Episodios

  • Managing Pain in Sickle Cell Vaso-Occlusive Crises

    Managing Pain in Sickle Cell Vaso-Occlusive Crises
    Jul 28 2025
    Vaso-occlusive pain episodes are the most common reason children and adolescents with sickle cell disease present to the Emergency Department. Prompt, protocol-driven management is essential starting with early administration of IV opioids, reassessment at 15–30 minute intervals, and judicious hydration. Understanding the patient’s typical pain pattern, opioid history, and psychosocial context can guide more effective […]
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    11 m
  • Penetrating Neck Injuries

    Penetrating Neck Injuries
    Jun 25 2025
    Penetrating neck injuries in children are rare—but when they happen, the stakes are high. In this episode of PEM Currents: The Pediatric Emergency Medicine Podcast, we explore the clinical pearls behind “no-zone” management, how to distinguish hard and soft signs, when to image versus operate, and why airway always comes first. Get ready for a focused, […]
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    Menos de 1 minuto
  • Advanced Imaging of Children in the ED: Ultrasound, CT, and MRI

    Advanced Imaging of Children in the ED: Ultrasound, CT, and MRI
    May 20 2025
    In this episode of PEM Currents: The Pediatric Emergency Medicine Podcast, Brad Sobolewski discusses advanced imaging in pediatric emergency care with Dr. Jennifer Marin (jennifer.marin@chp.edu) from UPMC Children’s Hospital of Pittsburgh. They explore the evidence behind ultrasound, CT, and MRI, strategies to reduce low-value imaging, and the role of shared decision-making in selecting the appropriate diagnostic […]
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    30 m
  • Parvovirus B19 (Fifth Disease)

    Parvovirus B19 (Fifth Disease)
    Apr 30 2025
    In this episode, we tackle the clinical mischief of Parvovirus B19, a common viral infection with a surprisingly wide range of manifestations—from the classic “slapped cheek” rash of erythema infectiosum to aplastic crises in children with hemolytic anemias and fetal hydrops in pregnant contacts. We’ll break down the virology, epidemiology, clinical presentation, and complications of Parvovirus […]
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    12 m
  • The Unvaccinated Child with Fever

    The Unvaccinated Child with Fever
    Apr 3 2025
    This episode of PEM Currents: The Pediatric Emergency Medicine Podcast focuses on the approach to unvaccinated or undervaccinated children aged 3–36 months presenting to the ED with fever. Host Brad Sobolewski reviews differences in immune response, risk for serious and invasive bacterial infections, and outlines evaluation strategies including labs, imaging, and empiric antibiotics. He highlights data showing […]
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    22 m
  • Mycoplasma pneumoniae

    Mycoplasma pneumoniae
    Feb 28 2025
    In this episode we dive into the resurgence of Mycoplasma pneumoniae—an atypical bacterial cause of community-acquired pneumonia that’s making waves in pediatric emergency medicine. We’ll cover its clinical presentation, epidemiology, diagnostic approach, and management, including why standard beta-lactam antibiotics won’t work. Plus, we’ll discuss whether M. pneumoniae even needs to be treated in the first place! Learning Objectives […]
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    11 m
  • Inhalant Misuse: From Glue to Galaxy Gas

    Inhalant Misuse: From Glue to Galaxy Gas
    Jan 16 2025
    In this episode of PEM Currents: The Pediatric Emergency Medicine Podcast, we explore the complex and often underrecognized issue of inhalant misuse. From the early days of glue sniffing to the recent rise of nitrous oxide misuse, fueled by brands like Galaxy Gas and viral trends on TikTok and Instagram, inhalant misuse has evolved into a […]
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    10 m
  • ‘Twas the Night Before Christmas (in the Pediatric Emergency Department)

    ‘Twas the Night Before Christmas (in the Pediatric Emergency Department)
    Dec 24 2024
    In lieu of a traditional episode this holiday season I wanted to share a reading of the Pediatric Emergency Medicine version of a famous Christmas poem. Transcript ‘Twas the night before Christmas, and I’m working a shift,The symptoms were varied, the pace was quite swift.The screens glowed with orders, the rooms filled with care,In hopes […]
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    3 m