Stress Dose Steroids
Caring for patients is extremely rewarding… but it can also be rather Stressful. There are many complex math problems to solve...
Ped EM Morsels Tasty Morsels of Medical Education
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Laryngeal Mask Airway for Neonatal Resuscitation
It is fun to be able to check the “Learned Something New Today” box! Having just attended ACEP 2019 in snowy...
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Tumor Lysis Syndrome
The lysis of tumor cells is one of the goals of successful treatment of cancer. Unfortunately, “Cancer SUCKS!” and even when...
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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...
Thank you all!
Several years ago I gave a presentation that I concluded with the G.B. Stern quote, “Silent gratitude isn’t much use to...
Thoracic Outlet Syndrome in Children
Keeping a broad differential list is imperative to our task of being medical detectives. Avoiding premature closure of that Ddx list...
Finger Fractures in Children
The hand and fingers are incredibly complex… and tremendously important to all of us (that opposable thumb is what helps us...
Patellar Sleeve Fracture
We know that one of the unique aspects of children that must be accounted for when evaluating kids is their anatomic...
Pediatric Breast Mass and Abscess
Emergency Medicine is very complex, but it also can be rather straight forward. If there is a fish hook in there,...
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...
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