Pediatric Emergency Medicine (PEM) is a sub-speciality that many clinicians find intimidating. Are pediatric patients truly unique or are they simply “little adults”? In this podcast episode, we are joined by Dr. Dominique Diggs, board certified PEM physician, to demystify pediatric emergency care with 10 tips that will help you the next time you care for this patient population.
- We appreciate you and are grateful for the work you do each day.
- Good bag mask ventilation goes a long way, especially with infants/toddlers. Basic airway maneuvers like suctioning with bronchiolitis and proper head positioning is important.
- A crying baby is a breathing baby.
- Weight-based dosing is vital and accuracy is important. Use a tool to help (e.g., Handtevy, Broselow).
- An appropriately placed C-collar is vital.
- Fever is not dangerous.
- Fluid boluses (20ml/kg) can do a lot, particularly those in respiratory distress.
- Treat pain. It is okay to give them narcotics.
- Transport the patient to the best place, if it is safe to do so.
- No matter how small the problem may appear, the parent called you because they are worried – Be kind.
To listen to more of our “10 Things” series, check out these episodes:
Dr. Dominique Diggs is a physician who is board certified in Pediatrics and Pediatric Emergency Medicine. She is currently finishing her fellowship in Emergency Medical Services while practicing at an urban academic institution in Houston TX. She is interested in medical education with a specific focus on prehospital care of the pediatric patient.
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