Dr. Jeff Louie

So when you see kids in ED, how long have you had your fever? An hour.

So when you see kids in ED, how long have you had your fever? An hour.

So yeah, definitely as spring, as the weather clears up and it's dry outside, we'll start seeing an uptick in lacerations because kids are tripping and falling more outside. And then you'll see an uptick in factors, risk factors, femur factors. And then there's a combination of the kids riding ATVs.

So yeah, definitely as spring, as the weather clears up and it's dry outside, we'll start seeing an uptick in lacerations because kids are tripping and falling more outside. And then you'll see an uptick in factors, risk factors, femur factors. And then there's a combination of the kids riding ATVs.

whoo-hoo fashion burn um so definitely trauma is an uptick during summer yeah trauma broken ankles twisted ankles uh stubbed toes fish hook accidents we see fish hooks yeah we see those yeah you know um sports related injuries during the summer heat related injuries um yeah

whoo-hoo fashion burn um so definitely trauma is an uptick during summer yeah trauma broken ankles twisted ankles uh stubbed toes fish hook accidents we see fish hooks yeah we see those yeah you know um sports related injuries during the summer heat related injuries um yeah

So for the most of us, and I can probably speak to all emergency medicine doctors, is that you always have to keep your radar on common things presenting uncommonly. So if you have a kid who's wheezing, Is it just from a virus? Is it just from asthma? And in this, we just recently saw someone who was billed as a, what we call bronchiolitis.

So for the most of us, and I can probably speak to all emergency medicine doctors, is that you always have to keep your radar on common things presenting uncommonly. So if you have a kid who's wheezing, Is it just from a virus? Is it just from asthma? And in this, we just recently saw someone who was billed as a, what we call bronchiolitis.

So a virus is causing wheezing and the child ended up having heart failure. Huge heart on x-ray. It was missed initially. And so we always teach our residents to anticipate what you're going to look for, but also keep your radar on for weird things that we may see. We've seen kids who we think may have a skin abscess, and you've probably seen these videos, there's actually a bot fly. Wow.

So a virus is causing wheezing and the child ended up having heart failure. Huge heart on x-ray. It was missed initially. And so we always teach our residents to anticipate what you're going to look for, but also keep your radar on for weird things that we may see. We've seen kids who we think may have a skin abscess, and you've probably seen these videos, there's actually a bot fly. Wow.

There's a bot fly because they were in a country that was endemic with bot flies. But again, Stan, that's what makes our job kind of fun.

There's a bot fly because they were in a country that was endemic with bot flies. But again, Stan, that's what makes our job kind of fun.

Very similar type of thing. We are a little more sensitive. I think any children's hospital is very sensitive to child abuse because that's something they're going to miss. And so we have criteria on certain age of presentation of injuries. So... You know, a three-month-old who presents with a femur fracture is child abuse until proven otherwise because they're not on a trampoline. Right, right.

Very similar type of thing. We are a little more sensitive. I think any children's hospital is very sensitive to child abuse because that's something they're going to miss. And so we have criteria on certain age of presentation of injuries. So... You know, a three-month-old who presents with a femur fracture is child abuse until proven otherwise because they're not on a trampoline. Right, right.

And so it depends. It's age-dependent. But for the most part, we will discuss any suspicious injury with our child abuse team. And our child abuse team is probably one of the best in the country. We have this physician named Nancy Harper, who's an internationally known child abuse expert. She set up protocols throughout the whole mHealth system to screen for kids for child abuse.

And so it depends. It's age-dependent. But for the most part, we will discuss any suspicious injury with our child abuse team. And our child abuse team is probably one of the best in the country. We have this physician named Nancy Harper, who's an internationally known child abuse expert. She set up protocols throughout the whole mHealth system to screen for kids for child abuse.

And so she's, you know, using evidence-based medicine and quality improvement projects. You know, so if I have a one-month-old who's got a bruise on the forehead, that doesn't make any sense because how do you bruise your forehead? You know, how do you tear your frenulum on your lip? They can't do that.

And so she's, you know, using evidence-based medicine and quality improvement projects. You know, so if I have a one-month-old who's got a bruise on the forehead, that doesn't make any sense because how do you bruise your forehead? You know, how do you tear your frenulum on your lip? They can't do that.

And so we're pretty diligent, especially kids less than six months of age, looking for markers for abuse.

And so we're pretty diligent, especially kids less than six months of age, looking for markers for abuse.