WeR4Peds Pediatric emergency medicine physician

I like this article that describes the signs and symptoms of dehydration: "Validity and reliability of clinical signs in the diagnosis of dehydration in children" by M Gorelick et al.  Pediatrics 1997;99(5).  

While we encounter more children in the ED with 'known' than 'suspected' congenital heart disease, reviewing the evaluation of children with 'suspected' congenital heart disease reminds us of our typical cardiac evaluation of children.

Respiratory Syncytial Virus. An interesting podcast on HFNC is: "Noninvasive Ventilation in Pediatrics with Dr. Phoebe Yager."  https://resident360.nejm.org/curbside-consults/noninvasive-ventilation-in-pediatrics-with-dr-phoebe-yager

What criteria do we use for an insulin infusion? pH 7.3 and/or serum bicarb (HCO3) 15.

Croup and nebulized treatments as aerosol generating procedures during COVID-19.

Questions for today: Why do we call it wheezing? Who gets what type of steroids? How frequently can we dose bronchodilator treatments?