Episode Chapters
- January Introduction7:46C-Spine Clearance in the Obtunded10:51Zombie Month - Happy New Year!1:03LIN Sessions - THAM14:50Paper Chase 1 - A Better Valsalva6:04De-Escalating Agitation16:29Trauma Surgeons Gone Wild: When To Crack The Chest13:10Zombie Month - Zombie Insects2:40Trauma Surgeons Gone Wild: How To Crack The Chest27:44Paper Chase 2 - CT for Diaphragm Injury7:02Amiodarone Pulmonary Toxicity19:43Zombie Month - Is Your Cat Making You a Zombie?2:52Extensor Tendon Injury12:54Paper Chase 3 - HEART Gets Put To The Test5:41Pediatric Pearls - Pediatric Rheumatology20:34The UTI That Isn’tFree Chapter19:41Annals of Emergency Medicine - The Gas That Just Won’t Pass15:27Paper Chase 4 - Blood Clots and Cancer Screening6:23Cardiology Corner - Cardiogenic Shock19:41Zombies - Zombie Dancing4:47Paper Chase 5 - Pediatric Seizures and Brain Badness5:17Summary13:35EMRAP 2016 January Aussie Edition27:57EMRAP 2016 January Canadian Edition15:02EMRAP 2016 Janiver Résumé en Francais1h, 03mEMRAP 2016 Enero Resumen Español1h, 23m
Nurses Edition Commentary
Mizuho Spangler, DO
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EMRAP 2016 January Summary 874 KB - PDF
Do you know your JIA from your macrophage activation syndrome? Pediatric rheumatologist Caroline Change sheads some light on the subject.
Cracking The Chest Full episode audio for MD edition 254:13 min - 354 MB - M4AEMRAP 2016 January Aussie Edition Australian 27:57 min - 38 MB - MP3EMRAP 2016 January Canadian Edition Canadian 15:02 min - 21 MB - MP3EMRAP 2016 Janiver Résumé en Francais Français 63:14 min - 87 MB - MP3EMRAP 2016 Enero Resumen Español Español 83:06 min - 114 MB - MP3EMRAP 2016 January Board Review Answers 120 KB - PDFEMRAP 2016 January Board Review Questions 422 KB - PDFEMRAP 2016 January MP3 314 MB - ZIPEMRAP 2016 January Summary 874 KB - PDF
Richard H. - February 16, 2016 7:53 PM
You mentioned otitis media as a source for fever. Thought current belief is that, like any simple abscess, OM should not be blamed for fever. No?
ilene c. - February 22, 2016 11:29 AM
Sorry for the delayed response- tried taking the kids to AAEM with me to speak- that was an adventure! That's a great question. I do agree that typically, when I see an OM and URI, I feel it likely that the URI is responsible for the fever, not the OM. The AAP guidelines of treating for a high fever certainly indicate that they believe a fever could be due to OM. There isn't literature definitively answering the question. My practice is the following: if I am really worried the fever is from a significant alternate pathology (kid looks terrible, has neutropenia, is <60 days, etc), I still work it up, even with an OM. If it is a kid that I'm not really worried about, I usually let it go with treatment and careful precautions. In that middle group, like the s/p biologics kid Caroline discusses, I'm sort of on the fence and base it on how high the fever is and how the kid looks. So, in a nutshell, while I agree with you, I don't care too much about fever in the majority of pediatric patients.