Category 2018 Morsels

Parental Guidance in the Pediatric ED

Parental Guidance

Certainly saving lives is an exciting and rewarding aspect of our roles in the Pediatric ED; however, not all encounters need Chest Compressions and Epinephrine.  I do believe that we are uniquely positioned and trained to discover what each patient…

Urinary Tract Infection (UTI) Algorithm

Urinary Tract Infection (UTI) Algorithm

It often seems that we are on the search for the omnipresent Urinary Tract Infection (UTI) in the Pediatric ED. “You have fever? Let’s check the urine.” “You have belly pain? Let’s check the urine.” “You think your urine smells funny?…

Chicken Pox (Varicella)

Chicken Pox

When I was young, Chicken Pox Parties were all the rage! Yup… a party to expose kids to illness (well, I guess it’s not the only illness associated with “parties” – ex, STDs), but the possible complications of Chicken Pox…

Group B Strep (GBS): Early, Late, and Very Late

Group B Strep

GBS, E. Coli, and Listeria: everyone is aware that those are the bad bugs we worry about in the sick neonate. We even, sometimes, worry about them in the well appearing neonate who is febrile (Never Trust a Neonate!). We…

Tracheitis in Children: a 2018 Update

Tracheitis in Pediatric Patients

Oh, the cacophony of coughing: it is like the theme music to the Pediatric ED during the winter months. While often benign, we do need to consider many conditions that may be the cause (ex, Pneumonia, Bronchiolitis, Asthma, Heart Failure).…

Carbon Monoxide Poisoning in Children

Carbon Monoxide Poisoning in Children

Currently, in the Northern Hemisphere, it is cold (Yes, I know my cold intolerance has been worsening as my hair gets more grey… but objectively, it is freezing!). The time of year certainly affects what conditions we must consider when…

Horse Related Injuries in Children

Horse Related Injuries in Children

After last week’s Morsel, many of you may have felt that I was unjust in my singling out dogs and cats as potential causes of trauma in our children. While they certainly are the most prevalent inflicters of pain and…