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.
Ondansetron in the WR Reduces IV Fluid
Triage nursing protocols that allowed early use of ondansetron and oral fluids significantly reduced the number of children who needed IV fluid without prolonging length of stay.
Peds Appendix Ultrasound Often Non-diagnostic
Ultrasound is the right first imaging test to rule out appendicitis, but it's very important to set family expectations low and inform them that the study is often not diagnostic and that more imaging may be needed.
Beware the Seatbelt Sign in Children
A seatbelt contusion on a child's abdomen is a marker of significant and sometimes subtle abdominal or spine injury.
Nasal CPAP Beat HFNC for Bronchiolitis
Nasal CPAP beat HFNC for non-invasive respiratory support in infants with bronchiolitis.
Peds UA Accuracy Varies with Urine Concentration
If you have dilute urine with positive LE or microscopic pyuria, it is probably a real UTI. If the urine is concentrated, it's harder to tell.
Kids with Post-traumatic Seizure Need Head CT
Kids with post-traumatic seizure need a head CT. Those with a normal head CT may be safely discharged and have very low risk of recurrent seizures.
Clinical Exam Poor for Albuterol Response in Bronchiolitis
It was hard to tell which critically ill, ventilated patients were responders to albuterol. Nurses, RTs, and physicians were all equally bad.
Peds DKA with AMS – Treat Now CT Later
For pediatric DKA with altered mental status - treat first, CT later.