Sean M. Fox

Sean M. Fox

ALCAPA – Anomalous Left Coronary Artery from the Pulmonary Artery

ALCAPA - Anomalous Left Coronary Artery from the Pulmonary Artery

Embryology is amazing. Seriously. Think about it. Growing from one cell to all of the complex structures that form our organs is literally miraculous. It is shocking that it is able to occur correctly at all and it should be…

Erythema Multiforme in Children

EM Minor

Parents pay a lot of attention to the skin of their child and, certainly, the skin exam is a valuable tool for the vigilant clinician (ex, Cap Refill, Petechiae below Nipple Line, Leukemia, RMSF). That being said, the majority of…

Capillary Refill & Shock

Delayed Cap Refill

The critically ill infant and child can be “tricky” to spot sometimes. Often the phrase “That kid just doesn’t look right,” is heard around the room of critically ill children. So we recognize that “something isn’t right,” but have a hard time putting…

Epididymitis in Children

Epididymitis in Children

One of the great aspects of working in my ED is being surrounded by a multitude of amazing and brilliant teammates. One, Dr. Christyn Magill, recently provoked this Morsel of knowledge: just because it ends in “-itis” does not mean…

Frenulum Tear

Torn Frenulum

Have you ever been told that something “isn’t a big deal” only to later find out that it was? Of course, any one who is in a significant relationship with another person has experienced this phenomenon. I, myself, may be…

Incision and Loop Drainage of Abscess

Incision and Loop Drainage

Performing procedures is obviously an important aspect of what we do in the Emergency Department. Our procedural prowess is depended upon by our patients and their families. We have discussed several procedural strategies previously (ex, Suturing, Tongue lacerations, Spinal Tap,…

Absorbable Sutures

Absorbable sutures for facial lacerations

Wound care is a common issue in the ED. Certainly, not all wounds are created equal. We have discussed eyelid lacerations and tongue lacerations. We have also discussed my favorite wound closure technique: tissue adhesives. While tissue adhesives are pretty…