Sometimes it is worth going the extra mile in order to (maybe) prevent the next ED visit. Always try to take the Chief Complaint seriously though it is not always as easy as it sounds and why it is important to validate the parents or patient's concerns

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Trauma is often scary and small children may be intimidating. Admitting to this is a good first step. In this Episode Dr. Nir Samuel and I talk about how to fall on our feet, get better about treating injured children (or at least effectively cheat!)

Dr. Jay Fisher is back on PEM Rules to discuss his experience with Bacterial Meningitis, a rare (and terrible) condition that is high on my list of "I Never Want to Miss It".

Here are the articles Jay discussed:

References

Clinical Features Suggestive of Meningitis in Children:A Systematic Review of Prospective Data. Pediatrics 2010;126(5);952-960.

https://pubmed.ncbi.nlm.nih.gov/20974781/

Bulging fontanelle in febrile infants as a predictorof bacterial meningitis. European Journal of Pediatrics (2021) 180:1243–1248.

https://pubmed.ncbi.nlm.nih.gov/33169238/

Here is the link to the picture of the CSF of the patient discussed in the episode.

https://pemrules.com/wp-content/uploads/2024/12/csf.png