Emergency Medicine Cases EM Quick Hits 66 Pediatric Torticollis, Stable Wide Complex Tachydysrhythmias, Post-intubation Neurocritical Care, Hyponatremia Correction Rates, Paronychia Management, Women in EM Leader Series with Judith Tintinalli
Jul 15, 2025
Guest
Judith E. Tintinalli, MD, MS
Guest
Victoria Myers
Guest
Andrew Petrosoniak
Guest
Justin Morgenstern
Guest
Deb Schoenfeld
Join pediatric emergency medicine expert Deb Schoenfeld as she discusses the complexities of pediatric torticollis and the need for thorough evaluations in children. Justin Morgenstern dives into new findings on sodium correction rates in severe hyponatremia, challenging traditional practices. Andrew Petrosoniak shares best practices for post-intubation neurocritical care, enhancing patient safety. The episode features leadership insights from Judith Tintinalli and Victoria Myers, highlighting the importance of mentorship and inclusivity in emergency medicine.
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Trisomy 21 Torticollis Case
- A 7-year-old boy with trisomy 21 presented with neck pain and torticollis without trauma or fever.
- Initially discharged with NSAIDs, he returned with neurological deficits and required urgent cervical spine surgery.
Trisomy 21 Atlantoaxial Risks
- Children with trisomy 21 have a high risk of atlantoaxial instability due to ligamentous laxity and osseous abnormalities.
- The AAP recommends screening for neck pain, torticollis, and neurological changes at every health visit.
Crucial Pediatric Torticollis Causes
- Consider three main causes of pediatric torticollis: atlantoaxial subluxation, acute head and neck infections, and CNS lesions.
- Always keep these categories in mind to avoid missing life-threatening diagnoses.
