Evaluating and managing the child in SHOCK is certainly challenging. Identifying it (ex, Cap Refill, Shock Index, Lactate level) is challenging. Treating it is also challenging (see, Epi over Dopa). The challenge of determining the cause, though, should not be…
There are a number of conditions that were once very prevalent that immunizations have made less commonplace. While they may be less common, they may still occur and we should remain vigilant for them (see, Measles, Mumps, Tetanus, Pertussis). Recently,…
Electrocardiograms are fun to look at: like abstract art that hangs in a fancy museum, their beauty is often in the eye of the beholder. That being said, they are a vital tool to interpret. There are several situations when…
Sometimes it seems like the intestines are connected to every organ system as children present with abdominal complaints related to so many conditions. These can be intra-abdominal issues (ex, CRAP, Appendicitis, Intussusception, Hirschsprung’s) as well as extra-abdominal issues (ex, Strep Pharyngitis, Pneumonia, Testicular Torsion, HSP). Unquestionably, the…
Hernias can lead to significant pain and even emergent complications. We have previously discussed inguinal hernias and the need to always consider them as a cause of inconsolability or acute abdominal pain and/or vomiting in a child. It is really…
Hands are, obviously, useful. They allow kids (and all of us) to explore, interact, and manipulate the world. This utility, however, often places them in precarious situations and hazardous locations. Hand injuries are commonly encountered in our EDs (ex, Subungal…
Humans are complex creatures and caring for them is challenging (to say the least). In order to provide superior care for all of the kids we see, we need to know the critical (ex, SHOCK, Difficult Airway, and Necrotizing Enterocolitis),…