Strep Pharyngitis Testing in Toddlers?
Strep pharyngitis testing is common in the ED, but we may be a little excessive in our search for strep pharyngitis in toddlers (< 3 years of age). Let us take a minute to review the guidelines.
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.
Human Trafficking in the Pediatric ED
Human Trafficking is a prevalent problem that deserves our attention. Let us review possible presentation of Human Trafficking in the Pediatric ED.
Distal Intestinal Obstruction Syndrome and Cystic Fibrosis
Constipation is a chronic complication of cystic fibrosis, but we need to also consider Distal Intestinal Obstruction Syndrome (DIOS) in these patients.
Febrile Infants 8 to 28 Days Old! Pediatric Fever Update
For this Morsel, let us consider the new AAP guidelines and the evaluation and management of the well-appearing febrile infant 8 to 28 days of age.
Pediatric Fever Update: Febrile Infants 29 to 60 Day Old!
For this Morsel, let us consider the new AAP guidelines and the evaluation and management of the well-appearing febrile infant 29 to 60 days of age.
Pediatric Sinusitis Complications
Sinusitis is often diagnosed in patients with fever and nasal drainage, but often it is not severe. It can, however, become severe. Let's review Pediatric Sinusitis Complications.
Ewing Sarcoma
Many times providers convey to me that their greatest concerns come from the thought of having to care for the critically ill pediatric patient. Unquestionably, this patient deserves a high level of respect and is why we have an entire…
Depo-Provera Administration in Ped ED
In the past we have discussed the administration of chronic medications (ex, Controller Meds for Asthma) and vaccinations that previously were felt to belong only in the Primary Care Setting. Clearly, the patient’s location matters less than what care she…
Apt-Test for Neonatal Hematemesis
We all are well aware that there are many perils and pitfalls awaiting those who choose to trust a neonate. It is not that the neonate is innately malicious or malingering. She or he is clearly not determined to be…
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…
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…