Plantar Puncture Wound
The best lesson learned from the first Die Hard movie = never take your shoes off and shoot out glass windows. Ok, maybe I’m the only one who learned that lesson from the movie, but it is because I hate plantar…
Category 2013 Morsels
Eyelid Laceration
We all know injuries are a common occurrence in the Ped ED. It has been estimated that ~25% of children seek medical attention each year for an unintentional injury! Now that is a lot of kids (naturally, with a wide…
Necrotizing EnteroColitis
Over the years (yes, we have been doing the Ped EM Morsels that long), we have covered several intestinal disasters: for example, HSP and Intussusception, Malrotation, Intussusception, Hirschsprung’s and Enterocolitis. Yes, the differential for the neonate or young child with…
Pica
Growing up, we all knew “the kid who eats dirt” and if you don’t remember “the kid,” it is likely because you were that kid. And look at you now… you’ve grown up so nicely. So how can eating dirt…
Periorbital Cellulitis
The complaint of “red eye” is frequently encountered in the Peds ED. We have entertained some considerations with respect to Conjunctivitis (especially in neonates), but occasionally, instead of seeing the “red eye” we were expecting, we see a child who…
Morphine and Appendicitis
Morphine and Appendicitis “Don’t give the kid with potential appendicitis morphine!” the pediatric surgeon exclaims. Doing so will obscure their exam and delay the diagnosis… and that will make the surgeon angry… and you wouldn’t like it when the surgeon…
Cuffed Endotracheal Tubes in Children
We all are aware that the pediatric airway is different than an adult airway, so it seems reasonable that the selection of an endotracheal tube would lead to a different result compared to an adult. We have all be taught…