Avoiding Common Errors in Pediatric Emergency Medicine PDF

Contributors
Preface
THE CRASHING PATIENT
Overlooking the Basics and Focusing on Medications That Do
Not Matter During Pediatric Codes
Michael S. Mitchell, MD and Crick Watkins, DO
Placing Provider Comfort Over Family Presence
Michael S. Mitchell, MD and Sarah Bingham, MD
Overlooking Opportunity to Help the Family by Saving Crucial
Evidence
William E. Hauda II, MD, FACEP, FAAP
Epinephrine 1:10 000 vs 1:1000: Are You Prepared to Make
Sense of This?
Samuel Spizman, MD, FAAP
IMAGING
Do Not Scan Head Trauma Based on Your “Gut”—Use
Evidence-Based Guidelines!
Anna Schlechter, MD, FAAP
Negative Scan—Positive Belly: Do Not Rely Solely on the CT
Scan When Evaluating Children With Blunt Force Abdominal
Trauma
Anna Schlechter, MD
Appreciate Practice Differences in the Approach to Pediatric
Nontraumatic Abdominal Pain
Paul Schunk, MD, FAAEM
Neuroimaging of Nontrauma Patients
Lekha Shah, MD, FAAP, FACEP
To CT or Not to CT: Develop Good Imaging Strategy
Stephanie G. Cohen, MD
Know the Options: Imaging Modalities for Pediatric Neck
Masses
Naghma S. Khan, MD, FAAP, FACEP and Kina Le Goodman, MD, FAAP
Advanced Imaging—MRI in Children
Matthew Moake, MD, PhD
Pediatric Lung POCUS: An Underutilized Tool for Pediatric
Pneumonia
Erin Munns, MD
Do Not Apply the Adult FAST Criteria to Pediatric Trauma
Patients
Anthony Arredondo, DO, FAAP
Cardiac POCUS: Be Able to Distinguish Pericardial Effusions
From Their Mimics
Daniel Slubowski, MD
Scan First, Irradiate Second: The Error in Jumping to Computed
Tomography
Robert Vezzetti, MD, FAAP, FACEP
Skin and Soft Tissue Infections: Fifty Shades of Grayscale
Jason Gillon, MD, FAAP
ENVIRONMENTAL/TOXICOLOGY
Errors to Avoid: Overlooking Potential for Lung Injury in
Children Who Appear Well
Chad D. McCalla, MD and Ryan J. Reichert, MD
Not Aggressively Treating the Hypothermic Drowning Victim
Emily Rose, MD, FAAP, FAAEM, FACEP and Mark Zhang, MD
Drowning Prevention—Missing the Opportunity to Teach:
Prevention When the Near-Miss Events Happen
Nicole Barbera, DO and Frederick Place, MD, FACEP, FAAP
When Small Bites Matter: The Deadly Potential of a Pill
Ryan D. Brown, MD, FAAP and Mary Asal, MD, MPH, FAAP
Activated Charcoal: Avoiding Worthless Usage of a Valuable
Therapy
Jessica Kraynik Graham, MD and George Sam Wang, MD, FAAP,
FAACT
Underestimating the Damage a Simple Laundry Detergent Pod
Can Cause
David Muncy, DO and Craig T. Carter, DO
Not Having a Plan to Safely and Effectively Cool Critically Ill
Patients With Heat Stroke
Shad Baab, MD and James C. O’Neill, MD, FACEP
Cold Illness: Be Prepared to Use All the Tricks for Aggressive
Rewarming
Gena Cooper, MD, FAAP
Rabies, It Is More Than Bats: Know Your High-Risk Cases
Adam Kochman, MD, FAAP, FACEP
Antivenom in Children Is Not Based on the Child’s Weight
Joshua Siembieda, MD
EAR NOSE THROAT
Otitis Externa: A Dive Into Swimmer’s Ear
Peggy Gatsinos, MD, FAAP
Acute Otitis Media and Complications
Nehal Bhandari, MD, FAAP and Hannah Y. Lee, MD
Don’t Miss Hearing Loss—A Subtle Sign of Serious Pathology
Haig Setrakian, MD
Leaking the Information: Be Prepared to Manage Otorrhea
Selina Varma, MD, MPH
Punching Up the Management of External Ear Trauma
Adrienne Smallwood, MD and Suzanne M. Schmidt, MD
Do Not Miss Middle and Inner Ear Trauma: Not All Ear
Drainage Is Infectious
Brian Wagers, MD, FAAP
Intranasal Foreign Bodies: Optimizing Chances of Successful
Removal
Kristol Das, MD, FAAP and Priya Jain, MD, FAAP
Blow by Blow on Nasal Trauma in Children
Anna G. Smith, MD, FAAP and Priya Jain, MD, FAAP
Epistaxis: The Nose Knows How to Stop the Leak
Kimberly L. Norris, MD
Orbital Fractures: Be Careful to Avoid Getting Trapped
Amanda Price, MD
Not Using Absorbable Sutures for Children With Facial
Lacerations
Emily Greenwald, MD and Nidhya Navanandan, MD
Overlooking the Benefits of Regional Anesthesia in Children
Jonathan Orsborn, MD, FAAP
Using Color of Rhinorrhea As a Justification for Giving
Antibiotics
Mahnoosh Nik-Ahd, MD, MPH and Andrea Fang, MD
Basing Treatment of Strep Pharyngitis Solely on Centor Criteria
Crick Watkins, DO and Chad D. McCalla, MD
Neck Pain and Fever Does Not Always Mean Meningitis. Think
of RPA. Retropharyngeal Abscess
Alison Gardner, MD, MS and Kimberly Myers, MD
Oropharyngeal Puncture? Do Not Forget That There Is a Big
Blood Vessel to Worry About
Rachel O’Brian, MD and Adam Kochman, MD, FAAP, FACEP
Not Believing the Parent Who Believes the Child Choked on
Something
Collin Michels, MD and Andrea Fang, MD
Do Not Treat Detergent Pods Like Any Other Type of Ingestion
Rajesh Sood, MD, FAAP and Minal Amin, MD, FAAEM
Not Appreciating “Recurrent Croup” to Be a Clinical Sign of
Anatomic Airway Anomalies
Minal Amin, MD, FAAEM
Not Having a Strategy in Place to Manage the Patient With a
Posttonsillectomy Hemorrhage
Mahnoosh Nik-Ahd, MD, MPH and Andrea Fang, MD
Attempting to Close Every Intraoral Laceration
Katie Rebillot, DO and Kelly D. Young, MD, MS
Thinking Ludwig Angina Only Happens in Adults
Jasmin England, MD, FAAP
Overlooking Simple Strategies to Manage Pain Related to a Dry
Socket
Jennifer K. Potter, MD and Sarah N. Weihmiller, MD, FAAP
Dismissing Sialadenitis as a Simple Infection and Throwing
Antibiotics at It
Zachary T. Burroughs, MD, FAAP
Do Not Forget About the Secondary Teeth While Managing a
Primary Tooth Injury
Moon O. Lee, MD, MPH, FACEP
Focusing on Only the Teeth When There Is Dental Trauma
Michael Hrdy, MD and Simone L. Lawson, MD, FAAP
Not Thoroughly Evaluating Facial Fractures
Ioannis Koutroulis, MD, PhD, MBA and Angelica W. DesPain, MD
Put Down the Scalpel—A Thoughtful Approach to Neck
Masses
Nicole Gerber, MD and Adam E. Vella, MD, FAAP
Blunt Neck Trauma
Kara K. Seaton, MD, FAAP
Penetrating Neck Trauma
Rachel Weigert, MD and Kelly R. Bergmann, MD
Torticollis: Maybe a Twist but Hopefully Never a Shout
Amber M. Morse, MD, FAAP and Heather A. Heaton, MD, FACEP
Atlantoaxial Rotatory Subluxation (AARS): When Children
Truly Look Like Little Birds
Heather A. Heaton, MD, FACEP and Amber M. Morse, MD, FAAP
Managing Pediatric Eye Injuries: You Will Shoot Your Eye Out,
Kid!
Kathleen M. Smith, MD, MPH
Be Prepared to Manage Eye Lacerations
Nicholas Pokrajac, MD
Be Prepared to Care for the Other Pediatric Red Eye: Hyphema
Mylinh Thi Nguyen, MD
Pediatric Vision Loss
Nicky Amin, MD
Be Prepared to Manage Eye Burns—Chemical, UV, Thermal
Ashley L. Flannery, DO, FACEP, FAAEM
Do Not Confuse Orbital Cellulitis With Preseptal Cellulitis
Meghan Cain, MD
“Eye Spy” Abnormal Pupils: Be Aware That an Abnormal
Pupillary Exam Is Often a Sign of Underlying Problems
Emily Wagner, MD and Geoffrey P. Hays, MD
Nasolacrimal Duct Disorders: More Than Just Tears
Meghan Cain, MD
Conjunctivitis: A Sight for Sore Eyes
Yvette Wang, MD and Elise Zimmerman, MD, MS
AIRWAY
Not Considering an Infant’s Airway as a “Difficult Airway”
from the Beginning
Jenna Lillemoe, MD and Ari Cohen, MD, FAAP
Not Knowing the Differences Between the Pediatric and Adult
Airways Can Lead to Failure to Intubate the Pediatric Airway
James C. O’Neill, MD, FACEP and Shad Baab, MD
Get Rid of Your Discomfort With Percutaneous Transtracheal
Ventilation
David Skibbie, MD, MA, FACEP, FAAEM
Treating All Noisy Breathing as the Same
Emily C. MacNeill, MD and Nicholena Richardson, MD
Don’t Rush to Intubate an Infant After PGE1 Administration
Erica Scott, MD and Kathleen Kinney Bryant, MD, FACEP
Thinking Lack of Wheezing Is a Good Finding With Severe
Asthma
Julia E. Martin, MD, FACEP
Giving Albuterol to All Kids With Bronchiolitis
Rachel Cafferty, MD and Julia Fuzak Freeman, MD, FAAP
Treating Patients With Cystic Fibrosis and Pneumonia With
Typical Treatments for Community-Acquired Pneumonia
Maneesha Agarwal, MD, FAAP, FACEP
Not Recognizing Risk Factors for PE in Children
Sephora N. Morrison, MBBS, MSCI, MBA, CPE and James
Chamberlain, MD
Overlooking the Concurrent Injuries in Children With Rib
Fractures
Anna Handorf, MD and Ari Cohen, MD, FAAP
CARDIOLOGY/DYSRHYTHMIA
Do Not Miss Undiagnosed Congenital Heart Disease: In Babies
With Heart Disease, Color Matters!
Sean Larsen, MD and Jenny Mendelson, MD
Poor Feeding, Cough, and Fussiness? Common Complaints
Deserve a Comprehensive Workup for Pericarditis in the
Postoperative Congenital Heart Disease Patient
Tyler Kingdon, MD and Julia Schweizer, MD, FAAP
A Faint Chance of Danger—Do Not Assume Pediatric Syncope
Is Just Orthostasis Without Ruling Out These Diagnoses
Beatrice Leverett, MD and Forrest T. Closson, MD
Chest Pain: Do Not Let a Normal Examination Falsely Reassure
You
Erica Marburger, MD and Whitney Minnock, MD
Tachycardia: Don’t Assume Tachycardia Is Just “Stranger
Danger”
Kristin Kahale, MD and Whitney Minnock, MD
Secondary Signs of Endocarditis: Know Them by Heart
William Martin, MD and Sean Thompson, MD
Viruses Can Be Real Heart Breakers—Do Not Let the
Myocarditis Patient Blend in With All the Respiratory Viral
Illnesses
Josephine Stout, MD and Jenny Mendelson, MD
Remember That Very Little of Pediatric Hypertension Is
Cardiac
Marie Kotenko, MD, MPH and Whitney Minnock, MD
Getting to the Heart of the Matter: Do Not Miss These Features
of Pathologic Murmurs
Natasha Smith, MD and Mimi Lu, MD
Do Not Crash and Burn by Missing Kawasaki Disease
Carly Loner, MD and Kathleen Stephanos, MD, FAAEM
Pediatric Electrocardiogram Differences: Know Which Findings
Are Normal in Children and Which Ones Spell Trouble
Andrea P. Anderson, MD and Sabreen Akhter, DO, DTM
Do Not Be Shocked! Know the Meaning of the First Three
Letters of a Pacemaker’s Code
Ryley McPeters, MD and Stephen Mac, MD, FAAP
ABDOMEN
Be Aware of the Varied Presentation of Pediatric Appendicitis
Vishal Naik, MD and Anupam B. Kharbanda, MD, MSc
Pyloric Stenosis: Diagnosis the Stenosis Before It Becomes
“Classic”
Corinne Shubin, MD and Jessica Wall, MD, MPH, MSCE, FAAP
The Inception of an Intussusception: Look for the Bowel Within
a Bowel Even if Symptoms Are Not “Classic”
Carl Mirus IV, MD and Kathleen Stephanos, MD, FAAEM
GI bleed: Do Not Be fooled by bleeding imposters
Kelly Patel, MD and Sandal Saleem, MD, FAAP
The Hard Truth of Constipation—Do Not Miss the Potentially
Serious Causes
Jennifer E. Guyther, MD and Carmen Avendano, MD
Pediatric Diarrhea—Hydration Is the Most Important Factor in
Treatment
Neethu M. Menon, MD
Dehydration and Electrolyte Problems: Do Not Start IV Fluids
in Children Without a Trial of PO Fluids and Antiemetics
Jonathan Higgins, MD, FAAP and Ryan Kearney, MD, MPH
Why Is My Baby’s Poop White?: Do Not Forget to Check the
Direct Bilirubin Level for Jaundiced Infants
Dhritiman Gurkha, MD and Whitney Minnock, MD, FAAP
Lets Be Blunt—Do Not Underestimate the Importance of Serial
Abdominal Examinations in Pediatric Blunt Abdominal Trauma
Eva Tovar Hirashima, MD, MPH
Oh Heavens…. HUS and Escherichia coli 0157:H7—Do Not
Rush to Give Antibiotics to Children With Bloody Diarrhea
Matthew B. Underwood, MD, FACEP
Twist of Fate: Do Not Ignore Bilious Emesis in a Baby
Carrie M. Myers, MD and Ashley M. Strobel, MD, FACEP, FAAP
Let Your Light Shine!: Do Not Confuse a Hydrocele for a
Hernia
Kevin Landefeld, MD and Matthew Carlisle
Time Is Stoma: G-Tube Dislodgement Is a Time-Sensitive
Emergency
Ashley M. Strobel, MD, FACEP, FAAP
“Not Aggressively Treating Patients With Nephrotic Syndrome
Presenting With Fever”
Rebecca C. Bowers, MD, FACEP and Vinayak Gupta, MD
GENITOURINARY AND RENAL
Renal: Nephritis: “Not Having a Strategy to Evaluate Hematuria
in a Child”
Landon A. Jones, MD
Overlooking Spontaneous Bacterial Peritonitis in Patients With
Nephrotic Syndrome
Jeremiah Smith, MD, FAAP
“Urine” Trouble Now—Evidence to Approach Pediatric UTI
James (Jim) Homme, MD, FACEP
Funny Dermatologic Findings
Kathryn Kean, MD
Vaginitis in the Prepubertal Girl—A Not So Challenging
Discharge Diagnosis
Mahsa Akhavan, MD
GU Torsion (Male and Female)
Quinn Cummings, MD
Not Just Adults: Abnormal Uterine Bleeding and Teenage
Menstrual Issues
Amy Pattishall, MD and Atsuko Koyama, MD, MPH
Straddle Injuries Management: Be Able to Distinguish Accident
From Abuse
Carrie Busch, MD, MSCR
A Sticky Situation: Know How to Manage Labial Adhesions
Cullen Clark, MD and Kathleen Meadows, MD, FAAP
Always Look Under the Diaper: Congenital Abnormalities of
the Genitourinary Tract
Perry White Mitchell, MD and Matthew Carlisle, MD, MAS
Always Check Under the Hood: Do Not Confuse Phimosis and
Paraphimosis
Tseng-Che Tseng, MD and Rebecca Hutchings, MD
DERMATOLOGY
Neonatal Rashes: Know the Bad From the Not So Bad
Denisse Fernandez Goytizolo, MD and Madeline M. Joseph, MD,
FACEP, FAAP
Be Prepared to Manage the Common Pediatric Rashes
Kayla McManus, DO and Todd Wylie, MD
Be Prepared to Manage Common Pediatric Infectious Rashes
James Buscher, MD and Madeline Joseph, MD, FACEP, FAAP
The Fits and Starts of Atopic Dermatitis: Strategies to Adjusting
Treatment
Sami K. Saikaly, MD and Jennifer J. Schoch, MD
Be Prepared to Recognize and Manage the “Bad” Rashes
Akhila Reddy Mandadi, MD and Madeline M. Joseph, MD, FACEP,
FAAP
Do Not Be Tricked Into Missing a Diagnosis of Henoch-
Schönlein Purpura
Ankita Taneja, MD, MPH and Todd Wylie, MD
Be Prepared to Accurately Diagnose and Support Your Patients
With Erythema Multiforme
Corey W. Dye, MD and Madeline M. Joseph, MD, FAAP, FACEP
ENDOCRINE
DKA: Being Overly Concerned About IV Fluids
Nadira Ramkellawan, MD and Frederick Place, MD, FACEP, FAAP
Allowing Hypoglycemia to Surprise You in the Pediatric Patient
Presenting With Gastroenteritis
Lindly A. Theroux, DO and Scott W. Sutton, MD
Do Not Forget the Stress-Dose Steroid in Hypopituitarism!
Jonathan Lee, MD, FAAP and Vivian Hwang, MD, FACEP, FAAP
Not Using Hydrocortisone for Treating Congenital Adrenal
Hyperplasia (CAH)
Mahmoud Hamdan, MD, CDE, ABCL
Overlooking the Clinical Scenarios That Place a Child at Risk
for SIADH
Joseph Abraham Tanga, MD and Matthew Neal, MD, MBA
Forgetting Thyrotoxicosis in Patients With Vague Complaints
Mahmoud Hamdan, MD, CDE, ABCL
Not Considering Rickets as a Cause of New-Onset Seizures in
Young Children
Joyce Granger, MD, FAAP
NEUROLOGY
Not So Simple, or Is It? Prepare to Care for Febrile Seizures in
Children
James (Jim) Homme, MD, FACEP
Status Epilepticus: The Most Common Neurologic Emergency
in Children
Brittany Tyson, MD and Emily Rose, MD, FAAP, FAAEM, FACEP
A Lower Threshold to Seize: Understand First-Time Seizure in
Pediatric Patients
Nicholas Orozco, MD, MS and Emily Rose, MD, FAAP, FAAEM, FACEP
Pediatric Headache
Amy Briggs, MD and Emily Rose, MD
Pediatric Stroke Is Routinely Missed on Initial Presentation: Do
Not Be Routine!
Danielle Wickman, MD and Emily Rose, MD
“Flaming Hot Pediatric Brains”—Anti-NMDA and Other Forms
of Encephalitis
Anna Darby, MD, MPH and Emily Rose, MD
Pediatric Vertigo: Differentiating Life-Threatening From
Benign Etiologies
Daniel L. Johnson, MD, MSEd
Be Able to Scrutinize the Causes of Pediatric Ataxia
Kelsey Ford Bench, MD and Emily Rose, MD
Muscular Dystrophy
Carlee Carranza, DO and Emily Rose, MD
Skull Fractures: When Do We Really Need to Know They Are
There?
Mark S. Mannenbach, MD
When a River Does Not Run Through It—Prepare to Manage
Pediatric Hydrocephalus
Flavien Leclere, MD, MA and Emily Rose, MD, FAAP, FAAEM, FACEP
Be Prepared to Troubleshoot and Manage Shunts
Seema Shah, MD
Be Prepared to Manage Pediatric Neurologic Technology
Christopher S. Amato, MD, FAAP, FACEP
ORTHOPEDICS
Fingertip Injuries: Keep It SIMPLE, Do Not Forget to Check
the Tendons, and Use Glue
Daniel Scholz, MD, MPH and James (Jim) Homme, MD
Supracondylar Fractures
Joseph Arms, MD
It Is Not Just a Sprain: Do Not Miss Cases of Slipped Capital
Femoral Epiphysis and Idiopathic Osteonecrosis (Legg-Calve-
Perth Disease)
Jonathan Nielson, MD and Kelly R. Bergmann, MD
Big Problems in Little Bones: Do Not Miss Physeal Fractures
Jana L. Anderson, MD and Mark S. Mannenbach, MD
Be Prepared for an Easy ED Fix: Subluxed Radial Head— The
Nursemaid’s Elbow
Jana L. Anderson, MD
Ankle Fracture—Triplane and Juvenile Tillaux Fracture
Rahul Kaila, MD
Pediatric Cervical Spine Trauma: The Biggest Pain in the Neck
Would Be to Miss One
Atim Uya, MD and Michael Hazboun, MD
SCIWORA: Do You SCIWORA What I SCIWORA?
Ryan Ericksen, MD and Amanda L. Bogie, MD, FAAP, FACEP
Overuse Syndromes: When a Good Thing Has Gone Too Far
David Soma, MD, CAQSM
What to Know About Lumbago
Jonathan Strutt, MD, FAAP
INFECTIOUS DISEASE
Everything At Once—Obtain Cultures Quickly But Do Not
Delay Antibiotics for Fever in the First 28 Days
Candace Engelhardt, MD, FAAP
Risky Business: Know How to Approach the “What Ifs” in
Neonatal Fever Risk Stratification
Clifford C. Ellingson, MD, FAAP
Fever 2 Months Old and Beyond
Anne Whitehead, MD, FAAEM
Hot to the Touch: Differentiate Between Fever Without a
Source and Fever of Unknown Origin
Courtney Jacobs, MD
It Is a Small World After All: Know the Differential for Fever,
Diarrhea, and Rash in the Traveling Child
Nicholas Sausen, MD and Stephen Mac, MD
Diagnose Outpatient Pediatric Pneumonia Clinically and Avoid
the X-Ray
Devan Pandya, MD and Tommy Y. Kim, MD
I Thought It Was Just a Cold: Do Not Forget to Consider Sepsis
Danielle Dardis, MD and Jennifer Plitt, MD
Meningitis—Do Not Delay the Lumbar Puncture in Patients
With High Suspicion for Bacterial Meningitis
Amanda Dupont, MD, Ayush Gupta, MD and Whitney Minnock, MD
Pertussis Infection in Infants and Children: Do Not Miss the
Early Signs
Suzanne E. Seo, MD and Derya Caglar, MD
Bronchiolitis: Value Aggressive Airway Clearance Over
Nebulizers, X-Rays, and Steroids in Bronchiolitis
Sarah Becker, DO, FAAP
Bad to the Bones—Do Not Let a Child Limp Out of the ED
Without Considering Septic Joint
Seth Ball, MD and Getachew Teshome, MD, MPH
Hematology/Oncology
TUMOR LYSIS SYNDROME
Mahnoosh Nik-Ahd, MD, MPH
Do Not Get Caught Unaware: Recognizing NEW-ONSET
CANCER
Alexander Werne, MD, Saharsh Patel, MD and Efrat Rosenthal, md
Sickle Cell Disease Is Not Just Anemia: Be Prepared for
Complications Affecting All Organ Systems
Gregory Hall, MD, MHA, FACEP and Evan Verplancken, MD
Hemolytic Anemia: Think Before You Transfuse
Yongtian Tina Tan, MD, MBA, Rosy Hao, MD, and Carol C. Chen, MD,
MPH, FAAP
Feeling Blue Despite O2?: Consider Methemoglobinemia
Morgan J. Sims, MD, FAAP and Benjamin F. Jackson, MD, FAAP,
FACEP
Pediatric Neutropenia: Worth a Pause, but Not Always Panic
Cortlyn Brown, MD and Heidi Werner, MD, MSHPEd
Fever and Neutropenia: Be Prepared When That Oncology
Patient Arrives
Ian Kane, MD
Hemophilia—Do Not Undertreat the Bad Bleeds
William White, MD, MA, Jessica L. Chow, MD, MPH and Dina Wallin,
MD
How Much Is Too Much: Spotting Abnormal Bleeding
Disorders
Gabriel Paul Devlin, MD/CM and Tatyana Vayngortin, MD
GENETICS/METABOLISM
Recognition and Management of Inborn Errors of Metabolism
— The Needle in the Haystack
James (Jim) Homme, MD
Have No Fear; an Inborn Error of Metabolism Is Here!
Managing Patients With Known Inborn Errors of Metabolism
James (Jim) Homme, MD
Be Aware of Abnormal Newborn Screens
Cree Kachelski, MD and Jason (Jay) Homme, MD, FAAP
NEONATOLOGY
Umbilical Care: Do Not Confuse the Normal Granulation With
the Purulence of Omphalitis
Robert Peterson, MD
I Am So Hungry! Know the Right Questions to Ask About
Feeding Difficulty in the Neonate
Katina M. Summerford, MD and Rachel E. M. Cramton, MD
Is It Supposed to Look That Way?: Know What Is Normal
Postcircumcision So You Can Reassure Parents
Alyssa Bernardi, DO and Rachel E. M. Cramton, MD
Skin and Bones, or Normal Growth: Identifying Failure to
Thrive
Marci Macaraeg, MD and Rachel E. M. Cramton, MD
ALLERGY/IMMUNOLOGY
Anaphylaxis: It May Come as a Shock, but It Does Not Have to
End in Tragedy…
Lindsey Retterath, MD and Melissa E. Zukowski, MD, MPH,
FACEP,FAAP
Primary Immunodeficiency: Know What to Expect When Cell
Lines Go Awry
Monica Hajirawala, MD and Julia Schweizer, MD, FAAP
COMMUNITY/LEGAL
Do Not Forget to Look for the Five W’s of Cutaneous Injuries
Caroline Wang, MD and Julia N. Magana, MD
Do Not Miss Abusive Head Trauma!
Leah Sitler, MD and Julia N. Magana, MD
Broken Bones in Broken Homes: When to Get a Skeletal
Survey
Lily Anne Jewett, MD and Julia N. Magana, MD
Sentinel Moments, Sentinel Injuries: Know How to Recognize
the Signs of Abuse
Leslie Palmerlee, MD, MPH
Cannot Miss: Adolescent Sexual Assault
Molly Hallweaver, MD and Angela Jarman, MD, MPH
It Is Normal to Be Normal: Understand Unique Aspects of the
Prepubescent Sexual Assault Examination
Samantha Kerns, MD and Mary Bing, MD, MPH
Treat the Patient, Not the Poison
Michelle Odette, MD and Daniel K. Colby, MD
The Minefield of Minor Consent: Be Sure That You Are
Following Your State’s Legal Statutes
Rachel J. Heidt, MD and Kendra Grether-Jones, MD
APPLIED PRACTICE
Evidence-Based Medicine: Have the Tools to Test Wisely
Eddie G. Rodriguez, MD and Fernando Soto, MD, FACEP
My Baby Turned Blue: Changing the Terminology From ALTE
to BRUE
Supriya Sharma, MD, FAAP and Marianne Gausche-Hill, MD, FACEP,
FAAP, FAEMS
The Technological-Dependent Child
Blair Rolnick, MD, FAAP and Christopher S. Amato, MD, FAAP, FACEP
Well-Child Care in the Emergency Department Setting: Looking
for “Goldilocks Moments” by Doing Just the Right Amount
Mark S. Mannenbach, MD
BEHAVIORAL HEALTH
Psych Outbursts, Pediatric Behavioral Management: Exhaust
All Nonpharmacologic Measures Before Chemically or
Physically Restraining a Child
Adriana Porto, MD and Whitney Minnock, MD
Navigating the Complexity of Autism Spectrum Disorder in the
Pediatric ED—Work With Caregivers to Individualize Care
Sarah Kleist, MD
PHARMACY
Avoiding Common Errors in Pediatric Emergency Medicine:
Sedation Adjuncts—Do Not Underestimate the Power of
Distraction and Analgesia for Pediatric Procedures
Anita A. Thomas, MD
Wait, Are Pediatricians Secretly Mathematicians?: Do Not
Forget That All Dosing in Children Is Weight-Based
Matthew Shapiro, MD
May the Dose Be With You… Focus on Communication to
Avoid the 10-fold Dosing Error
Elise Milani, MD and Stephen Lim, MD, FAAEM
198 Just a Taste: Be Aware of Bad Tasting Medicines That Kids
May Refuse to Take
Rachel Wiltjer, DO and Jennifer E. Guyther, MD
Index
Avoiding Common Errors in Pediatric Emergency Medicine PDF Ebook

Dale P. Woolridge, MD, PhD
Professor of Emergency Medicine, Pediatrics, Chemistry and Biochemistry
Department of Emergency Medicine and Pediatrics
University of Arizona, College of Medicine
Tucson, Arizona