio tour of this condition affecting up to 13% of Australian children.

Asthma

Watchful waiting or invasive investigations?  A limping child may have transient synovitis, or something more serious such as septic arthritis, osteomyelitis, or Perthes Disease.

Limping Child

30-second summary of the utility of blood tests, imaging and scoring systems for diagnosing appendicitis.

Appendicitis: Utility of Tests

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 to apply the NEXUS decision instrument in the under 3 year old age group.  Join us as we explore the evidence...

Clearing the Paediatric C-Spine

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 through a suggested method of assessing and managing the cervical spine in children... and discuss itchy teeth.

Cervical Spine Assessment in Children

Minor Head Injury (GCS 14-15) is a source of many Emergency Department visits.  Do we really need to keep these kids under observation for several hours? In this PEMcast we discuss the assessment and management of Minor Head Injuries, and explore concussion, adjuncts to the GCS, and the origins of the 4-hour myth.

Minor Head Injury

From funny breathing to blue lips, baby boobs to milk regurgitation, a range of neonatal and infant oddities can present to our Emergency Departments.   In this episode we discuss a few common problems, and provide some pointers towards differentiating baby wellness from baby illness.

Well Baby Oddities

Young infants under 3 months can be pretty scary when they get properly sick. In many ways we just have to screen and treat for sepsis - and ask questions later... But there are a number of other differentials to consider. In this episode, we consider the assessment and management of the non-specifically unwell young infant, that is, under 3 months of age, using an ABCD structure (of course).

Sick Baby: undifferentiated infant under 3 months

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...

Just Awful

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