Point-of-Care Ultrasound and the Discovery of Pulmonary Arterial Hypertension in a Teenager.

We present a case of a teenage patient with new-onset cardiac symptoms discovered to have primary pulmonary arterial hypertension. Point-of-care ultrasound used early in the patient's presentation identified significant right-sided heart dilatation and dysfunction despite the patient's relatively unrevealing physical examination. This article emphasizes the utility of performing focused cardiac ultrasound in pediatric patients early in their presentation.

Triple Versus Single Application of Lidocaine, Epinephrine, and Tetracaine for Laceration Repair in Children.

Objective: Lidocaine (4%), epinephrine (0.1%), and tetracaine (0.5%) topical gel (LET) is a safe and effective method of providing anesthesia for laceration repair.

Ketamine/midazolam versus etomidate/fentanyl: procedural sedation for pediatric orthopedic reductions.

Background: Orthopedic reductions are commonly performed procedures requiring sedation in the pediatric emergency department (PED). Ketamine is a widely used agent for pediatric procedural sedation, but its use may present difficulties in select populations, such as those with psychiatric diagnoses. In such a case, alternative agents that are safe and effective are needed.