Pediatric Emergency Medicine Educational Morsels

Welcome to the Ped EM Morsels!

Enjoyable Pediatric Emergency Medicine Education.

Interested? Let’s see what this week’s Morsel is!

Penicillin for Pneumonia

And how about last week’s Morsel?

Ketamine for analgesia


Access the Ped EM Morsels via AgileMD app:


Why “Morsels?” Simply put, I like desserts more than I like jewelry (also known as pearls).




Additionally, the overall goal of continuing our education is to enhance our comfort with the vast topics that exist in the medical arena.  What is more comforting: solitary and expensive calcium carbonate rejected by a mollusk or delicious, sweet tidbits that were just delivered to you fresh and warm?  I agree: Morsels beat Pearls.


The goal of these Pediatric EM Morsels is to continue to encourage us all to enhance and refine our understanding of pediatric emergency medicine and to augment the care of pediatric patients.  The care of pediatric patients often brings up a myriad of diverse topics ranging from the common to the very unusual.  It is difficult to stay abreast of the appropriate management of some many diverse entities, particularly when they may be quite different from those of our adult patients.


I encourage you to explore the Morsels that already exist… and if you are interested, subscribe in order to receive the weekly Morsel directly.
Thank you for your interest and dedication.

Have a great day,

Sean Fox, MD
Associate Professor
Department of EM
Carolinas Medical Center
Charlotte, NC


How about some Favorite Morsels?

  • Interosseous Access for the Neonate in Need Interosseous Access for the Neonate in Need The neonate may require vascular access, and that access may be denied. Use an IO!
  • Kawasaki Disease Kawasaki Disease Complete or Incomplete... Kawaski Disease offers a diagnostic challenge!
  • Positioning for LP Positioning for LP Make your first attempt your best attempt.
  • Nasal Foreign Bodies Nasal Foreign Bodies Quick method to remove nasal foreign bodies.
  • Oropharyngeal Trauma Oropharyngeal Trauma Is the minor appearing injury more major?
  • Retropharyngeal Abcess Retropharyngeal Abcess Pick up on RPA before the "classic" features are present.
  • Medical Radiation Medical Radiation Is your CT scanner equal to an Atomic Bomb?
  • Vitamin B6 Vitamin B6
  • Nitrous Nitrous
  • Cholelithiasis Cholelithiasis
  • Umbilical Cord Infection Umbilical Cord Infection
  • Adjust Cuffs Adjust Cuffs
  • Shoot your eye out Shoot your eye out
  • Acute Chest Syndrome Acute Chest Syndrome
  • Magnesium Magnesium
  • HTN Crisis HTN Crisis


  1. Kate says:

    I would really like to receive the weekly morsel
    Thanks so much

  2. Kesh Khullar says:

    Hi Sean,

    I was delighted to stumble upon this website, and follow on twitter. I wondered if you had a morsel to the approach to a child’s rash! Not asking for much, I know, but the toddler/baby rash is probably the one thing that I struggle with – rashes in adults are complex enough – but if they look well, it’s more reassuring. With little ones, although I’m guessing the same philosophy follows, the concern is missing that one ‘viral’ looking rash that turns out to be something nasty.

    Any advice would be much appreciated

    Many thanks

    Twitter @KiefKhullar

    • Sean M. Fox says:

      Dr. Khullar,
      Thank you for the interest in the Morsels first of all! I appreciate the comment.

      As for rashes… I hope no Dermatologist is reading… I HATE RASHES! Adult and Pediatric!

      I have covered a few different rashes in the Morsels:
      Molluscum Contagiosum, ITP, Staph Scalded Skin, Perianal Strep, Intertrigo, and Meningococcemia to name the ones I can easily remember.

      The way I approach rashes is simple (because I am simple minded in general).
      1) Identify presence or lack of Petechiae, Purpura, Vesicles, Bullae, Target Lesions, or Desquamation. If any of these are present, it is time to think a little harder (ex, petechiae can be present for benign reasons like vigorous vomiting or coughing, but a single petechiae below the nipple line is concerning for meningococcemia).

      2) If the above are not present, then look for common childhood rashes. Molluscum, pityriasis rosea, 5ths Disease, etc.

      3) If neither #1 nor #2 are readily apparent and the child looks well… I admit defeat and tell the family that I am not sure what this particular rash is but I do not think it is life threatening.

      Certainly there are caveats to #3. Kawasaki Disease is a great example because the associated rash can be almost any type (generally not bullous though). So the “maculopapular” rash that is often seen with viral exanthems can easily be apart of the Kawasaki Disease presentation… but naturally, there are other findings that should alert the provider to that condition.

      I hope that that helps. I will look at covering some more typical rashes in the coming Morsels.

      Thank you for your question and comment!
      Have a great day,

  3. Mike says:

    I want morsels! Was looking for EMS blogs and found this great site instead. Needless to say that I have subscribed immediately! :)

  4. Sonny says:

    i’ve struggled to find an emergency blog totally dedicated to peds, so got really excited and ive subscribed!

  5. Ram Reddy says:

    I pretty much read all the emergency medicine social media blogs. I think this one is the most useful and most practical by far.

    • Sean Fox says:

      Truly appreciate the feedback! Please let me know if there are any topics that you’d like covered. Please feel free to invite others to join in the Morsel fun!

  6. Ram Reddy says:

    thanks for all the time and effort put into this. Its an amazing body of work. I am an adult academic physician in Canada and I see kids infrequently, so this is a great review. I know what i’m reviewing on the site will save a kid for sure.

    leg pain and meningococcemia?! who would have known unless I went through the site.

    I do personally think the social media market is too saturated with podcast type learning. what happens is that you listen for an hour and get 4 main points out of the podcast. Whereas, I can pound out 6 morsels in an hour and review 24 points, which I can actually utilize. Its far more effective. I will actually refer to a morsel on shift quickly before seeing a patient sometimes. Can’t really do that with a podcast. Sometimes old school is just better.


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