Sean M. Fox

Sean M. Fox

Pneumomediastinum

Every so often you encounter a patient that has a finding that catches you by surprise.  Like having air in places that should not have air in them.  We have discussed spontaneous pneumothorax and traumatic pneumothorax in children as well as how to…

Medication Errors

Certainly, the PedEM Morsels promote a need for vigilance!  Vigilance is required to find those troublesome conditions that masquerade as benign conditions (see Inborn Errors of Metabolism, Meningococcemia, and Neonatal Seizures for a few examples).  Vigilance, however, is not just…

Developmental Milestones in the ED

Full Disclosure: I am the proud product of Combined Emergency Medicine and Pediatric training (thank you mentors Mattu, Rogers, Winters, Carraccio et al at U of Maryland).  As such, I worked nearly equal amounts of time in the Emergency Department…

Mechanical Ventilation for Severe Asthma

“Wheezing” is a prominent complaint in the Ped ED and it has been a frequent topic of the PedEM Morsels.  We have covered a wide variety of Asthma management aspects: from initial therapies (MDIs vs Nebs) to potential hydration issues;…

Damage Control Resuscitation

  Damage Control Resuscitation has been the hot topic to discuss in the adult trauma bays.  Naturally, this conversation has been also heard more commonly during pediatric trauma resuscitations.  What is it and does it really apply to kids?  Great…

Anaphylaxis

  Sitting next to my son, who is rather red-cheeked with his current fever, consuming a herculean amount of cartoons, I was reminded of one of my favorite shows when I was young: GI JOE.  “Knowing is half the battle,”…

Appendicitis Clinical Decision Rules

  Often the Ped EM Morsels discuss diagnoses that emphasize astute clinical skills and vigilance while minimizing the importance of laboratory testing.  Appendicitis is a great example of this! Many of you already know my disdain for the ubiquitous WBC…