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...
Ped EM Morsels Tasty Morsels of Medical Education
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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...
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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...
Group B Strep (GBS): Early, Late, and Very Late
GBS, E. Coli, and Listeria: everyone is aware that those are the bad bugs we worry about in the sick neonate....
Horse Related Injuries in Children
After last week’s Morsel, many of you may have felt that I was unjust in my singling out dogs and cats...
Animal Bite Wounds
Children love animals. They are cuddly and cute and, often, a great source of reciprocal love and affection. Unfortunately, that is...
Neonatal Acute Otitis Media
Ears! They are the focus of many ED visits! Things get stuck in them (ex, Ear Canal Foreign Body, Cerumen). They...
Pediatric Behcet’s Disease
There are numerous conditions that we all learned about in medical school, but then quickly allowed to fall to the deep...
Epiploic Appendagitis
Abdominal pain is a challenging complaint. We have to discern between the critical abdominal conditions (ex, Appendicitis, Volvulus, Pancreatitis) from the...
Multiple Sclerosis in Children
Evaluating children in the ED is challenging. They often have a difficult time describing specific symptoms. Moreover, the symptom description is...
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