Fluid Controversies

A recent paper about fluid boluses in sick African children has raised a few eyebrows around the world of pediatric emergency medicine, and the world of medicine in general… We thought we’d get in on the discussion, before everyone goes throwing the baby out with the bathwater.  In this PEMcast we try to appraise the Maitland paper in a rational, unemotional way… and almost manage! ...

August 11th, 2011 by colinparker 

Asthma Medications: where’s the evidence?

We like to think we practice evidence-informed medicine… but what evidence do we have that these medications work in acute asthma? Inhaled treatments make sense, and we can see them working right before our eyes, but when things get serious, response to more aggressive interventions don’t seem to be quite as convincing. We have hand-picked a few papers to show the way, in terms of backing...

March 10th, 2011 by colinparker 

Circulation (part 2 of 2)

IV Maintenance fluids for sick children: what fluid, and how much? This seemingly simple question has a controversial, complex and evolving answer.  Long-held traditions of giving hypotonic intravenous fluids to children have been increasingly challenged, due to dangerous adverse effects. In this episode, we look at a few papers to address the hypotonic fluid controversy. To listen, click on the...

August 26th, 2010 by colinparker