Prolonged QTc
We obtain ECGs for a number of reasons in the ED, but in the pediatric ED, we often obtain them in the child who presents with a complaint related to syncope. We have discussed syncope issues previously (Syncope, Hair-combing syncope,…
Category 2014 Morsels
Submersion Injury Prevention
Working in the Emergency Department places us in a unique position to allow our words to have a significant impact with our patients and their families. While this time of year brings submersion injuries to the front of our minds…
Nephrotic Syndrome
We have previously discussed several kidney related issues: Hypertension Crisis, Kidney Stones, HSP, Rhabdomyolysis and Proteinuria. Wanting to remain vigilant for the big, bad, and ugly conditions that may be lurking, let us explore another renal related condition: Nephrotic Syndrome. Nephrotic…
Hemophilia in the ED
I think that we would all agree that “bleeding” as the chief complaint catches your attention in the Peds ED (or any ED for that matter). We have previously covered Post-Tonsillectomy Hemorrhage, oropharyngeal trauma, Hemorrhagic Disease of the Newborn, ITP and the…
Atropine Not Needed for RSI
We have covered several other pediatric EM myths and misconceptions previously: Cuffed ETT are ok, a doughnut is not a good shape for LP Positioning, the 500:1 rule should not be used, Oral Rehydration is faster than IV, and you can/should give morphine…
Commotio Cordis
Thoracic trauma is a significant cause of morbidity and mortality in children. We have already discussed the most common conditions associated with pediatric thoracic trauma (Pulmonary Contusion and Pneumothorax). We have also covered some procedural strategies for managing the child…
Button Battery Ingestion
We all know that kids love to put odd objects in their mouths (and ears, and nostrils, and other interesting places). We also know that this can cause significant problems and lead to true emergencies. The location of the object…