Category 2015 Morsels

Osteosarcoma

We all know that when you “hear hoofbeats, think of horses” and when you “see stripes, think of zebras.”  Unfortunately, the horses and zebras often look similar.  While tachypnea is most often due to a viral process like Bronchiolitis, or…

Osgood Schlatter’s Disease

  Musculoskeletal complaints are common in the pediatric Emergency Department. As I sit here watching March Madness Basketball (for those not in the US, that is our college basketball tournament, during which my wife consistently humiliates me by picking the…

Hair Tourniquet

  Simple answers are always better than complicated ones. Often we get caught focusing on the complex and can forget that Basics are the Best (ex, Pediatric Shock Index, Optimize Chest Compressions, and Penicillin for Pneumonia)! Often, I have found…

Pediatric SHOCK Index

Fortunately, the critically ill child is not as common in the Emergency Department as the critically ill adult. Unfortunately, when the critically ill child does arrive, it can be challenging to recognize him/her initially. This can lead to delays in…

Laundry Detergent Pod Toxicity

  We have discussed previously how poisonings (Childhood Injury) is one of the top leading causes of death in children.  Obviously, knowing your friendly, neighborhood toxicologist or the number to the local Poison Control Center is very helpful when working in…

Gun Safety

  Judging for the fact that the Post-Tonsillectomy Hemorrhage morsel gets more views than any other, I know that most of you are interested in critical care and “exciting” topics. Certainly, your heroic efforts are occasionally necessary to help positively…

Koplik Spots

  We all know that our diagnosis is built upon the foundation of the history and physical exam. One of the challenges in caring for children in the ED is that the physical exam can be, at times, difficult to…