Pediatrics

Case Report: Traumatic Tension Pneumothorax in a Pediatric Patient

Zachary Tritsch, MD^*, Gayle Galan, MD^*, Gary Oates, MD^*and Janelle Thomas, MD^*

DOI: https://doi.org/10.21980/J8ZD1S Issue 6:1[mrp_rating_result]

Chest X-ray demonstrated significant right-sided pneumothorax (with red outline showing border of collapsed right lung) with cardio mediastinal shift to the left (shown by blue arrows) indicative of a tension pneumothorax

Vomiting in Pediatric Patients

Alisa Wray, MD, MAEd^*, Daryn Towle, MD^*, Alexa Lucas, BS^*, Sean Thompson, BS^*, Katie Rebillot, DO^{^} and Nichole Niknafs, DO^†

DOI: https://doi.org/10.21980/J8P363Issue 5:4[mrp_rating_result]

By the end of this TBL session, learners should be able to: 1) Identify red flag symptoms that should prompt referral for urgent intervention by GI or surgical specialists; 2) recognize how chronicity of the vomiting can alter the differential diagnosis; 3) describe the varying pathways that can cause nausea and vomiting; 4) determine the necessity of imaging tests to confirm and possibly treat various causes of vomiting; 5) interpret imaging studies associated with specific causes of vomiting.

Abdominal/Gastroenterology Pediatrics Team Based Learning (TBL)

Pediatric Seizure Team-Based Learning

Sara Paradise Dimeo, MD^*, Gabriel Sudario, MD^{^}, Supriya Sharma, MD^†, Lilly Bellman, MD^†, Anjalee Gallion, MD^**, Katherine Andreeff, MD^{^^} and Megan Boysen-Osborn, MD, MHPE^{^}

DOI: https://doi.org/10.21980/J8MD22Issue 5:3[mrp_rating_result]

By the end of this TBL session, learners should be able to: 1) Define features of simple versus complex febrile seizure, 2) Discuss which patients with seizure may require further diagnostic workup, 3) Summarize a discharge discussion for a patient with simple febrile seizures 4) Identify a differential diagnosis for pediatric patients presenting with seizure, 5) Define features of status epilepticus, 6) Review an algorithm for the pharmacologic management of status epilepticus, 7) Indicate medication dosing and routes of various benzodiazepine treatments, 8) Obtain a thorough history in an infant patient with seizures to recognize hyponatremia due to improperly prepared formula, 9) Choose the appropriate treatment for a patient with a hyponatremic seizure, 10) Describe the anatomy of a ventriculoperitoneal (VP) shunt, 11) Relate a differential diagnosis of VP shunt malfunction, 12) Compare and contrast the neuroimaging options for a patient with a VP shunt

Pediatrics Neurology Team Based Learning (TBL)

Innovations in Airway Education: 3D Printed Neonatal and Pediatric Needle Cricothyrotomy Trainers

Zachary Hampton, DO^*, Alex Davis, DO^* and Andrew Kalnow, DO^*

DOI: https://doi.org/10.21980/J8R928 Issue 5:2[mrp_rating_result]

By the end of this educational session, participants should be able to: 1) discuss indications and contraindications for needle cricothyrotomy in the pediatric population; 2) assemble the equipment needed to complete a needle cricothyrotomy; 3) describe and perform the steps of neonatal and pediatric needle cricothyrotomy; 4) discuss post-procedure ventilation options.

Procedures Innovations Pediatrics

Case Report of Untreated Pediatric Femoral Neck Fracture with Osteopenia

Sha Yan, DO^*

DOI: https://doi.org/10.21980/J8S92K Issue 5:2[mrp_rating_result]

On her right hip radiograph, the patient was found to have a right femoral neck fracture with superior displacement of the intertrochanteric portion of the right femur. Moreover, the radiograph demonstrated diffuse osteopenia of the right hip and femur from chronic disuse as characterized by the increased radiolucency of the cortical bones compared to the left side.

Orthopedics Pediatrics

Pediatric Sedation for Forearm Fracture

Nichole Niknafs, DO^* and Alisa Wray, MD, MAEd^{^}

DOI: https://doi.org/10.21980/J8CS7K Issue 4:1[mrp_rating_result]

At the end of this simulation, participants will: 1) review options for pain control in pediatric patients, 2) perform a pre-sedation history and physical exam, 3) review the indications and contraindications for pediatric moderate sedation, 4) understand components of consent, and get consent from the patient’s parent, 5) list medication options for moderate sedation in a pediatric patient and review their appropriate doses, indications, contraindications, and side effects, 6) discuss management of moderate sedation complications, and 7) review criteria for discharging a patient after sedation.

Pediatrics Orthopedics Procedures

Out-of-Hospital Delivery of a Live Newborn Requiring Resuscitation

Paul Nicholson, MD^* and Jennifer Yee, DO

DOI: https://doi.org/10.21980/J8834M Issue 4:1[mrp_rating_result]

By the end of this simulation session, the learner will be able to: 1) perform a neonatal assessment, 2) identify which neonates require resuscitation, 3) understand the principles of neonatal resuscitation, 4) describe proper airway management in neonatal resuscitation, 5) discuss underlying etiologies or pathologies that may lead to a neonate to require resuscitation, and 6) communicate effectively with team members and nursing staff during the resuscitation of a critically ill neonate.

Pediatrics Simulation

Pediatric Airway Team Based Learning

Sara Paradise, MD^*, Aaron Leetch, MD^{^}^† and Garrett S. Pacheco, MD^{^}^†

DOI: https://doi.org/10.21980/J8KH01 Issue 3:4[mrp_rating_result]

This cTBL covers a variety of pediatric airway emergencies. Therefore, by the end of this cTBL, the learner will be able to: 1) List the signs and symptoms associated with airway foreign body obstructions. 2) State the appropriate management of upper and lower airway foreign bodies. 3) Discuss the symptoms, signs, and management of bacterial tracheitis. 4) Discuss a step-wise algorithm for emergency asthma treatment in the emergency department setting. 5) Identify the potential complications of tonsillectomy and the acute management of post-tonsillectomy hemorrhage.

Pediatrics Respiratory Team Based Learning (TBL)

Brief Review of Intussusception Diagnosis and Management

Claire Thomas, MD^*, Wirachin Hoonpongsimanont, MD^*, Sara Paradise, MD^* and Mohammad Helmy, MD^{^}

DOI: https://doi.org/10.21980/J81P7FIssue 3:4[mrp_rating_result]

The patient’s abdominal ultrasound revealed intussusception in the right upper abdominal quadrant. The transverse ultrasound view showed a “doughnut sign” (dashed yellow line), telescoping bowel (yellow arrow), and invaginated hyperechoic mesenteric fat with crescent configuration (dashed orange line). The sagittal ultrasound view demonstrated the intussusception formed by the outer recipient bowel loop (yellow arrows), invaginated hyperechoic mesenteric fat (orange asterisks), and telescoping bowel centrally (red arrow).

Abdominal/Gastroenterology Pediatrics Visual EM

Croup

Victor Cisneros, MD, MPH^*, Joseph Zakaria, BS^* and Wirachin Hoonpongsimanont, MD^*

DOI: https://doi.org/10.21980/J8W05JIssue 3:4[mrp_rating_result]

The anteroposterior X-ray reveals the classic steeple sign (blue outline) indicative of subglottic edema leading to tracheal narrowing, consistent with croup. The lateral x-ray shows narrowing of the subglottic region (green outline and arrows).

Pediatrics Respiratory Visual EM