What’s the Right Pediatric ETT Size?

What’s the Right Pediatric ETT Size?

The pediatric trachea is elliptical at the infraglottic level, with the transverse diameter being narrowest. The endotracheal tube size formula, (age/4) + 3.5, with a cuffed tube makes more sense anatomically.

Coding Bias for "Sinusitis" to Justify Antibiotic Prescribing

Coding Bias for "Sinusitis" to Justify Antibiotic Prescribing

Physicians who wrote for the most antibiotics were also the ones who diagnosed sinusitis most often.  To justify writing for an antibiotic, there was a coding bias to call it “sinusitis” when in fact, it probably was just a cold.

Lemierre's Syndrome - Sore Throat Gone Wrong

Lemierre's Syndrome - Sore Throat Gone Wrong

Sometimes sore throat isn’t just sore throat - it could be a life threatening complication. Learn about Lemierre’s syndrome with this quick-hitter teaching case from NEJM.

Where Will You Cut the Neck? POCUS Makes Perfect

Where Will You Cut the Neck? POCUS Makes Perfect

Practicing to find the midpoint of the cricothyroid membrane with ultrasound is a much better way to learn than by using only external landmarks and no ultrasound.

Are We Still Prescribing Codeine for Kids?

Are We Still Prescribing Codeine for Kids?

Codeine prescriptions for children after tonsillectomy and adenoidectomy substantially dropped after the FDA issued a black box warning over safety concerns.  Still, 1 in 20 children continue to inappropriately receive codeine after T&A.

Mounting Evidence for Dexamethasone in Pharyngitis

Mounting Evidence for Dexamethasone in Pharyngitis

In patients age 5 years through adulthood with sore throat of any cause, use of a single, low-dose steroid (most often dexamethasone 10mg or 0.6mg/kg for children, max 10mg; most given orally) were twice as likely to have pain relief at 24 hours.

Wait-and-See Antibiotics for Otitis Media

Wait-and-See Antibiotics for Otitis Media

Allowing parents the option to wait and see if their child did not improve or worsened in 48 hours after the diagnosis of acute otitis media in the ED vs. filling the prescription right away resulted in a dramatic reduction in antibiotic use with little downside in this RCT.

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