Febrile infants
EM Basic
EM Basic LLC
4.8 • 666 Ratings
🗓️ 19 September 2011
⏱️ 42 minutes
🧾️ Download transcript
Summary
Infants with fever present a special challenge in the emergency department. Most of these children require large workups and admission to be sure that we aren't missing serious bacterial infections or meningitis. The risks are high here and we need to make sure that we do the right thing for our smallest and youngest patients. We'll talk about how to assess infants from the foot of the bed, how to get an effective history and physical, how to do a sepsis workup in this age group, and some tricks of the trade for how to do an LP on an infant.
There's also a bonus section on pediatric UTIs and how to use a glidescope.
Transcript
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| 0:00.0 | This is Steve Carroll, and you're listening to EM Basic. |
| 0:03.6 | Today, we're going to talk about how to manage the Fibiral infant. |
| 0:06.9 | We see Ferala kids every day in the ED. |
| 0:09.6 | Most of them do find with nothing more than parental reassurance in some town or Motrin. |
| 0:13.9 | However, children under three months of age represent a special population who require a much different approach and workup. |
| 0:19.5 | Before we get started, I'd like to do two |
| 0:21.2 | little housekeeping things. First of all, I'd like to thank everyone who's commented and left ratings |
| 0:26.1 | on the iTunes website. Due to your comments and ratings, we've been able to get to the top four |
| 0:31.8 | new and noteworthy in medicine on the iTunes site. Because of this, the number of downloads have |
| 0:37.4 | pretty much doubled overnight, |
| 0:38.8 | and we're getting this out to a lot more people. So thanks again for leaving your ratings and |
| 0:43.2 | comments on the website. Second of all, I want to apologize for how late this podcast is. If you've |
| 0:48.6 | seen the website, you already know why, but if you haven't, here's what happened. So I try to put |
| 0:53.6 | more of these podcasts out |
| 0:54.6 | every 10 to 14 days. However, things got a little busy with residency stuff, so I was, |
| 0:59.7 | day 16 was when I was going to record this. So that morning I had a meeting. I came home from that |
| 1:04.5 | meeting, I found water just pouring out of my front door. Come to find that a pipe burst in our kitchen, |
| 1:10.6 | and flooded pretty much the entire |
| 1:12.2 | house. So for about the past week or so, my wife and I have been working to clean up the house |
| 1:17.5 | and we had to go to a hotel while everything dried out. So I've been a little busy with that, |
| 1:22.1 | so I apologize, but I think I have a pretty good excuse. So, all right, let's get started. |
| 1:28.1 | So today we're going to talk about the general approach and work-up to |
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