Pediatrics in Practice

Every summer children and families are drawn to oceans, pools, ponds, lakes, rivers, or streams for entertainment and exercise. As prehospital providers know all too well, fun events and gatherings near bodies of water can turn into an emergency setting in an instant.
Although drowning injuries can affect anyone, according to the CDC, children ages 1-4 have the highest drowning rates, with most occurring in swimming pools. Fatal drowning is the 2nd leading cause of unintentional injury death for children ages 1-14 with the 1st leading cause being motor vehicle crashes.
The risk for moderate to severe neurological complications and long-term disabilities are concerns for survivors of non-fatal drowning incidents. Whether in the hospital or prehospital setting, management of the pediatric drowning patient should aim to identify and treat complications, as well as prevent further anoxic injury.

The national Asthma Education and Prevention Program (NAEPP) published the first expert panel report on the diagnosis and management of asthma in 1991. A comprehensive revision was published in 1997, and an update in 2002. the EPR 3 was published in 2007. The most recent guidelines, published in 2020, represent a paradigm shift in asthma treatment.

In this episode, Dr, Brandon Newell and NP Rebecca Flynn leads an interactive discussion on some of the more common cases seen in dermatology.

Idiopathic congenital clubfoot occurs in 1 in 1,000 infants in the U.S. and is considered the most prevalent musculoskeletal birth defect in the world. In this podcast, Richard Schwend, MD, FAOA, FAAP, Interim Chair, Department of Orthopedic Surgery and Musculoskeletal Science at Children’s Mercy Kansas City, discusses a clinical report published by the American Academy of Pediatrics which covers background on the condition, evaluation and treatment – including the Ponseti technique, which is considered the gold standard of care.
Click here to view the clinical report.

Massive transfusion protocols have become vital tools used within trauma centers across the country. Appropriately so, as many emergency providers know that hemorrhage is the most common cause of death within the first hour of arrival to a trauma center. Most recently, a medication called Tranexamic Acid or TXA has been found to assist in life-saving measures for trauma victims in both the pre-hospital setting and the emergency department. But is TXA a recommended medication for kids? This podcast segment highlights the safe use of TXA in pediatric traumas and beyond.