How to Tell a Septic Hip from Transient Synovitis
These 4 predictors are somewhat helpful in distinguishing transient synovitis of the hip from septic arthritis. Note the limitations of the Kocher Criteria when using it in practice, and err on the side of orthopedic consultation and/or admission.
Nitrous Oxide and Intranasal Fentanyl for Sedation
Intranasal fentanyl and N2O was a rapid way to perform pediatric sedation with no IV, but more patients cried, grimaced, and kicked during the procedure; and 12% vomited.
Why We Give Dexamethasone for Mild Croup
Dexamethasone is beneficial for mild croup, not just moderate to severe.
Pros and Cons – Ultrasound or Rapid MRI for Appy
Both ultrasound and rapid MRI are viable initial imaging options in young patients with suspected appendicitis. But in this study, MRI led to increased length of stay and significantly increased ED charges.
Need a Kid’s Weight? Just Ask Mom
If you need to know the child's weight, just ask the parent. It was the most accurate weight estimate in this prospective comparison study.
NOT (non-op treatment) for Appendicitis
Non-operative treatment is an option for pediatric acute appendicitis. But I don't plan to recommend it to patients.
Which Kids Need Abdominal CT in Trauma
These 6 criteria may help when considering the imaging strategy for children with blunt abdominal trauma.
Ketofol for Kids
Ketamine/propofol had no advantage over ketamine alone for procedural sedation in pediatric patients.
Infant Clean Catch in Under 5 Minutes
If you need an infant urinalysis, and clean catch is acceptable, the Quick Wee method can help you get the sample in less than 5 minutes.
When to Check UA in RSV Positive Infants
Febrile children 2-12 months of age with RSV or influenza may still have UTI as a source of the fever. However, this study suggests that we may be able to base urine testing on the patient's risk of UTI, with urine testing only in kids with > 1% risk.