Sean M. Fox

Sean M. Fox

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…

Mollaret’s Meningitis

  The best part of working in the Emergency Department at Carolinas Medical Center is being surrounded by so many brilliant colleagues.  I learn something new every shift (and, in truth, is where the majority of these Morsels are baked).  Today’s…

Facial Nerve Palsy

There are many conditions that exist in both Pediatric and Adult patients who present to the ED.  Some of them require special consideration when you are evaluating the special population of pediatric patients (please don’t say “kids aren’t little adults”……

Neonatal Leukemia

We have discussed numerous common neonatal issues (ex, Analgesia, Umbilical Granuloma, Neonatal Tooth, Hyperbilirubinemia).  Many of us have learned that neonates are challenging and demand respect.  Even the most proficient practitioner will be apprehensive of the sick neonate, given that there are…

Optimize Chest Compressions

  On occasion, I get the honor of being to “asked” to help with my daughter’s homework. It isn’t common, fortunately, as I don’t recall middle school algebra that well, but recently I was emphasizing the fact that you cannot expect…

Intussusception & Altered Mental Status

Evaluating the child with altered mental status can be very challenging.  As with adults, there are a myriad of potential etiologies and it can be difficult to prioritize the order of the evaluation.  Does this patient have an intracranial process…

Intranasal Analgesia

Being flexible and creative are important traits to have while working the ED.  It is also vital to always keep the end result in mind.  Pain control is always an important endpoint for us to constantly consider.  While most of us…