Category 2013 Morsels

Avoid Oxygen Desats

  Recently we discussed the use of noninvasive ventilation in kids presenting with respiratory distress.  Despite enjoying procedures, I do fell good about myself when I have been able to avoid intubating a child. Unfortunately, that is not always possible…

Acute Chest Syndrome

We have discussed previously (in Splenic Sequestration – Be a Spleen Detective!) how being vigilant for “badness” is paramount when caring for patients with sickle cell disease.  Often, the dreaded complications that we are taught to look for don’t present…

Noninvasive Ventilation

The decision to intubate a patient is, unquestionably, one of the most significant (and at times intimidating) decisions that we make.  In preparation and consideration for all of the potential complications and outcomes of the intubation, it is common to…

Magnesium for Severe Asthma

I love fireworks! It is fun to say “Ooh and Ah!” while pontificating the amazing chemical reactions that are being displayed (ok, it is a little Geeky, but true). Magnesium is quite brilliant when ignited. Interestingly, the use of magnesium…

Prolonged QTc and Submersion Injuries

For those of us in the Northern Hemisphere, summer is in full swing!  Naturally, as we celebrate with out families, we know the number of pediatric injuries we care for in our EDs will increase significantly.  One that we unfortunately…

Pediatric Red Eye

Yes, when it is 3am in the Peds ED and there are 20 patients waiting to be seen, the chief complaint of “red eye” on the chart can be seen as a “easy” disposition: “Conjunctivitis. Polytrim. Discharge.” Ok, being superiorly…

Hyperpyrexia

It is often said that fever never goes unnoticed by parents. I think most of us would agree with that and that there seems to be a direct correlation between the level of parental concern and the level of elevation…