Delivering Bad News in the Pediatric Emergency Department
So it is Friday the 13th in the year 2020… and I awoke in a cold sweat concerned. Concerned about what...
Ped EM Morsels Tasty Morsels of Medical Education
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Calcium Channel Blocker Overdose in Children
One of the greatest challenges (and also most stimulating) aspects of our profession is staying current with the evolving literature and...
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Spontaneous Bacterial Peritonitis in Children
Spontaneous Bacterial Peritonitis in Children? I know, you are shaking your head right now. “Come on, Fox! I’ve never seen that...
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Anticoagulation Related Bleeding – Use of Prothrombin Complex Concentrate
Children occasionally deal with “adult” medical problems (ex, Pulmonary Embolism, Cholecystitis, Renal Stones, DVTs) and, hence, may require medications that we...
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Hyperammonemia
The child with altered mental status certainly grabs our attention (rightfully so) and we have discussed several related topics. We often...
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Non-Convulsive Status Epilepticus
Most chief complaints generate a clear Differential Diagnosis (Ddx) list in your mind. There are the well-known, “big ticket” issues that...
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Bacterial Meningitis in Children
It is very clear that vaccinations have improved the health of children worldwide! From Measles to Mumps and from Tetanus to...
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Posterior Reversible Encephalopathy Syndrome in Children
2020! What a great year to focus on good clinical vision! Obviously, in children, what we most often see is, fortunately,...
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Nontraumatic AtlantoAxial Subluxation in Children
Children can have major conditions disguised as relatively minor problems. We often think of Inborn Errors of Metabolism presenting as innocuous...
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Stress Dose Steroids
Caring for patients is extremely rewarding… but it can also be rather Stressful. There are many complex math problems to solve...
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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...
Labial Adhesions and Topical Estrogen
While we often consider the Emergency Department as being present only for “major” problems, we all know that our services go...
Tethered Cord in Children
It seems that my patients teach me something new almost every clinical shift. Perhaps it is because I am getting older...
Neutralize Button Battery in the Esophagus
Last week was a highly productive week for my educational enlightenment. I learned that not all Compartment Syndrome is Acute… it...
Chronic Exertional Compartment Syndrome in Children
Just when you think you have a handle on patient complaints and have a refined working differential diagnosis list for each...
Neurocysticercosis in Children
While the current COVID-19 pandemic has significantly reduced travel (especially for those of us in the USA… hmmm… who would have...
Discitis and Spondylodiscitis in Children
We all know that caring for children can be tricky. Being a parent is certainly tricky… but trying to decipher the...
Short QT Syndrome in Children
Syncope is a common presentation in the Pediatric ED. While often it will be due to a benign etiology (ex, Hair...
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