The antidote for acetaminophen poisoning
What is N-acetylcysteine?
Landmark for lumbar puncture
What is the L4/L5 interspace between the posterior superior iliac crests? (aka intercristal line)
The reduction of this orthopedic injury is accomplished by hyper-pronating the extended forearm or supinating the forearm followed by flexion of the elbow
What is Nursemaid's elbow?
Compression rate during CPR
What is 100-120 compressions per minute?
Empiric antibiotic treatment for neonatal sepsis (< 1 month old)
What are Ampicillin and Ceftazidime?
Overdose of this drug can lead to respiratory alkalosis and anion gap metabolic acidosis
What are salicylates?
Contraindications to closure of a laceration with sutures
What are animal bites (especially in non-cosmetic areas), deep puncture wounds, an actively bleeding laceration, superficial laceration involving only epidermis?
Fracture type characterized by crush injury (compression) to the growth plate without bony fracture
What is a Salter Harris Type 5 fracture?
Blood behind the tympanic membrane and clear nasal discharge suggests this type of skull injury
What is a basilar skull fracture?
Empiric antibiotic therapy for bacterial meningitis in children
What are Ceftriaxone and Vancomycin?
Electrolyte abnormalities in diabetic ketoacidosis
What are hyperglycemia, hyponatremia, hypokalemia, metabolic acidosis?
Management for this
What is immediate endoscopic removal?
Tenderness and swelling over the anatomic snuffbox after a fall on an outstretched hand
What is a scaphoid fracture?
Initial management for chest wall trauma with decreased breath sounds and blood pressure of 60/40
What is needle thoracostomy/needle decompression? (Location: midclavicular line, 2nd intercostal space)
The only medical therapy for severe COVID that has been shown to reduce mortality
What is Dexamethasone?
Timing of endoscopy after ingestion of a household cleaning product
What is 12-24 hours post-ingestion?
Technique for incision and drainage of an abscess
Entry directly into the abscess, over the center of the abscess, along the long axis of the fluid collection, parallel to existing lines of skin tension, control of scalpel during the stab to avoid puncturing back wall of the abscess, create enough access for hemostat to break up loculations and insert packing, gentle irrigation of the abscess cavity
Patterns of child physical abuse
What is changing history, mechanism inconsistent with developmental stage of the child, unexplained delay in seeking care, any injury in non-mobile child, patterned cutaneous injuries, posterior rib fractures?
Left shoulder pain following blunt abdominal trauma is concerning for this type of injury
What is splenic rupture?
Management of a racoon bite in a child with unknown immunization status
What is tetanus vaccine, tetanus immunoglobulin, rabies vaccine, rabies immunoglobulin, and antibiotics?
Treatment for symptomatic overdose of SSRI
What is supportive care (treatment of autonomic instability, IV fluids, control of hyperthermia), benzodiazepines, and cyproheptadine?
The management for this injury
What is trephination? (also XR, and antibiotics if broken)
Management of finger dislocation
What is digital nerve block and reduction? (accomplished by tugging)
Volume = 4 x weight (kg) x % body surface area
What is the Parkland formula?
Antibiotic coverage for a cat bite in a penicillin-allergic child
What are Bactrim and Clindamycin?