Join Zac Hodges as he discusses MIS-C with two local experts. Dr. Pushpa Shivaram is a pediatric cardiologist and Dr. Julisa Patel is a pediatric rheumatologist.  They discuss

• What this syndrome is
• How to make this tough diagnosis
• Proper management of patients

This is a brand new disease that we all need a refresher on.

Join emergency physician Dan Dworkis as he discusses with Dan McCollum how to remain cool under pressure.  Dan and Dan discuss

• The importance of being cool under pressure
• The fallacy of believing experience equals the ability to handle pressure.
• Strategies for junior learners to build sangfroid

This is a joint podcast between EM Basic and the Emergency Mind Podcast.  You can find dozens of other podcasts at https://www.emergencymind.com/ or pick up his excellent new book at https://www.amazon.com/dp/B094GY88RK/ .  Enjoy!

• What are the red flags we should be aware about for dental complaints?  
• What is the basic anatomy and nomenclature for numbering teeth?  
• What differential should be considered for traumatic and atraumatic dental complaints? 
• How should we treat dental pain? 
• How do I splint a tooth in the emergency department? 

Pediatric intensivist Dr. Will Cagle joins the show to discuss the AAP Maintenance IV fluid guidelines and considerations when choosing IV fluids for pediatric inpatients.

What do you need to know from the 2018 AAP maintenance IV fluid guideline? 

How common is hyponatremia in hospitalized patients and why does it matter to your practice? 

What is SIADH and how does it contribute to hyponatremia in acutely ill children? 

How can we prevent hyponatremia in our hospitalized patients? 

What are the differences between hypotonic and isotonic fluids? 

What are balanced solutions and why might they be preferred as compared to saline in some clinical settings? 

All of this and more from the Department of Pediatrics and the Medical College of Georgia. 

Check out our website for detailed show-notes: https://www.augusta.edu/mcg/pediatrics/residency/podcast.php

Special thanks to Dr. Asif Mansuri and Dr. Gene Fisher for providing peer review for this episode.

Questions, comments, or feedback? Please email us at mcgpediatricpodcast@augusta.edu 

Want Further Reading? Check out the clinical practice guideline from the AAP and our other references below.

• Feld LG,Neuspiel DR, Foster BA, et al. Clinical Practice Guideline: Maintenance Intravenous Fluids in Children. Pediatrics. 2018;142(6):e20183083. doi:10.1542/peds.2018-3083 
• Semler MW, Self WH, Wanderer JP, et al. Balanced Crystalloids versus Saline in CriticallyIll Adults. N Engl J Med. 2018;378(9):829-839. doi:10.1056/NEJMoa1711584 
• CuzzoB, Padala SA, Lappin SL. Vasopressin (Antidiuretic Hormone, ADH) [Updated 2020 Apr 28]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK526069/ 
• Chowdhury, Abeed H. BSc, MRCS*; Cox, Eleanor F. PhD†; Francis, Susan T. PhD†; Lobo, Dileep N. DM, FRCS, FACS*A Randomized, Controlled, Double-Blind Crossover Study on the Effects of 2-L Infusions of 0.9% Saline and Plasma-Lyte® 148 on Renal Blood Flow Velocity and Renal Cortical Tissue Perfusion in Healthy Volunteers, Annals of Surgery: July 2012 - Volume 256 - Issue 1 - p 18-24 doi: 10.1097/SLA.0b013e318256be72 
• Peti-Peterdi J, Harris RC. Maculadensa sensing and signaling mechanisms of renin release. J Am Soc Nephrol. 2010;21(7):1093-1096. doi:10.1681/ASN.2009070759 
• Wilcox CS. Regulation of renal blood flow by plasma chloride.J Clin Invest. 1983;71(3):726-735. doi:10.1172/jci110820 

Join EM physicians Mike Samuels and Dan McCollum as they discuss different blood products that can be transfused. 

• Why don't we commonly use whole blood?
• Who needs to receive packed red blood cells?
• Are there any dangers to giving platelets?
• When is fresh frozen plasma needed? 

Episode 100 discussed potential complications, while this episode will discuss why you should be using these products.  Enjoy!

Kawasaki:

Dr. Pushpa Shivaram, an assistant professor of pediatrics and pediatric cardiologist at the Medical College of Georgia, joins Dr. Zac Hodges and Sonal Dugar (M4) to discuss this very important topic in pediatric medicine.

What exactly is Kawasaki disease and why is this topic so important?

How do you make the diagnosis and what other diagnoses should you consider?

How can you diagnosis incomplete Kawasaki when the classic features are not all present?

What is the first-line treatment?

When should you get an echocardiogram?

When should you get your referral center involved?

All of this and more from the Department of Pediatrics and the Medical College of Georgia. 

Check out our website for detailed show-notes: https://www.augusta.edu/mcg/pediatrics/residency/podcast.php

Special thanks to Dr. Reda Bassali, Dr. Leizl Domingo and Dr. Julisa Patel for providing peer review for this episode.

Questions, comments, or feedback? Please email us at mcgpediatricpodcast@augusta.edu 

Further Reading? Check out the clinical practice guideline from the American Heart Association with citation below.

Transfusion reactions are a dreaded complication in the ED.  Join emergency physicians Michael Samuels and Dan McCollum as they discuss the following and more!

• How do you recognize different types of transfusion reactions?
• How are different reactions managed?
• What infections can be seen with blood transfusion?
• Why is TRALI such a feared complication?

Dr. Reda Bassali, professor of pediatrics and pediatric hospitalist at the Medical College of Georgia, joins Dr. Zac Hodges and Gavriella Mendel (M3) to discuss this very important topic in pediatric medicine.

What exactly is bronchiolitis and why is this topic so important?

How do you make the diagnosis and what other diagnoses should you consider?

What treatments work, and more importantly, which treatments do not?

What patients can go home and who needs to be admitted?

All of this and more from the Department of Pediatrics and the Medical College of Georgia. 

Check out our website for detailed show-notes: https://www.augusta.edu/mcg/pediatrics/residency/podcast.php

Special thanks to Dr. Kathryn McLeod for providing peer review for this episode.

Citation:

Hodges, Z. (Host). Bassali, R. (Host).  Mendel, G. (Host). McLeod, K. (Contributor). (2020, Nov 15). Bronchiolitis. (S1:18) [Audio Podcast Episode]. MCG Pediatric Podcast. Medical College of Georgia Augusta.

Questions, comments, or feedback? Please email us at mcgpediatricpodcast@augusta.edu 

Links: 

NoseFrida-- https://www.nosefrida.com 

Join Dan McCollum and Michael Stephens as they discuss the new vaccines against COVID-19.  

• Are they studied well enough?
• How effective are they?
• What side effects occur, and are they serious?
• What do we NOT know about these vaccines?

The approved vaccines are safe, effective, and highly recommended.  Listen to this to find out more about the data behind them.

A special thanks goes to Michael Stephens for his invaluable help with recording and editing.