ClerkCast Episode 5: Pediatric Fever

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Welcome back to ClerkCast!

Today we are sitting down with Dr Kaif Pardhan, FRCP EM assistant program director at the University of Toronto, staff emergency physician at Sunnybrook Health Sciences Centre, and staff emergency physician in the Pediatric Emergency Department at the McMaster Children’s Hospital.

Key takeaways from this episode are:

  1. Every pediatric patient with a fever should be “eyeballed” using the pediatric assessment triangle and pediatric vitals for their age group
  2. Fever is a symptom, not a diagnosis. Once we have assessed stable vs unstable it is time to look for a source!
  3. The approach to investigations in pediatric patients is differs based on their age, knowing which investigations are indicated is important.
  4. Kids with fever needs fluids. Every pediatric fever assessment should also consider appropriate rehydration strategies.

Pediatric fever is part one of our two-episode double header with the Drs Pardhan. If you aren’t up to date yet, check out our partner episode on Adult fever with Dr Kaif Pardhan’s brother, Dr Alim Pardhan!

We would also like to give a warm welcome to the newest member of the ClerkCast team, Andy Tolmie! Andy is joining us from the University of Saskatchewan and is the lead author on this episode’s infographic. Welcome aboard Andy!

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Cheat Sheet

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What is ClerkCast?

ClerkCast is a new medical education podcast written by medical students for medical students, designed to help new learners excel in the ED. Each episode covers an approach to a common ED presentation, and walks you through a case the same way you would on shift. We’ve got plenty of high-yield topics coming your way on everything from chest pain to trauma, so stay tuned for some great content!

Previous episodes include:

ClerkCast Episode 1: Introduction to the ED

ClerkCast Episode 2: Chest Pain

ClerkCast Episode 3: Abdominal Pain

ClerkCast Episode 4: Adult Fever 

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Feedback

Like what you listened to? Be sure to follow us on Twitter @clerk_cast to stay up to date with the latest episodes and show content. If you have any ideas to make the show better, leave us a comment below or email us at [email protected]. We look forward to hearing from you!

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Copy edited and uploaded by Lauren Beals. Content edited by Dr Teresa Chan, Dr Kaif Pardhan, and Dr Spencer Sample. 

Lauren Beals

Lauren is a medical student at McMaster University and ClerkCast Co-founder. Her interests include FOAMed for medical learners, LGBTQ+ health, and care for survivors of violence.

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Ben Forestell

Ben Forestell is a medical student and soon to be Emergency Medicine resident at McMaster University. His interests include FOAMed for medical learners (ClerkCast!), quality improvement, and simulation.

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