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...
Ped EM Morsels Tasty Morsels of Medical Education
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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....
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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...
Paradoxical Vocal Fold Movement
It is often stated that “not all that Wheezes is Asthma,” but actually recalling what is on that Differential Diagnosis list...
Salter-Harris Classification
It is July and here in the Northern Hemisphere that means two things: newly minted doctors and kids finding ways to...
What’s Your Clinical Question?
It may not be apparent, but the Ped EM Morsels have been a weekly publication since 2010 (actually really since 2008)....
Left or Right Ventricular Hypertrophy on Pediatric ECG
Pediatric ECGs are useful screening tools that we like to use for cases of Syncope or Chest Pain. While we may...
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...
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