Subject for Peds Talk

[Medcat99]

Kind of off subject, but I need to give a lecture to Pediatric Residents.....topic of my choice. Trouble is, no ideas!!! Am interested in Peds Emergency, but anything interesting and not talked to death already would be good.

Any thoughts would be appreciated......:confused:

[Fullcode]

Topics:
1. Handheld computers in Pediatrics (or Peds ER). Did a similar talk myself and it went over very well.
2. Common problems seen in ER in the first two weeks of life.
3. Light sedation (aka "conscious sedation") for minor procedures in the ER on pediatric patients.
4. Common pediatric ortho cases: what not to miss, what immobilization techniques are best in kids
5. Pediatric headaches
6. Review of pediatric toxicology-is charcoal out of vogue?
7. Peds ER optholmology-red eye, foreign body, retinal pathology, etc.
8. Pediatrics: They are just little adults! (Loved that talk in residency.)

Fullcode

[Medcat99]

Thanks for the suggestions. The handheld talk has been done, otherwise I might have considered that. I like the ortho and tox suggestions. I might investigate the tox and charcoal use a little more.

[ClieMD]

How about the JRA or any of the arthritic diseases in peds?
Or how about Neuromuscular? SMA, Spina Bifida, Duchenne's, Becker's?

[Medcat99]

I thought about those, but they've sort of been talked to death. JRA might be interesting with the new treatments available today. I was leaning towards a Tox talk with an emphasis on common peds ingestions of adult medications or perhaps a talk on adolescent hypertension with a discussion of evaluation and treatment. Still not sure. Nothing seems to be exciting me right now.

Let me know if either of these topics might be interesting or if you have any better ideas. Thanks for all the help.

[ClieMD]

How about the outcomes of Traumatic Brain Injury in Children or The effects of Hyperbarric Oxygen to the pediatric patient

[canuks]

A talk I have given to my residents for a long time is "Pediatric Transport"....
This can include both the planning of transport (for the residents generally in the hosp. setting) , make the discussion interactive...
give two or three scenarios... what should we consider for this patient, what could go wrong and what to have along for that eventuality, what to do if it does... I take a transport equipped strecher, and a mannikin, and also teach them how to hook up the monitors, set alarm limits and trouble shoot them, where to find equipement in the airway "baskets", etc... make the res. actually get out a laryngoscope, draw up drugs, put a bp cuff on, etc. It is a practical talk that they all seem to like. Really, they usually have an experienced RN with them when taking patients from the ER to CT or MRI, or transferring ward to ICU, but I find this gives a good grounding in issues, and a little self confidence to trouble shoot.

[BaconGrease]

clie md has to be a pediatric rehab person!

since we are on the subject a good topic for pediatric emergencies would be intrathecal baclofen withdrawal/overdose management and ITB pump troubleshooting in the emergent period.

[ClieMD]

Actually I'm in more sports medicine/musculoskeletal rehab but peds rehab is very challenging

[ClieMD]

most intrathecal baclofen pumps have an alarm system that goes off within 3 days of it becoming empty. As for emergencies, these things do get infected which then has to be totally removed. That's when the difficulty starts due to the high doses of baclofen and other anti spasticity drugs that are needed for the same affect. And to add, all those side affects of these oral meds have.

[Medcat99]

I wish I had known about rehab medicine in medical school. Really sounds like a great career. My training in Med/Peds would probably be ideal for it. Anybody know what the rules are regarding doing a second residency? I knew of a Pediatrician who did anesthesiology and an anesthesiologist who became a psychiatrist.

[ClieMD]

You can do a second residency but here's the catch, Medicare won't fund the hospital with your salary so the program would have to front the bill. Reason being, you are already in an accredited residency program and only allotted 4-5 years of funding by Medicare, if I'm correct for a Med/Peds program

[Medcat99]

Ok, I thought about a talk about eye disorders in kids like strabismus. Interesting?

[BaconGrease]

strabismus and other pediatric opthalmology topics would be very interesting (at least to me)

[pedsmd]

how about peds heme/onc emergencies like sickle cell with fever, fever & neutropenia in a chemo patient, SVC syndrome, tumor lysis etc....


;)

[eyesee]

Originally posted by Medcat99
Ok, I thought about a talk about eye disorders in kids like strabismus. Interesting?

Interesting?  Of course!! (Brown's, Mobius', Duane's, accommodative, etc.) :D You could include this as part of a lecture on the comprehensive pediatric ocular examination.  How do I test visual function in a pre-verbal child?  Is amblyopia truly "locked in" at age 7?  When is surgery not indicated in pediatric strab cases?

[Medcat99]

Thanks for the feedback. I've decided to go with the eye talk. I researced a little and I agree it has many angles and is not talked about much. I've found quite a few articles so far. Very interesting subject.