Sean M. Fox

Sean M. Fox

Low Risk for Intra Abdominal Trauma

We have discussed pediatric trauma several times within the PedEM Morsels (Splenic Injury, Head Injury, Pneumothorax, etc), because it is often a source of trepidation, confusion and concern.  This often leads to over-reliance on ionizing radiation to help alleviate concern.  Naturally, this is…

Spleen Injury

Recently we discussed abusive occult abdominal injuries and how a high index of suspicion is often required as the physical exam can be misleading.  The same is true with respect to accidental injuries, which are the leading cause of morbidity…

Baclofen Pump

  Medical technology continues to advance with the goal of improving patient care, but as the march toward the future seems to occur more rapidly each year, it is our challenge to stay abreast of the good and the, potentially,…

Dexamethasone for Asthma

Reactive airway disease is a prevalent problem and, therefore, a common topic for the Morsels.  We have discussed my preference for MDIs over Nebs as well as the utility of Magnesium.  In addition, we have covered mechanical ventilation for asthma…

Lactate Level in Kids

Patients’ families often present to us requesting “bloodwork” to make sure that the child is not “sick” or to tell them “what’s wrong.”  While we all know that no lab can be used to proclaim complete certainty of a patient’s…

Rectal Prolapse

  Parental concerns, appropriately, drive a lot of the traffic to our Emergency Departments.  Managing concerns and expectations is part of the art of what we do.  When a child develops Rectal Prolapse, there are often a lot of concerns,…

Occult Abusive Abdominal Injury

  Numerous trauma related topics have been covered within the Morsels (ex, pneumothorax, c-spine injury, aortic trauma, head trauma), but, unfortunately, not all trauma that children suffer is accidental. Non-accidental Trauma / Child Abuse is a prevalent concern for us as we care…