The UMC Emergency Medicine Podcast

Omphalitis is a rare but serious neonatal infection that can lead to sepsis and requires prompt recognition and IV antibiotics. In well-appearing, afebrile infants with omphalitis or mastitis, the risk of meningitis is low, so lumbar puncture may be individualized rather than routinely performed. Febrile infants with soft tissue infections should still be managed according to AAP febrile infant gu...

Bronchiolitis is primarily a clinical diagnosis, and routine labs and imaging have a limited role in most cases. The mainstays of management supported by the AAP are supportive care—including suctioning, hydration, and supplemental oxygen only when there is hypoxemia. We should be clear about what not to use: systemic corticosteroids, inhaled epinephrine, and albuterol are not recommended. If oxyg...

Episode Summary: Croup Management Management of croup depends on the severity of illness. Dexamethasone is recommended for all severities. Dose: 0.15–0.6 mg/kg PO (maximum 16 mg). Nebulized epinephrine is indicated for moderate to severe croup. Commercial racemic epinephrine: 0.5 mL of 2.25% solution. If racemic epinephrine is unavailable, nebulized L-epinephrine (1 mg/mL) can be prepared: 0.5 mL/...