Sean M. Fox

Sean M. Fox

Pediatric SHOCK Index

Fortunately, the critically ill child is not as common in the Emergency Department as the critically ill adult. Unfortunately, when the critically ill child does arrive, it can be challenging to recognize him/her initially. This can lead to delays in…

Laundry Detergent Pod Toxicity

  We have discussed previously how poisonings (Childhood Injury) is one of the top leading causes of death in children.  Obviously, knowing your friendly, neighborhood toxicologist or the number to the local Poison Control Center is very helpful when working in…

Gun Safety

  Judging for the fact that the Post-Tonsillectomy Hemorrhage morsel gets more views than any other, I know that most of you are interested in critical care and “exciting” topics. Certainly, your heroic efforts are occasionally necessary to help positively…

Koplik Spots

  We all know that our diagnosis is built upon the foundation of the history and physical exam. One of the challenges in caring for children in the ED is that the physical exam can be, at times, difficult to…

Migraine Cocktail

  Naturally, the differential for headache in pediatric patients is vast and includes conditions ranging from strep throat to Pseudotumor and pneumonia to AVM. Occasionally, we have to perform invasive tests like Lumbar Punctures to help evaluate the headache. Fortunately,…

Asthma Control

              I know that everyone wants to discuss critical care topics like delayed sequence intubation, management of post-tonsillectomy hemorrhage, or damage control resuscitation.  I agree, they are part of what makes Emergency Medicine exciting…

Inguinal Hernia

The patient with a swollen and/or painful scrotum will usually not go unnoticed. We have previously discussed testicular torsion and the association of the acute scrotum and HSP.  We have also discussed the presentation of Varicoceles. Now let us look…