Primitive Reflexes in Infants
I hope that by now you know that I am not a proponent of the phrase “Kids aren’t little adults,” preferring to focus on ensuring we are all empowered to learn and recognize the variance in anatomy and physiology in…
Sean M. Fox
I enjoy taking care of patients and I finding it endlessly rewarding to help train others to do the same. I trained at the Combined Emergency Medicine and Pediatrics residency program at University of Maryland, where I had the tremendous fortune of learning from world renowned educators and clinicians. Now I have the unbelievable honor of working with an unbelievably gifted group of practitioners at Carolinas Medical Center. I strive every day to inspire my residents as much as they inspire me.
Traumatic Vertebral Artery Dissection in Children
Oh, trampolines how I despise you. No, I am not a killjoy. Yes, I am a hypocrite (as I once enjoyed flinging myself through the air as I tried to test my immature abilities to avoid other human flying objects…
Febrile Infection-Related Epilepsy Syndrome (FIRES)
Managing seizures and seizure disorders in children is a required skill for emergency medicine providers. Clearly we know to never let hypoglycemia fool us and to always consider other seizure mimics. Fortunately, most seizures will spontaneously resolve and then we…
National Pediatric Readiness Project
As you all know, one of the common themes of the Ped EMMorsels is remaining vigilant. Clearly it requires our vigilance to find those elusive, rare, yet life-threatening conditions (ex, IEM, CHF, Coarctation) that mimic the more common and benign…
Chimeric Antigen Receptor T Cell (CAR T cell) Therapy Toxicities in the ED
Like Homer, I have thinning hair and really enjoy a cool CAR! Unlike Homer, I always wear my seatbelt and know a CAR can be hazardous! Oh… and yeah,… I also have learned that not all cars have 8 cylinders…
Nasal Septal Hematoma in Children
The nose is important. Certainly our appreciation of the nasal cavity has increased during the current COVID-19 pandemic as we now ask everyone about their sense of smell, but let us not forget some other important nostril considerations. We know…
Rat Bite Fever in Children
I often think of our medical knowledge as a collection of cross-referenced manilla folders that are stored in giant drawers in a large web of neurons. In the beginning, those folders have labels but are filled with sparse information. Through…
Mycoplasma Pneumoniae Induced Rash and Mucositis
We all know that I am not a “fan” of rashes and this is why I have a general “approach to pediatric rashes.” Part of this approach is perception of “sick vs not sick” and an assessment of the mucous…
Slipping Rib Syndrome
Evaluating patients and developing a differential diagnosis list can be a slippery slope. Multiple cognitive errors (ex, premature closure, confirmation bias) are potentially just waiting to push you down that slope in the wrong direction. One region that can be…
Pediatric Resuscitation Pitfalls
Caring for children who present in distress is clearly challenging. There are innumerable conditions and entities to rapidly consider (ex, IEM, Heart Failure, Aortic Coarctation, Asthma, Hypoglycemia, Congenital Adrenal Hyperplasia, Thyroid Storm, … Occult Abdominal Trauma) while deftly taking critical…
Necrotizing Fasciitis in Children
Soft tissue infections are commonly encountered when caring for children. From finger infections (Whitlow, Flexor Tenosynovitis) to faces (Periorbital cellulitis, Orbital cellulitis) and within pits and creases (Intertrigo, Perianal Strep), anywhere there is skin we may find an infection. Certainly,…
Roseville Criteria for Pediatric Fever
FEVER! It demands a lot of our attention when caring for children. Appropriately, it has also been baked into many delicious Morsels. Certainly, there are numerous Infectious Diseases to consider and, of course, there are concerns when we can’t discern…