Welcome back to another episode of Best Case Ever mini podcast series.

I'm your host, Dr. Rajiv Tavanathan.

Today, our special guest is Dr. Eric Russell.

He's an assistant professor of pediatrics at the Baylor College of

Medicine and a PEDS emergency medicine attending at Texas Children's Hospital, where he also did his

PEM fellowship. That's a PEDs emergency medicine fellowship. His academic interests include

global health and immigrant and refugee child health. And he's also involved in an interesting

project called the Human Diagnosis Project.

We'll talk about that a little bit more at the end of the episode. But Dr. Eric Russell, welcome to the show.

Thanks, Rijiv. It's great being here. I really enjoy listening to your show and best case ever.

So it is my pleasure to be here. Oh, man, we're happy to have you. Now, I should point out to our

listeners that there might be some noise in the background because Eric doesn't live in Canada and hasn't been blessed with 10 centimeters of snow like I was today. Instead, he gets to have renovations done somewhere near or outside his house. Is that right?

That is true. That is true. It is warm enough here that we are able to dig in the soil.

Okay, one of the major advantages of living in Texas. Well, Eric, I'm excited to have you here. Why don't you tell us about your best case ever?

So it started. I had a eight-month-old, previously healthy female who presented to our pediatric emergency department in significant respiratory distress. On arrival,

she was brought back immediately to our resuscitation room for our attention. Naturally,

we were called to the bedside. When we walked in the room, found a child who was quite ill,

was listless and in significant distress. Her vital signs were notable for heart rate,

around 190, give or take. Her blood pressure was normal for age. Her respiratory rate,

she was breathing in the 70s or so. And her oxygen saturations were low also in the 70s.

She was also noted to be feral to 101.8 or 38.7 in Celsius.

So I'm not a PEM fellow, but I get the suspicion that having a respiratory rate that is higher than your O2Sat is probably a bad thing.

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