Local Anesthetic Systemic Toxicity and Lipid Emulsion Therapy
Managing injuries is all too common when caring for children. Whether it is a Fish Hook where it shouldn’t be or a...
Ped EM Morsels Tasty Morsels of Medical Education
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Huffing Hydrocarbons: Inhalant Abuse
Substance abuse is not only an adult patient problem. Alcohol and illegal drug abuse, unfortunately, also afflicts our pediatric population too....
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Pleural Effusion and ReExpansion Pulmonary Edema
Respiratory Distress is a common emergent complaint encountered when caring for children. Whether it is Out of Control Asthma or Pneumonia, or Severe Croup...
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Hypothyroidism and Myxedema Coma
When managing critically ill adults or even adults with “odd complaints,” we often think of the thyroid gland and its potential...
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Duodenal Hematoma
Abdominal trauma in children should garner an appropriate amount of respect and concern. The child’s abdominal wall, unfortunately, is not as...
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Laryngeal Fracture
Few things are more synonymous with pediatric emergency care than “throat pain” and “trauma.” If you are seeing children in the...
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Renal Trauma
Seeing blood in a child’s urine will catch a parent’s attention. We’ve discussed several causes of blood in the urine (ex,...
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Facial Hemangioma
The skin is the largest organ, yet we often undervalue its importance. Ok, maybe it is just me being less than...
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Pediatric Penetrating Neck Injury
A child’s neck, naturally, is a special region of their body. It has numerous vital and delicate structures crammed in closely...
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Thromboelastagram and Trauma
Trauma and accidental injuries keep us all quite busy in the Emergency Departments across the country. Unfortunately, despite advances in prevention,...
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Ludwig’s Angina in Children
Pediatric head and neck infections are encountered commonly in the Emergency Department. While most often these will be relatively simple (although...
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Central Line and Fever
Yes. It is indubitable. Children will present for evaluation of fever. Many, if not most, will be well and likely have...
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Major Traumatic Brain Injury
While the weird, wild, and unusual conditions that affect our pediatric patients deserve our attention, traumatic injuries unquestionably demand much of...
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Pulmonary Hypertensive Crisis
Caring for children can be rather challenging. Yes, there is a fair amount of finding ways to avoid saying “It’s Just...
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Hamman’s Syndrome and DKA
Certainly there are many issues to consider while diagnosing and managing diabetic ketoacidosis (DKA), like the possibility of cerebral edema. Often,...
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Acute Cerebellar Ataxia
Hooven animals are complicated creatures (just like humans). They can be majestic, but rambunctious. They can be wild, yet tamed. In...
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Adenosine Dose
Supraventricular Tachycardia (SVT) can be a very rewarding condition to treat! It is generally easy to diagnose and can be very satisfying...
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Acute Cholecystitis
When caring for children, we are all prepared for evaluating abdominal pain as it seems like every condition leads can cause belly...
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Pediatric Chance Fracture
We have discussed the potential hazards of being a child on numerous occasions (ex, Injury Prevention, Trampolines, Lawn Mowers, Submersions, Electricity,...
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Eclampsia in Children
Managing seizures in children is an imperative skill for us all to have. Whether the seizure is Simple Febrile or Complex, we...
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Kawasaki Disease Shock Syndrome
Evaluating and managing the child in SHOCK is certainly challenging. Identifying it (ex, Cap Refill, Shock Index, Lactate level) is challenging....
Cecal Volvulus in Children
Abdominal Pain is a common complaint in children and may be due to a wide variety of conditions, both severe and...
Pediatric Traumatic Hip Dislocation
Pediatric hip pathology is a common consideration. From SCFE to Legg Calve Perthes Disease and from Septic Arthritis to Osteomyelitis, there are...
Pediatric Urticaria
Urticaria (AKA Hives) are commonly encountered in the ED. When they occur with respiratory distress, vomiting, trouble swallowing / intra-oral swelling,...
Pediatric Paraphimosis
Genital problems are not pleasant for anyone involved, especially the patients. Whether twisted (ex, Ovarian Torsion, Testicular Torsion, Appendix Testis Torsion)...
Loperamide Abuse and Overuse
There are many conditions to consider when dealing with a patient who presents with altered mental status. Is there a significant...
Priapism in Children
The vast majority of the time, caring for patients, particularly children, is extremely rewarding and life affirming. We are among the...
Tubo-Ovarian Abscess in Children
We are aware that obtaining a good social history is important and asking about sexual activity may change the evaluation of...
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