High Risk Pediatrics - Avoiding Bad Outcomes - The High Risk EM Course

Explore the second part of a comprehensive lecture on high-risk pediatrics in emergency medicine, focusing on strategies to avoid bad outcomes. Delve into critical topics such as bacterial meningitis, appendicitis in young patients, testicular and ovarian torsion, swallowed button batteries, non-accidental trauma, and myocarditis. Learn about common pitfalls, diagnostic challenges, and medical-legal issues specific to pediatric emergency care. Gain valuable insights on documentation pearls, things to avoid, and medication errors to enhance patient safety and reduce malpractice risks. Designed for emergency physicians, this lecture offers practical knowledge to improve clinical decision-making and patient outcomes in high-risk pediatric scenarios.

Intro
Bacterial Meningitis - Incidence 1998 - 2007
Meningitis - Medmal Data
yo female with four days of intermittent subjective fever
Case Progression
Pneumococcal Meningitis
Meningitis Why we get sued
What's the big deal?
Classic presentation
Appendicitis in the Very Young
Differential when missed
Appendicitis Securing the Dx
Testicular torsion
J Pediatric Urology - 2016 Imaging
Ovarian torsion
Swallowed Button Battery
Patient returns in 3 days
CC: Fussy Baby
Non-accidental trauma
3 mo old irritable
Myocarditis
Other High Risk Conditions
Case 6 - 1 wk old "Stopped Breathing"
Documentation Pearls
Things to Avoid
rd Visit?
Medication Errors
Case 8