Paper Chase #1: Impact of GI PCR Panels in AGE
From August 2021, Infusion Confusion SolutionBroad PCR panels for GI pathogens in children with diarrhea will often reveal a viral pathogen, but rarely yield results that suggest specific therapy.
9min 56Roy Benaroch, MD and Geoffrey R. Simon, MD
Paper Chase #2: Nebulized Magnesium in Asthma Exacerbations
From August 2021, Infusion Confusion SolutionNebulized magnesium is not effective in the acute treatment of an asthma exacerbation.
4min 37Roy Benaroch, MD and Geoffrey R. Simon, MD
Paper Chase #3: Low Iron in Breast Fed Older Infants
From August 2021, Infusion Confusion SolutionMost breast-fed and mixed-fed infants are receiving insufficient dietary iron.
7minRoy Benaroch, MD and Geoffrey R. Simon, MD
Paper Chase #4: Pseudotumor Cerebri Presentation in Kids
From August 2021, Infusion Confusion SolutionPseudotumor is a treatable condition - if recognized early, substantial long term harm can be prevented.
8min 55Roy Benaroch, MD and Geoffrey R. Simon, MD
Paper Chase #5: Intrapartum GBS PPX ABX and Future Allergies
From August 2021, Infusion Confusion SolutionThough intrapartum antibiotics may affect the microbiome, these are not associated with an increased risk of the later development of allergic disease in children.
4min 23Roy Benaroch, MD and Geoffrey R. Simon, MD
PaperChase #3: Non-pharm treatments of migraine
From July 2021, Snakes on a Brain!Though when taken together as a group, there's some promise for non-medical therapy for pediatric migraine, studies so far haven't shown that any specific interventions are effective.
5min 24Geoffrey R. Simon, MD and Roy Benaroch, MD
Paper Chase #4: Kid’s ability to call 9-1-1
From July 2021, Snakes on a Brain!Children in the early grades don't know how to use a cell phone to activate emergency services.
4min 58Roy Benaroch, MD and Geoffrey R. Simon, MD
Paper Chase #2: PPC Classic - Tx of congenital dacryocystitis
From July 2021, Snakes on a Brain!When done correctly, the Crigler technique may be an effective way to treat a blocked tear duct.
7min 13Geoffrey R. Simon, MD and Roy Benaroch, MD
Paper Chase #5: Rest and post concussive symptoms
From July 2021, Snakes on a Brain!Prolonged rest from school and exercise does not prevent longer postconcussive symptoms.
3min 31Roy Benaroch, MD and Geoffrey R. Simon, MD
Paper Chase #1: Short course abx vs pneumonia
From July 2021, Snakes on a Brain!High-dose amoxicillin for 5 days is about as effective as 10 days for mild, community-acquired pneumonia in children.
8min 25Geoffrey R. Simon, MD and Roy Benaroch, MD
Paper Chase #1: Accuracy of red reflex testing
From June 2021, LAMA LAMA Wheezing DramaRed reflex examination will pick up most, but not all, significant ocular pathologies. An abnormal exam needs further evaluation, but a normal exam doesn't exclude potentially significant diagnoses.
8min 42Roy Benaroch, MD and Geoffrey R. Simon, MD
Paper Chase #2: Treating URIs with antibiotics
From June 2021, LAMA LAMA Wheezing DramaDelaying or withholding antibiotics for respiratory infections such as pharyngitis, otitis, bronchitis, and URIs does not prolong symptoms, and has beneficial effects in other ways.
6min 51Roy Benaroch, MD and Geoffrey R. Simon, MD
Paper Chase #3: PPC Classic - Hyperpronation for Nursemaid’s Elbow
From June 2021, LAMA LAMA Wheezing DramaIn the reduction of radial head subluxations, the hyperpronation technique required fewer attempts at reduction compared with supination, was successful more often than supination, and was often successful when supination failed.
5min 43Roy Benaroch, MD and Geoffrey R. Simon, MD
Paper Chase #5: Nursemaid’s elbows, X-rays, & missed fractures
From June 2021, LAMA LAMA Wheezing DramaMissed fractures are rare. Factors associated with an increased risk of fracture in a child presenting with a nursemaid's elbow include older age, having performed an xray in the ED, and requiring medication for pain management.
7min 8Roy Benaroch, MD and Geoffrey R. Simon, MD
Paper Chase #4: Lab monitoring of kids on antipsychotic meds
From June 2021, LAMA LAMA Wheezing DramaCo-managed children were most likely to receive metabolic screening, but even then this was usually not done.
7min 3Roy Benaroch, MD and Geoffrey R. Simon, MD
Paper Chase #5: Antibody levels among vaccinated preterm infants
From May 2021, Yo, Atrium!Though overall antibody titers may be lower, premature babies develop protective titers from vaccines, and they should not be delayed.
6min 50Roy Benaroch, MD and Geoffrey R. Simon, MD
Paper Chase #1: Avoiding cow’s milk and development of asthma
From May 2021, Yo, Atrium!In a follow-up of children to two years of age, those who were not exposed to cow's milk-based formulas immediately after birth had less risk of asthma.
8min 18Geoffrey R. Simon, MD and Roy Benaroch, MD
Paper Chase #2: Electronic monitoring of asthma
From May 2021, Yo, Atrium!Electronic sensors to help monitor medication use in asthma increases medical interactions and family satisfaction, but does not seem to improve asthma outcomes in a meaningful way.
10min 27Roy Benaroch, MD and Geoffrey R. Simon, MD
Paper Chase #3: Pica among kids with developmental delay & autism
From May 2021, Yo, Atrium!About a quarter of children with ASD have pica.
7min 46Roy Benaroch, MD and Geoffrey R. Simon, MD
Paper Chase #4: Orthostatic Proteinuria
From May 2021, Yo, Atrium!Almost all isolated proteinuria in children resolves on repeated testing.
6min 32Roy Benaroch, MD and Geoffrey R. Simon, MD
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