Welcome to the Yale Pediatric Overnight Emergency Podcast. This podcast’s purpose is to educate residents about urgent and emergent management of various diagnoses while on the wards. Our first episode is hosted by Joshua Pulinat PGY-2 with special guest and Program Director Rachel Osborn.

Written by Nan Du and Joshua Pulinat.

Important Timestamps:

0:00 Intro and Bridgeport Bronchiolitis 3:20 Patient History 6:15 Reactive Airway vs Bronchiolitis (Chicken or the Egg?) 8:36 Vitals and Physical Exam findings 10:06 Bacterial pneumonia vs Bronchiolitis (Asthmonialitis) - Toxic appearing, higher procalcitonin then maybe CXR 13:05 Pathophysiology of Bronchiolitis 15:01 Viral induced exacerbation of Asthma 17:15 Supportive Measures 17:45 Fluids 19:02 Respiratory Support - Supp Oxygen vs High Flow or Positive Pressure 19:42 High Flow in PICU vs High Flow on the Floor 20:45 Is supplementary oxygen offering positive pressure? 21:12 Oxygen Dissociation Curve and Alveolar Gas Equation - Ventilation vs Oxygenation 23:35 Albuterol. Yay or Nay? 28:56 Atopy vs Recurrent Viral Wheezing 29:40 Hypertonic Saline 32:20 Complex medical patient and pulmonary toilet 32:49 Racemic Epinephrine 35:10 Steroids for Bronchiolitis 37:26 Chest PT 39:01 Suctioning 40:55 Initial Vignette - How to stabilize while PICU arrives 43:40 Sometimes PICU happens 45:40 Parting Advice