PEM for Dummies

Pediatric Emergency Medicine is an interesting sport. Really very broad, and really quite narrow too! There are a handful of presenting complaints that keep us busy most of the time, the same few recurring clinical scenarios – narrow. And then there is everything else, a happy hunting ground for generalists, with loads of undifferentiated problems – broad. I recently prepared a little...

March 10th, 2013 by colinparker 

Kiddy Tox

Fortunately for us, younger kids are less dedicated in their efforts to harm themselves with a variety of poisons… On the other hand, their sneaky inventiveness knows no bounds, when it comes to getting hold of something that they shouldn’t. The principles of Clinical Toxicology are similar in kids and adults, but there are a few additional aspects to consider. Join us on a sketch of...

February 25th, 2012 by colinparker 

UltraSound uses in Pediatric Emergency Medicine

Everyone’s doing it… Is it time for your Pediatric ED to join the UltraSound craze?  For adult Emergency Medicine, there seems to be a strong following and a reasonable evidence-base.  That may be coming to the kiddy world, but maybe it’s not all that it’s cracked up to be? In this episode, we discuss the evolution of bedside clinical ultrasound use in the pediatric emergency...

October 20th, 2011 by colinparker 

Clearing the Paediatric C-Spine

Excluding a broken neck or a spinal cord injury: can be tricky. We know what to do when there is an obvious bony, ligamentous or cord injury… but do you want to be the one who takes responsibility to give the ‘all clear’? Fortunately, serious injuries to the cervical spine, whether bony, ligamentous, or spinal cord injury, are uncommon in the really young… which is lucky for...

June 2nd, 2011 by colinparker 

Cervical Spine Assessment in Children

Neck Injuries in kids are fortunately quite uncommon, but the assessment of a child with a potential cervical spine injury remains stressful and challenging.  No-one wants to miss a broken neck… Because of the anatomical, physiological and behavioural differences, we can’t just do what we do for adults either. How common is SCIWORA? How aggressively do we need to apply immobilisation...

May 19th, 2011 by colinparker 

Septic Arthritis, or Transient Synovitis?

There must be a combination of clinical features and/or tests that can help us figure out whether the limping child has a benign, self-limiting “irritable hip” or the scary and serious condition of pus in the joint: septic arthritis. It turns out that Dr Kocher has been working on this for years, and a few other investigators have worked at validating the results of the original 1999 study. Our...

May 4th, 2011 by colinparker 

PEMcasts Launched

Hello and welcome to an exciting phase for us here at We are proud to bring you a bit of Pediatric Emergency Medicine in audio format.  These podcasts will aim to review the basics for those of us who get a bit rusty on the essentials from time to time, and then delve a bit deeper into more current or complex topics. Please note that this podcast is for healthcare professionals, for educational...

May 30th, 2010 by colinparker 

LP and SPA

Performing a septic screen in a febrile neonate or young infant requires rapid sampling of CSF and urine. This short clip outlines some of the basics of doing the LP and SPA.
February 5th, 2010 by colinparker