In this episode of PEM CHATT, host Toni Dobson is joined by Dr. Sarah Sterner, a pediatric emergency medicine physician and medical director at Children's at Erlanger, to discuss chest pain in children. The discussion delves into the differences between pediatric and adult chest pain presentations, common causes, high-risk diagnoses, and appropriate workup strategies. The episode includes discussions on real-life case scenarios, covering conditions such as hypertrophic cardiomyopathy, myocarditis, pericarditis, pneumothorax, and more. Dr Sterner also discusses why it is important to admit children with persistent tachycardia. The importance of a systematic approach, thorough history-taking, and recognizing potential red flags in pediatric patients is highlighted.
00:00 Introduction to PEM CHATT
00:19 Understanding Pediatric Chest Pain
01:28 Introducing Dr. Sarah Sterner
03:22 Common Causes of Chest Pain in Children
04:05 Don't Miss Diagnoses
05:03 Approach to Pediatric Chest Pain Workup
06:31 Case Study: 14-Year-Old Male with Chest Pain
11:54 Case Study: 5-Year-Old Female with Chest Pain
22:23 Understanding Myocarditis
23:05 Pericarditis in Children
24:59 Pneumonia Management
25:56 Case Study: 9-Year-Old with Chest Pain
29:25 Case Study: 16-Year-Old with Pneumothorax
32:19 Case Study: 15-Year-Old with Pneumomediastinum
35:03 Rare but Serious: ACS and PE in Kids
39:58 Conclusion and Final Thoughts
