Category 2018 Morsels

Local Anesthetic Systemic Toxicity and Lipid Emulsion Therapy

Local Anesthetic Systemic Toxicity and Lipid Emulsion Therapy

Managing injuries is all too common when caring for children. Whether it is a Fish Hook where it shouldn’t be or a Tongue Laceration or whether it is Mandibular Fracture or a Facial Laceration, anticipating and managing the child’s pain is critical!…

Cecal Volvulus in Children

Cecal Volvulus in Children

Abdominal Pain is a common complaint in children and may be due to a wide variety of conditions, both severe and benign (ex, Appendicitis, Strep Throat, Constipation, and Chronic Recurrent Abdominal Pain). It really can test our clinical skills. Is…

Huffing Hydrocarbons: Inhalant Abuse

Inhalant Abuse

Substance abuse is not only an adult patient problem. Alcohol and illegal drug abuse, unfortunately, also afflicts our pediatric population too. While many of us are accustomed to dealing with the ramifications of such substance abuse in our patients, teenagers…

Pleural Effusion and ReExpansion Pulmonary Edema

Pediatric Pleural Effusion and Reexpansion Pulmonary Edema

Respiratory Distress is a common emergent complaint encountered when caring for children. Whether it is Out of Control Asthma or Pneumonia, or Severe Croup or Aspirated Foreign Bodies, or Bronchiolitis or Heart Failure, or Spontaneous Pneumothorax or Traumatic Pneumothorax … (goodness, that is a…

Pediatric Traumatic Hip Dislocation

Pediatric Traumatic Hip Dislocation

Pediatric hip pathology is a common consideration. From SCFE to Legg Calve Perthes Disease and from Septic Arthritis to Osteomyelitis, there are many conditions that may present with hip pain. Of course, trauma is the most common cause of morbidity and…

Pediatric Urticaria

Urticaria

Urticaria (AKA Hives) are commonly encountered in the ED. When they occur with respiratory distress, vomiting, trouble swallowing / intra-oral swelling, or hypotension we become quite aggressive (See Anaphylaxis); however, if they occur in isolation, we may become less vigilant.…

Pediatric Paraphimosis

Pediatric Paraphimosis

Genital problems are not pleasant for anyone involved, especially the patients. Whether twisted (ex, Ovarian Torsion, Testicular Torsion, Appendix Testis Torsion) or inflamed (ex, phimosis, PID) they are painful and garner much attention. One condition that will unquestionably grab everyone’s attention is…