This is the EM cases, EM quick hits podcast, where our team of experts and educators bring

you clear, concise, and condensed, practice-changing knowledge on all those EM topics that you may not be totally comfortable with. Cases, the latest evidence, procedural

tips and tricks, pitfalls to avoid, and the key take-home points and references on the

EM cases website. Quick, let's get on with it. Before we dive in, registration is now open for both

the EMCases course, June 24th,

with Himmel, Bosman, Sealco, Vax, Benno, Clayman, just to name a few, and the second annual

podcast camp.

The only two-day hands-on course dedicated to medical podcast production, check podcast

camp.org for details. Both have limited tickets, so please act fast.

And the quiz vault has been delayed a bit because of some back-end cleaning up we've had to do,

but it should be up and running on the EM cases website by the end of March.

All right, onto EM Quick Hits. First on this month's EM Quick Hits is Natalie May,

pediatric EMDoc from the UK working down under, St. Emlin's podcaster on recognition of

Kawasaki disease.

One of the residents asks you for some help in the pediatricediatric ED with a three-year-old boy.

The boy's been complaining of a sore throat for the last week, and he and his dad have already seen their community doctor twice.

First, really early in the illness, when he was prescribed amoxicillin, and then about five days later when the amoxicillin had made no difference when he was prescribed

erythromycin. He's been having fevers in that last week too, but because things aren't any better,

they've decided to come to the ED. There's no history of vomiting or diarrhea, no carisal symptoms,

he's passing urine and he's being given regular antiparetics at appropriate doses.

His vital signs are temperature of 38.6 Celsius or 101.5 Fahrenheit, a heart rate of 140, capillary refill less

than two seconds, respiratory rate 29 and sats of 100% on room air. The resident tells you that

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