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...
Ped EM Morsels Tasty Morsels of Medical Education
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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....
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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...
Measles Management in 2019
Measles was discussed in the PedEM Morsels in 2011 and again in 2015. Sadly, measles is even more important today for...
Post-Streptococcal Glomerulonephritis
Often our clinical role is similar to that of a detective. We carefully search a patient’s history and physical exam to...
External Ear Lacerations
Lacerations and injuries are pervasive in the Pediatric ED. While lacerations on the arms and legs deserve consideration (at least consideration...
Upside Down Vagal Maneuver for SVT
Cardiac arrhythmias and conditions in children certainly warrant our concern. The entire clinical spectrum is challenging to evaluate and manage; from...
Ultrasound for Pediatric Head Injury
Have you ever looked at your handy ultrasound and wondered: “What else can I scan with this?” Certainly, over the past...
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