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Category Controversies

School Notes

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Wait & Watch OM Rx

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Masks forever?

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Dex dosing in croup

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Miralax

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COVID tests in the ED

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Teething and Fever

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Pediatric DL Blades

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Forehead Fever

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Transferring Appy

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LP for febrile 22-28 days?

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CT 1st afebrile seizure?

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Bag for UA?

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Buckle Fractures

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Pediatric RSI

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Migraine Tx

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BOA in the ED

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COVID home O2 sat

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Corneal Abrasion Tx

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Hypothermia as Harbinger

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Antibiotics for Appendicitis

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Intractable vomiting

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Traumatic arthrotomy

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Fever work-up in COVID era

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When to work up for MIS-C

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LP for febrile infants with UTI

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Adults in PED

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On Shift PPE

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To cath or not

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To Tamiflu or Not

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Status epilepticus

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Pelvic exam in the ED

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Penetrating Palate Injury

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Facial lacerations

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Bilimeters

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Abscesses

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Unvaccinated w/febrile seizure

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Obs after anaphylaxis

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Dog bites – Antibiotics?

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CT for headache

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Steroids for Hives

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“BRUE” with Choking

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Occult Bacteremia

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Cricoid Pressure

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Double Sequential Defibrillation

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Stable adenosine-refractory SVT

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Levetiracetam dosing for status

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Antibiotics for abscess?

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Inhaled steroids for asthma

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Hip pain in kids

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Ibuprofen in infants

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Hematuria in trauma

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Conundrum: Tamiflu?

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Dispo for flu+ neonate

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10 wk w/ fever & GBS+ mom

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Magnesium for asthma

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Oseltamivir for influenza

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Follow-up blood cultures positive

A 2 month old was seen in the ED 36 hours ago with a temperature of 39.2. The CBC had a WBC of 11.2 with 70% lymphocytes and no bandemia. Urinalysis was negative. The lab calls you to report that… Continue Reading →

Analgesia for abscess I&D

You are about to incise and drain a relatively small simple abscess in a healthy child. (Click the link to comment and to vote – voting not working through email, sorry!)

Complex febrile seizures

Do you do a CT and LP on all complex febrile seizure patients?

GI cocktail

What do you include in your GI cocktail for adolescents?

Facial lacerations

You are seeing a 4 year old with a deep cheek laceration with irregular margins, under some tension. The parents express concerns about scarring, and they are also concerned that their child will definitely not be able to stay still for… Continue Reading →

Constipation in the ED

You are seeing a 5 year old with intermittent LLQ abdominal pain for a month. She is well appearing and has a benign abdominal exam. She is eating normally, not vomiting, and has no fever or diarrhea. The parents deny… Continue Reading →

Hyperbili work-up @6wks

You are seeing a 6 week old ex-full term infant who is breastfeeding exclusively, having 6 wet diapers per day, 4 or more soft seedy stools per day, growing well, and no fever. Baby has been jaundiced since 1st week… Continue Reading →

RSV Apnea Risk

It’s RSV season and you’re seeing a 30 day old ex-39 week infant with a runny nose. The resident has ordered a POC RSV, which is positive. The baby is afebrile, feeding well, and nontoxic. Do you admit the infant… Continue Reading →

Clinical pneumonia

You are seeing a 6 year old with a wet-sounding cough for 4 days and fever to 39 C for 3 days. You hear crackles in the right lower lobe; there is no wheezing. CXR shows no infiltrates. Do you… Continue Reading →

Discharge O2 sat for bronchiolitis

Vote! But for something other than President… You are seeing a 3mo old with clinical bronchiolitis who is otherwise well-appearing, tolerating po’s, not in significant respiratory distress, afebrile, has good follow-up. At what O2 sat do you admit the patient… Continue Reading →

Bolus before infant LP

3 week old infant is brought in with fever of 38.5. The baby is well appearing and does not have any high risk factors in the birth history. You plan to get urine, blood, and CSF cultures and give empiric… Continue Reading →

Pharyngitis in toddler

You are seeing a 35 month old boy with fever and sore throat x 2 days. He has no cough or runny nose, but his sister also had fever and sore throat recently, and his mom has a cough. His… Continue Reading →

Rule out airway foreign body

Nearly 3 year old girl was eating nuts and had a coughing episode. 6 year old sibling told parents “she’s choking on the nuts.” In the ED, patient is completely asymptomatic, has a normal CXR and a 100% O2 sat… Continue Reading →

Urinalysis in febrile young children

You are seeing a 15 month old female with 36 hours of fever, current temp in ED 38.9 rectal (last antipyretic 6 hours prior), no other symptoms, well-appearing, no past medical history. Which would you do?

Infant Fever Work-up

How much work-up do you do in the well-appearing, term, feeding, 29-60 day old infant with low-grade fever (38-38.5) without source? What about the 61-89 day old?

Infant UTI – do you LP?

You’re seeing a febrile well-appearing 29-60 day old with clear lab evidence of UTI and benign CBC. Do you do an LP? Do you admit and do you give parenteral antibiotics? What about for a 61-90 day old?

Benzo paradoxical reaction

When was the last time you saw a kid have a paradoxical reaction to a benzo and how did you treat it? a. Wait it out b. More benzos c. Flumazenil d. Haldol e. Something else???  Have heard precedex, ketamine,… Continue Reading →

Decadron for asthma?

You’re seeing a 10yo who weighs 40 kg for acute asthma exacerbation. Do you give decadron or prednisone? If you give decadron, do you give 0.6 mg/kg or a lower dose? What is your maximum dose of decadron for asthma? Click… Continue Reading →

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