Sean M. Fox

Sean M. Fox

Fontan Complications

Congenital Heart Disease

Fontan Complications As more and more children are having successful surgical procedures to compensate for congenital heart disease, the likelihood that one of these post-operative heart patients will present to your ED increases. It is necessary for us to stay…

Mastoiditis

Acute Mastoiditis – Conservative Management 2 Morsels ago (Yes you can mark the passage of time in “Morsels”) [HSP and Testicular Pain] we addressed some common themes of the Ped EM Morsels.  This week will highlight one of these themes…

Pediatric Hypercalcemia

Hypercalcemia in the Pediatric Patient in your ED. I would confidently announce that we, generally, order less reflexive blood work in the pediatric ED.  I would like to think that this is because we have consciously and carefully considered the…

HSP and Testicular Pain

HSP and Scrotal Pain

Just one more curve ball in the game of medicine.   There are several common themes that run throughout these PedEM Morsels (apparently I am not creative enough to develop other ideas).  We have discussed how we must be “ever…

Safely Remove Helmet and Shoulderpads

I love football! Ok… I mean American Football for those of you outside the US… Not that I don’t like soccer, certainly. But back to the point: I love football! Now it is football season again and life is good.…

Splenic Sequestration – Be a Spleen Detective!

A common theme of many of the PedEM Morsels has been the need to be ever vigilant. This is not in contradistinction to the adult side of the ED. Certainly vigilance is mandatory with all patient encounters; however, the fact…

Coarctation of the Aorta in Older Children

We have discussed my philosophy of pediatric EM prior: primarily it is composed of a wide variety of “grandma diagnoses,” that can be accurately diagnosed and managed by an astute grandmother.  Our purpose, however, is to not be another “grandma,”…