For Emergency Physicians, neonatal “issues” often fall into one of two categories: 1) terrible, life-threatening disasters (ex, Necrotizing Enterocolitis, HSV, Congenital Heart Disease) and (2) I have no clue what that is, but it seems like your Primary Care Provider…
This week I had the pleasure of working with my dear colleagues during the Pediatric Procedure Course at ACEP/AAP Advanced Pediatric Assembly. We covered numerous important procedures, but one that deserves mentioning here is the use of Pigtail Catheters for…
Accidental injury (Trauma) leads to more pediatric deaths than ALL OTHER CAUSES COMBINED! Fortunately, unlike in adults, thoracic trauma is less common in kids (only 4-6% of pediatric traumas). Unfortunately, it is the SECOND leading cause of death after blunt…
Like Sisyphus, you may feel that you are continually pushing a diagnostic boulder up a mountain only to watch it roll back down. Certainly, some diagnoses offer less of an incline to overcome; however, others, like Chronic Recurrent Abdominal Pain (CRAP),…
As you know, a common theme of the Ped EM Morsels is Vigilance: many potentially severe conditions present similarly to benign illnesses. Kawasaki Disease, Rhabdomyolysis, Crohn’s Disease, and Compartment Syndrome are conditions that come to mind; however, one that warrants special consideration…
Cerebral edema is the most feared emergent complication of pediatric diabetic ketoacidosis. Fortunately, it is relatively rare, but the rarity can lead to some confusion when it comes to its management. We recently discussed the use of mannitol and…
In general, I try to do things that make my life easier. Selfish or Brilliant? I’ll let you decide. But on occasion, choices that we think should make things easier actually can be counterproductive. A great example of this is…