Blunt trauma in the pediatric patient is fairly common.  Blunt trauma to the abdomen though is less common and provides some unique challenges.  The patient's developmental stage, limitations in verbal and language skills, lack of prehospital information, and the potential for an unreliable exam creates a situation that can create additional stress for both the family and those taking care of the patient.  We will break down a recent EB Medicine article and cover some of the key aspects that will help you provide better care to these patients.

Patients present with headaches frequently, but they do not all need imaging.  However, the question becomes who does need the imaging?  The American College of Radiology updated their guidelines from the ones previously made in 2014 and we provide a rapid review in this post.

One of the most commonly feared diagnoses to miss in medicine is the ruptured aortic aneurysm or aortic dissection.  Despite classic teachings, the presentation of most patients is not textbook.  While there are many studies trying to find ways to help with the evaluation, they have been limited in success.  However, what if you add ultrasound?  We discuss some new evidence in this post.

Patrick Bafuma is back for the second part of his EM ID interview with Dr. Valerie Vaughn.  She is internal medicine trained and a hospitalist with a special interest in infectious disease.  Go back to Podcast #182 to hear her discussion with nudges as it comes back to play in this post.