The Febrile Infant: Incorporating the 2021 American Academy of Pediatrics guidelines
March 29, 2023
Can you trust a febrile infant? “No” has been, and continues to be, the resounding answer over the last 40 years as researchers and clinicians...
Corey Ziemba, MD
PEM Pearls: An Approach to Infant Apnea
September 26, 2022
A 2-day-old female born at 41 weeks presents to the Emergency Department (ED) for an episode of apnea. Her parents noticed she stopped breathing, went...
Carolina Ornelas-Dorian, MD
PEM Pearls: To Scan or Not to Scan? CT Abdomen in Children with Blunt Torso Trauma
January 29, 2021
An 18-month-old female with no past medical history is brought in by ambulance after a motor vehicle collision (MVC) at highway speed, restrained in an...
Carli R. Haasbroek, MD
PEM Pearls: Intranasal Medications in the Pediatric ER
July 20, 2020
Fiona is a 6 year old female who presents to your emergency department after falling onto her left hand while racing on the playground. X-ray...
Alia Church, MD
PEM Pearls: Metered-Dose Inhaler versus Nebulizer
June 24, 2020
An 8-year-old is brought in by her parents with shortness of breath and wheezing. She’s been receiving her “rescue inhaler” at home and continues to...
Kevin Rolnick, MD
PEM Pearls: Chest Radiographs for Shortness of Breath
May 27, 2020
Figure 1: Photo by Tim Bish on Unsplash Paramedics bring in a 5-month-old boy in respiratory distress. He’s crying furiously and has normal tone and...
Katrina Stime MD
PEM Pearls: 5 Tips to Demystify Amoxicillin in Pediatric Infections
August 23, 2019
Amoxicillin is a penicillin derivative antibiotic against susceptible gram positive and gram negative bacteria. It has reasonable coverage for most upper respiratory infections and is...
Rosy Hao, MD
PEM Pearls: Ultrasound for Diagnosing Occult Supracondylar Fractures
August 7, 2019
Supracondylar humerus fractures are the most common type of elbow fracture in pediatric patients, most often seen in a fall on an outstretched hand (FOOSH)...
Winnie W. Chan, MD
PEM Pearls: Red Flags for Child Abuse – Case 2
May 22, 2018
Fractures are a common sign of abuse. It is impossible to tell from an x-ray alone whether or not a fracture is due to abuse....
Emily Frank, MD
PEM Pearls: Red Flags for Child Abuse – Case 1
March 21, 2018
Child abuse is a common cause of pediatric morbidity and mortality. In 2015, over 650,000 children were found to be victims of maltreatment and over...
PEM Pearls: Regional Facial Nerve Blocks
January 22, 2018
Regional nerve blocks of the face and ear can be a wonderful choice of analgesia in a child, particularly for wounds that need to be...
Ashley Foster, MD
PEM Pearls: Pediatric Lung Ultrasound for Diagnosing Pneumonia | The Wave of the Future
December 30, 2017
The standard for diagnosing pneumonia is a combination of the clinical history, physical examination, and chest x-ray (CXR) findings. However, lung ultrasound (US) has been...
Jessica Zhang, MD