This is EMKases, EM Quick Hits podcast.

Quick. Let's get on with it.

EM cases is part of Shremie, the Schwartz-Riseman Emergency Medicine Institute.

That's the nonprofit-profit organization dedicated

to improving EM care through high-quality research and education. The opinions expressed on this podcast are intended for general information and educational purposes only and should not be used to diagnose, treat, or prevent any medical condition, nor should they be used as a substitute for medical advice from qualified practicing physician. Unless stated otherwise, the opinions expressed by the hosts or guests are made in their individual capacity, not on behalf of the Institute nor medicine cases.

This episode is brought to you by Easy Resus, your ultimate support for the first hour of resuscitation.

This amazing phone app has drug dosing treatment algorithms and procedural aids all in under three clicks.

Rapid access to life-saving critical info in a user-friendly interface.

Try the app for free with the promo code, EMCases, or visit easy recess.com slash EMCases.

That's the letter is EZ-Rescest.com slash EM cases.

First up, we have none other than Dr. Sarah Reed, our go-to-peeds guru.

Now, have you ever seen a child in the emergency department who presents with vomiting?

Enough said.

So we often see little babies come in to emerge with vomiting, and it can be a bit tough sometimes to figure out, like, is this something serious or is this a baby that can go home? Most of the time, it's going to be something benign. And so I thought we just talk about what are the things we need to do to safely send a baby home who has vomiting. The differential for vomiting, like isolated vomiting is obviously really long and a bit hard to sort of organize at the bedside. So, you know, I kind of think

about five big buckets, surgical causes, infectious causes, CNS causes, so, you know, raised ICP,

serious CNS infection. Metabolic disorder, so inbornaires of metabolism, congenital adrenal

hyperplasia, decay would be super, super rare in an infant.

And then, you know, reflex, because sometimes reflexy babies can actually vomit as well.

And when we're thinking about surgical, the three sort of big, of course, there's like quite a

few surgical things that can present in infancy, but the big three would be malrotation with

volvulus, pylorch stenosis, and interception. And if we're thinking of

those surgical things, age really does matter when you're figuring out which one to be worried

...