Category 2011 Morsels

Traumatic Pneumothorax

We all know that kids are not little adults (seriously, how many times can we hear that?), but when we consider procedures it important to appreciate that there are differences. The most important being that EVERYTHING is just smaller, which…

Hypothermia in a Neonate

Well, it is officially cold now and this fact was highlighted during my last shift in the Peds ED when two patients presented with parents concerned for their children having “low temperatures.” This begs the questions (and was actually later…

Minor Closed Head Injury – the 3 month old Caveat

Minor Closed Head Injury – The 3 month old Caveat We are all accustomed to the issues that surround pediatric head injury. • Traumatic brain injury is the leading cause of morbidity and mortality worldwide. • Prompt management of patients…

Transillumination for and Aspiration of Pneumothorax in Neonates

We mentioned in last week’s Morsel that for neonates not responding to resuscitative efforts, that you can transilluminate the chest to determine if there is a pneumothorax present. Let’s finish that discussion: Neonates are prone to developing a pneumothorax. Lack…

Neonatal Resuscitation

It is October and all of the stores have their scariest Halloween devices out… but nothing will make you loose your breath more quickly than a woman delivering precipitously in your ED! When you are awoken from your regular workflow…

Constipation – It’s a dirty job, …

  We evaluate a lot of patients with abdominal pain. We are actively search for appendicitis and get a slight sense of self-satisfaction when we diagnose it. Conversely, constipation is many times the default diagnosis in the patient with unclear…

Oral Rehydration Therapy for Acute GastroEnteritis

This time of year brings so many fond memories to mind: jumping in piles of leaves (after someone else rakes them preferably), breaking out the wind-breaker jackets, going to football games, and carving pumpkins. All fun things!! Another memory that…