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18mo F with decreased responsiveness
18mo F with decreased responsiveness
P. Chatterton (HHS) - 12/27/2021
Patient had 2-3 days of gastroenteritis symptoms when family noticed she was less responsive than usual, not responding to her name and "falling asleep" while sitting up. When parents picked her up and noticed she was limp, they called 911.
EMS blood glucose = 37, repeat glucose in ED was 26.
What is the definition of hypoglycemia?
How do you treat hypoglycemia?
What workup is needed to evaluate hypoglycemia?
14yo F is intubated for altered mental status
14yo F is intubated for altered mental status
M. Stice (HHS) - 12/20/21
Patient presents after family is alerted that she posted on TikTok a video of herself ingesting ant poison in a Sunkist, suspected to be ~2h prior to evaluation in the ED. Notably, patient recently immigrated and is reported to be having a tough transition.
What are the primary features of organophosphate poisoning?
How do you manage organophosphate poisoning?
What's your approach to asking/counseling about social media, particularly in teenagers with mental health issues?
It's well-known that "copycat" suicides increase following high-profile media reports of suicide, particularly when stories are shared in a particular light or with explicit details. Given the easy access kids and teens have to social media's largely uncensored content and audience, it highlights the importance of addressing media use, especially when patients are at high risk of socioemotional crises. The WHO has a set of guidelines around reporting of suicide in the media that may be helpful to inform what kind of content is particularly problematic and thus useful to screen for/avoid.
For a quick read on how this issue might appear in your practice, check out this article from our very own Dr. Margot Zarin-Pass: 13 Things Pediatricians Should Know (and Do) about 13 Reasons Why
Find the full list of resources from NAMI here and a more extensive list from MDH here.
Also, a handy little safety plan card from the Depression and Bipolar Support Alliance.
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