PEM Source

Your source for all things Pediatric Emergency Medicine

All posts with tag: "labs"

Tips and Tricks

Patient won't or can't urinate for point-of-care pregnancy test, and quantitative hCG will take too long? Put a couple drops of whole blood on the POC cassette. Read more on ALiEM here, and below Blood on ICON slide  

Conundrums

(Click the link to comment and to vote - voting not working through email, sorry!) Note: conundrums are not meant to have a “right” answer – they are to see how most people are practicing. Would love your comments also regarding your thought processes and the evidence behind your decisions. We can learn from each other! Bilimeters are devices that measure bilirubin transcutaneously (ie without drawing blood). They work by directing light into the neonate's skin and then measuring the intensity of specific wavelengths that return, and using this information to calculate bilirubin level. [poll id="40"]

PEM Questions

(Click the link to comment and to vote - voting not working through email, sorry!) You are seeing a 15 month old who became angry about a toy being taken away, cried, turned blue in the face, passed out, and then developed tonic-clonic activity for 15 seconds. The entire episode lasted 1-2 minutes. The child is playful, drinking from a bottle of juice, and back to baseline in the ED, with a normal physical exam and vital signs. He has never done this before. Which of the following test(s) is/are most indicated?
  1. Bedside glucose
  2. Electrocardiogram
  3. Point of care hemoglobin
  4. Non-contrast CT head
[yop_poll id="111"]
(Click the link to comment and to vote - voting not working through email, sorry!) A 1 week old presents with multiple bouts of hematemesis. The baby was born full-term, no complication, has been breast-feeding normally, and is afebrile. The baby is nontoxic, has normal vital signs and perfusion, and has a normal physical examination. Point of care hemoglobin is 15 g/dL. [yop_poll id="76"]

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