Caring for children in the ED can be challenging for certain. Managing the critically ill child requires a lot of skill and action (ex, Can’t Intubate, Can’t Ventilate and Hypercyanotic Spell). Remaining vigilant for the subtly sick takes a lot of…
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…
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…
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…
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…
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…
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…