Road Rash
Certainly, pediatric rashes can be a challenge (and we have discussed my “Approach to the Pediatric Rash” previously). One “rash,” however, deserves particular attention as it is not a Rash at all: it is a Burn! Let’s remain vigilant for…
Sean M. Fox
Endocarditis in Children
Many conditions may present subtly in children (ex, Inborn Errors of Metabolism, HUS, Pneumonia), but the subtle presentations of cardiac disease are often the most attention grabbing. We have previously discussed Subtle Signs of Heart Failure and Myocarditis. Let us take a…
Negative Pressure Pulmonary Edema and Croup
Caring for patients is very humbling. I once described the EM Mindset as being one that requires Humble Arrogance (See EMDocs.net) – requiring humility to know you can’t know it all and arrogance to believe that your skills can make a…
Spinal Needle Stylet Hokey Pokey
Certainly, one of the most common procedures in the Ped ED is the lumbar puncture. We have discussed efforts to ensure that our first attempt is our best attempt: good positioning and analgesia are critical. We have also discussed how to deal with the…
Straddle Injury
Injuries happen. Big injuries and small injuries occur at rates that continually hone and refine our skills and, potentially, deplete our stores of ketamine. We have covered a wide variety of injuries in the past from head to finger and…
Sickle Cell Trait
We have discussed many medical “myths” previously (ex, Atropine for RSI, Cuffed ETTs, ORT vs IVF, Morphine for Appendicitis), but recently one of my esteemed PEM Fellows enlightened me about another. We have touched on some of the complications that…
Epinephrine for SHOCK
Pediatric shock warrants great concern. Whether it is caused by Sepsis, Hypovolemia, Obstructive process (ex, Tamponade, PE, Pneumothorax), Cardiogenic conditions, or “K“ortisol deficiency (Yes, I know it should be “Cortisol”… but then it wouldn’t spell SHOCK.) there are many management…