Tumor Lysis Syndrome
The lysis of tumor cells is one of the goals of successful treatment of cancer. Unfortunately, “Cancer SUCKS!” and even when...
Ped EM Morsels Tasty Morsels of Medical Education
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Newborn’s Heart Rate Determination
We are often drawn to new techniques and methods. While we may become enamored with exotic management strategies (ex, ECMO in...
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Deep Venous Thrombosis
Over the years, the Ped EM Morsels have addressed several conditions that historically are considered to be “adult” problems, but are...
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Octreotide for Sulfonylureas Toxicity
We all should fear Hypoglycemia! It likes to deceive us; it can cause critical illness; and it can be caused by...
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Pediatric Facial Fractures & Age
Often clinicians shy away from caring for children, because of the notion that “they aren’t little adults.” We have previously discussed...
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Pediatric Trauma Pitfalls
School is out and Summer is in full swing (at least up here in the Northern Hemisphere) and that means …...
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Cavernous Sinus Thrombosis
I was always taught to have a very healthy respect for infections of the Hands, Feet, or Face. Certainly, the infection...
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High Altitude Illness
In Charlotte, it has been unseasonably HOT and many of us have been considering escaping to the mountains. Maybe not exactly...
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Sentinel Bruising & Abusive Injury
A common theme amongst the Ped EM Morsels is remaining vigilant while maintaining a reasonable approach to the care of children....
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Ketamine and Propofol (Ketofol) for Pediatric Sedation
Keeping children comfortable benefits everyone! Patients have less pain and psychological trauma. Their families think you are amazing and… your procedure...
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Reye’s Syndrome
Call me crazy, but discussing Measles last week got me feeling nostalgic. Mumps, Tetanus, and Chicken Pox similarly harken back to...
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Late-Presenting Congenital Diaphragmatic Hernia
Part of the challenge with evaluating children is the ever present concern for an unusual emergent condition masquerading as a common...
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Sickle Cell Hepatopathy
Sickle Cell Disease (SCD) is terrible, and we are well versed in many of the common presentations. Pain and fever complaints...
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Toxic Shock Syndrome
Caring for the child in shock is challenging! Vascular access has to be attained. Fluids have to be given quickly and...
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Cardiac Tamponade in Children
We have discussed, previously, how the unique anatomic and physiologic differences kids have may make conditions more subtle and challenging to...
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Tracheitis in Children: a 2018 Update
Oh, the cacophony of coughing: it is like the theme music to the Pediatric ED during the winter months. While often...
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Carbon Monoxide Poisoning in Children
Currently, in the Northern Hemisphere, it is cold (Yes, I know my cold intolerance has been worsening as my hair gets...
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Hyperkalemia
We all can take things for granted. Certainly I do all of the time: like Gravity, or that a post-menarche female...
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Propofol Infusion Syndrome in Children
Keeping children calm and cooperative is part of our job and often leads us to using fancy medicines like Ketamine and Nitrous...
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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...
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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....
Renal Papillary Necrosis and Sickle Cell Disease
Blood shooting out of the urethra will catch people’s attention! While it may be due to a relatively benign issue, there...
Eastern Equine Encephalitis
We have previously discussed how saying “It’s JUST a virus,” is not comforting to families and may undermine your credibility. For...
Calculating Dose for Local Anesthetics
We do complex mathematics every time we evaluate a patient. Risk:Benefit ratios, Odds Ratios and Likelihood Ratios quickly get weighed and...
Subgaleal Hematoma from Hair Braiding
The diversity of complaints and presentations in the ED keeps us on our toes and requires our continued vigilance. It is...
Cannabinoid Hyperemesis Syndrome
HYPER-Emesis sounds gross! It sounds like something from a horror movie and invokes thoughts of demonic possession. Of course we deal...
Hemoptysis in Children
A child spewing bright red blood across the room will likely grab your attention, and potentially ruin your day. Fortunately, it...
Erythema ab Igne
Dermatologic eruptions (AKA rashes) exist on such an interesting spectrum – from unexciting to emergent. We’ve previously discussed my general approach...
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