PEM Archives - County EM

Immune/Inflammatory Infectious Disease Pediatric EM

Toxic shock-like syndrome and COVID-19: A case report of multisystem inflammatory syndrome in children (MIS-C)

This article is reposted from The American Journal of Emergency Medicine. Introduction The coronavirus disease 2019 (COVID-19) pandemic has caused a total of nearly 300,000 deaths worldwide [1]. Pediatric patients PCR-postive for SARS-CoV-2 present differently than adults with 40% either asymptomatic or with URI symptoms and commonly have pharyngeal erythema Read more…

By Andrea Greene, 4 yearsJune 18, 2020 ago

Pediatric EM

The case of the baby blues…BRUE diagnosis and management

It’s January in the pediatric emergency department, and you are on your guard. You have vowed to protect yourself against all variety of evil cold viruses sneakily residing in cute, sniffly children, aiming straight for your respiratory tract. You go down the list of chief complaints successfully dodging all the Read more…

By Delna, 5 yearsMarch 6, 2019 ago

Pediatric EM

Not your typical pain in the butt: Approach to the female patient with rectal pain

An 18 year-old female presents with rectal pain for one day. She states she was constipated for the past couple days and now has diarrhea. She started to experience painful stooling on the day of presentation. Stools are brown, loose in consistency, and non-bloody. She also complains of feeling pain Read more…

By JJaramillo, 7 yearsApril 14, 2017 ago

EM Principles

Pirate Baby’s Never Bored Review

It’s a busy weekday shift in the Peds ED on Jolly Roger Island. A captain brings in his 11 day old newborn scallywag, concerned about her left eye being ‘swollen, crusty, and oozing pus.’ He notes that she cries anytime he tries to touch it. Her vital signs are On exam Read more…

By Kylie Birnbaum, 9 years ago

Pediatric EM

Limping, continued… By Nishit Patel MD

22 months old previously healthy girl was brought to the ED by her parents with chief complaint of limping on right side while walking and running for 1 day. They noticed this after she fell at home while running. Parents denied any fever, runny nose, cough, rash and joint Read more…

By marmeg, 9 years ago

Pediatric EM

SOME THOUGHTS ON MIGRAINES FROM FLORIDA… By Sarah Melendez

Greetings everyone from sunny Florida! As you all know, I’m finishing up my 1st year of my peds EM fellowship and I just couldn’t stay away from County so I wanted to write a short blog article. I figured we could talk about something very common in both the pediatric Read more…

By marmeg, 10 years ago

Morning Report

Morning Report: 6/25/2013

Thanks to Dr. Desmond for today’s Morning Report! Pediatric Thoracic Trauma Thoracic trauma in children is relatively uncommon. Usually from high force injuries such as falls or motor vehicle accidents (75%) and is usually blunt. When in isolation, mortality rate is low, however it TRIPLES when accompanied by head Read more…

By Jay Khadpe MD, 11 years ago

Pediatric EM

Peds In A Pod: My Child Fell & Hit His Head, HELP!

Mild Traumatic Brain Injury in Children You’re working in the peds ED and the weather outside is just starting to get warmer. Your first patient of the day is a young 2 yo girl with no PMH as per the parents, that was playing in the park when she fell Read more…

By smelendez, 11 years ago

Residency Life

Wednesday Wrap-up: 1/16/2013

For those of you who could make it, we had a great Grand Rounds presentation by Dr. Prashant Mahajan from the Children’s Hospital of Michigan on the past, present, and future of evaluation of the febrile child. I will keep it brief but just wanted to share the current ACEP Read more…

By Jay Khadpe MD, 11 yearsJanuary 16, 2013 ago

Morning Report

Morning Report: 1/4/2013

Here’s Dr. Melendez with today’s Morning Report!

By Jay Khadpe MD, 11 years ago