Infants with fever present a special challenge in the emergency department. Most of these children require large workups and admission to be sure that we aren’t missing serious bacterial infections or meningitis. The risks are high here and we need to make sure that we do the right thing for our smallest and youngest patients. We’ll talk about how to assess infants from the foot of the bed, how to get an effective history and physical, how to do a sepsis workup in this age group, and some tricks of the trade for how to do an LP on an infant.
UPDATE 11/11/2013- Thanks to listener Anna- I had a mixup at 21:30 when talking about which children to get cath UAs. When I said it, I mixed up the recommendations for circumcised and uncircumcised males. They are correct in the show notes. Here is the correct version, I will edit the audio when I get a chance:
Cath UAs on:
All CIRCUMCISED males under 6 months old
All UNCIRCUMCISED males under 12 months old
All females under 24 months old
There’s also a bonus section on pediatric UTIs and how to use a glidescope.
Just FYI- EM Basic has a facebook site. If you “like” the page you’ll get notifications on each new episode. Feel free to leave a comment and start some conversations on the topics.
Finally, as promised- an international listener contacted me so I’d like to give him a shout out. Dr. Lars Lomberg is an EM physician in Germany where there are no formal EM training programs. He has a website for Emergency Medicine in Germany so if you can read German, check it out.
I’m sorry for the delay in the most recent podcast. I am trying to produce one every 10-14 days but I got busy with residency presentations so the most recent episode got delayed to the 16 day mark.
At the 16 day mark, I had a day off and I was pumped to finally sit down and record the next episode on febrile infants. I come home from a morning meeting to find water pouring out of my front door. A pipe in the kitchen burst and flooded most of the house. In between lots of calls to the insurance company, working with the cleanup company, and living out of a suitcase in a hotel, I haven’t been able to sit down and record the next episode. Is that a pretty good excuse? Thanks to the wonderful people at Allstate insurance and ServPro professional cleanup, life is starting to return back to normal.
Don’t fear- the next episode is already prepped and I’ll get the chance to record it on Monday September 19th, come hell or high water- pun intended.
Thanks to everyone who has written reviews and rated the podcast on iTunes. Thanks to you, EM Basic made it to the top of the “New and Noteworthy” in the medicine section on iTunes and the daily download count doubled overnight.
Thanks for listening to the podcast and thanks for holding on an extra week while my wife and I get our house back together.