On exam, the child is uncomfortable appearing, tachycardic, tachypnic and febrile. The female child’s medical history is significant for sickle cell disease. A worried mother brings her 2-year-old child in with a fever of 38.6C (that’s 101.5F). He is also the CME editor for Academic Emergency Medicine and the associate editor for emergency medicine simulation at the AAEM MedEdPORTAL.Ĭase: You are working in the Emergency Department on an overnight pediatric coverage shift. Guest Skeptic: Dr. Corey Heitz is an associate professor of emergency medicine at the Virginia Tech Carilion School of Medicine in Roanoke Virginia. Which Febrile Children with Sickle Cell Disease Need a Chest X-Ray? AEM November 2016
