87 episodes

PEM Currents is a evidence-based podcast focused on the care of ill and injured children in the Emergency Department. The host is Brad Sobolewski, author of PEMBlog.com and an Associate Professor of Pediatric Emergency Medicine at Cincinnati Children's and the University of Cincinnati.

PEM Currents: The Pediatric Emergency Medicine Podcast Brad Sobolewski

    • Health & Fitness
    • 5.0 • 3 Ratings

PEM Currents is a evidence-based podcast focused on the care of ill and injured children in the Emergency Department. The host is Brad Sobolewski, author of PEMBlog.com and an Associate Professor of Pediatric Emergency Medicine at Cincinnati Children's and the University of Cincinnati.

    Shoulder Dislocations

    Shoulder Dislocations

    What’s the best maneuver for reducing a dislocated shoulder? My guess is as good as yours. There are multiple maneuvers that work – and work well for anterior (AKA anterior-inferior) dislocations. This episode reviews how to manage shoulder dislocations in the Pediatric population.







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    References







    Fox, Shoulder Dislocations. Pediatric EM Morsels. July 31, 2015. https://pedemmorsels.com/shoulder-dislocation/. Accessed June 23, 2021. 







    Zacchilli MA Owens BD. Epidemiology of shoulder dislocations presenting to emergency departments in the United States. J Bone Joint Surg Am. 2010 Mar;92(3):542-9. PMID: 20194311.

    • 11 min
    Finger Dislocations

    Finger Dislocations

    It is much more common for children to break a finger than dislocate one. Why? Those darn growth plates. Nevertheless reducing a dislocated digit is one of the most common emergency procedures around and can generally be performed without much difficulty. However there are some situations where you shouldn’t just yank in the digit. Learn about these situations and more in this episode. 







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    References







    Borchers et al. Common Finger Fractures and Dislocations. Am Fam Physician. 2012 Apr 15;85(8):805-810.







    Ahn and Blomberg. Phalanx Dislocations. Ortho Bullets. https://www.orthobullets.com/hand/6038/phalanx-dislocations. Updated 5/17/21. Accessed June 23, 2021.

    • 13 min
    Patella Dislocations

    Patella Dislocations

    Reducing a dislocated patella is super satisfying – both for the clinician and the patient. This episode reviews management of this common orthopedic concern so that you can perform a reduction maneuver without needing to call Orthopedics.







    PEMBlog.com







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    References







    Fithian DC,Paxton EW,Stone ML,Silva P,Davis DK,Elias DA,White LM, Epidemiology and natural history of acute patellar dislocation. The American journal of sports medicine. 2004 Jul-Aug;     [PubMed PMID: 15262631]







    Jain NP,Khan N,Fithian DC, A treatment algorithm for primary patellar dislocations. Sports health. 2011 Mar;     [PubMed PMID: 23016004]

    • 9 min
    Nursemaid’s Elbow

    Nursemaid’s Elbow

    Never has there been a more anachronistic name for such a common malady. Hailing from the time when the wealthy had female domestic workers who cared for children within their large household, this outmoded eponym describes a common orthopedic condition that impacts young children. I’ll cast my vote for calling it “pulled elbow” like they do in Australia – because it describes when happens when the radial head subluxes from its usual position nestled in the annular ligament. This episode discusses the diagnosis and management of this can’t miss condition, that I suspect our residents and students aren’t seeing as much as they should. 







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    References







    Macias CG, Bothner J, Wiebe R. A comparison of supination/flexion to hyperpronation in the reduction of radial head subluxations. Pediatrics. 1998 Jul;102(1):e10. doi: 10.1542/peds.102.1.e10. PMID: 9651462.







    Nardi NM, Schaefer TJ. Nursemaid Elbow. [Updated 2020 Nov 1]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-.

    • 13 min
    Adolescent sexual and reproductive health in the ED

    Adolescent sexual and reproductive health in the ED

    This episode features three members of the Pediatric Emergency Care Applied Research Network (PECARN) Adolescent Sexual Health Working Group. PECARN is a network that performs multicenter research related to the emergency care of children. The Adolescent Sexual Health Working Group is focused on researching topics of interest around sexual and reproductive health in the ED. I recently had the pleasure of interviewing three of the study authors and recorded our conversations, then created a podcast episode that hit on some of the highlights of their incredible work. James Gray also helped me put a blog post together that delves into some of the topics in a bit more in depth fashion.







    This episode features the contributions of:







    Melissa Miller, MDAssociate Professor of PediatricsDivision of Emergency MedicineChildren’s Mercy Hospital Kansas City







    Lauren Chernick, MD, MScAssistant Professor of Pediatrics in Emergency MedicineColumbia University Medical Center







    Erin Hoehn, MDAssistant Professor of PediatricsDivision of Emergency MedicineChildren’s Hospital of Pittsburgh







    Check out the companion blog post at PEMBlog.com







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    Key Article







    Miller MK, Chernick LS, Goyal MK, et al. A Research Agenda for Emergency Medicine-based Adolescent Sexual and Reproductive Health. Acad Emerg Med. 2019;26(12):1357-1368. doi:10.1111/acem.13809







    References







    Brown J, Fleming R, Aristzabel J, Gishta R. Does pelvic exam in the emergency department add useful information?. West J Emerg Med. 2011;12(2):208-212.







    Farrukh S, Sivitz AB, Onogul B, Patel K, Tejani C. The Additive Value of Pelvic Examinations to History in Predicting Sexually Transmitted Infections for Young Female Patients With Suspected Cervicitis or Pelvic Inflammatory Disease. Ann Emerg Med. 2018 Dec;72(6):703-712.e1. doi: 10.1016/j.annemergmed.2018.05.004. Epub 2018 Jul 2. PMID: 30251627.







    Linden JA, Grimmnitz B, Hagopian L, Breaud AH, Langlois BK, Nelson KP, Hart LL, Feldman JA, Brown J, Reid M, Desormeau E, Mitchell PM. Is the Pelvic Examination Still Crucial in Patients Presenting to the Emergency Department With Vaginal Bleeding or Abdominal Pain When an Intrauterine Pregnancy Is Identified on Ultrasonography? A Randomized Controlled Trial. Ann Emerg Med. 2017 Dec;70(6):825-834. doi: 10.1016/j.annemergmed.2017.07.487. Epub 2017 Sep 19. PMID: 28935285.

    • 24 min
    Magnet Ingestions

    Magnet Ingestions

    This episode focuses on high-powered magnet ingestions in children and was a collaboration with Elizabeth Curtis – @egcurtismd and Libby Ireson – @LibbyIreson, two Categorical Pediatrics Residents at Cincinnati Children’s who served as producers and guest hosts. These rare earth magnets were briefly removed from the market because children swallowed them and, when two magnets attracted across opposing loops of bowel, they sustained intestinal injury. Legal machinations led to their reappearance on the market.







    This episode is equal parts clinical advice and advocacy in action and will help you discuss these potentially dangerous magnets with families and manage a child in case they swallow one.







    PEMBlog.com







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    References







    CPSC Safety Alert (2007) “Ingested Magnets Can Cause Serious Intestinal Injuries” https://www.cpsc.gov/s3fs-public/5221.pdf   







    AAP (2017) “Dangers of Magnetic Toys.” https://www.healthychildren.org/English/safety-prevention/at-home/Pages/Dangers-of-Magnetic-Toys-and-Fake-Piercings.aspx   







    Middelberg, L. K., Funk, A. R., Hays, H. L., McKenzie, L. B., Rudolph, B., & Spiller, H. A. (2021). Magnet Injuries in Children: An Analysis of the National Poison Data System From 2008-2019. The Journal of Pediatrics, 0(0). https://doi.org/10.1016/j.jpeds.2021.01.052 







    Strickland M, Rosenfield D, Fecteau A. Magnetic foreign body injuries: a large pediatric hospital experience. J Pediatr. 2014 Aug;165(2):332-5. doi: 10.1016/j.jpeds.2014.04.002. Epub 2014 May 16. PMID: 24836391. 







    De Roo AC, Thompson MC, Chounthirath T, Xiang H, Cowles NA, Shmuylovskaya L, Smith GA. Rare-earth magnet ingestion-related injuries among children, 2000-2012. Clin Pediatr (Phila). 2013 Nov;52(11):1006-13. doi: 10.1177/0009922813507129. PMID: 24137035. 







    Mandhan, P., Alsalihi, M., Mammoo, S., & Ali, M. J. (2014). Troubling toys: rare-earth magnet ingestion in children causing bowel perforations. Case reports in pediatrics, 2014. 







    Reeves, P. T., Nylund, C. M., Krishnamurthy, J., Noel, R. A., & Abbas, M. I. (2018). Trends of magnet ingestion in children, an ironic attraction. Journal of pediatric gastroenterology and nutrition, 66(5), e116-e121. 







    Spiller, H. (2019) “The Dangers of Magnet Toys.” Nationwide Children’s Hospital www.nationwidechildrens.org/family-resources-education/700childrens/2019/12/magnet-toys

    • 13 min

Customer Reviews

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3 Ratings

3 Ratings

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I love this podcast. Brad’s voice is very calming and fun.

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