Sean M. Fox

Sean M. Fox

Atropine Not Needed for RSI

We have covered several other pediatric EM myths and misconceptions previously: Cuffed ETT are ok, a doughnut is not a good shape for LP Positioning, the 500:1 rule should not be used, Oral Rehydration is faster than IV, and you can/should give morphine…

Commotio Cordis

Thoracic trauma is a significant cause of morbidity and mortality in children.  We have already discussed the most common conditions associated with pediatric thoracic trauma (Pulmonary Contusion and Pneumothorax). We have also covered some procedural strategies for managing the child…

Button Battery Ingestion

We all know that kids love to put odd objects in their mouths (and ears, and nostrils, and other interesting places).  We also know that this can cause significant problems and lead to true emergencies.  The location of the object…

Bicillin CR vs LA

  Last week we discussed the value of the tried and trusted antibiotic, Penicillin, for pneumonia. In the past we have also mentioned Acute Rheumatic Fever and the management of Strep Pharyngitis. We know that the therapy of choice for Strep Pharyngitis…

Penicillin for Pneumonia

Infectious diseases are commonly considered when dealing with pediatric patients.  We have covered topics in this realm numerous times (I believe that this would be the 64th Morsel in the ID category).  One of the more prevalent considerations is pediatric…

Ketamine for Analgesia

Last week’s Morsel discussed patellar dislocations and mentioned the use of nitrous oxide to assist with the reduction.  Many of you had great feedback on other pain management options (thank you!).  Obviously, the management of pain is one of our…

Patellar Dislocation

We all like to feel like we can heal with our hands.  For this reason, simple reductions are sometimes welcome complaints in your ED that is filled with copious rhinorrhea and voluminous emesis.  We have discussed feeling like Mr. Miyagi…