Category Cardiology

Short QT Syndrome in Children

Short QT Syndrome in Children

Syncope is a common presentation in the Pediatric ED. While often it will be due to a benign etiology (ex, Hair Grooming Syncope), we know that there are many concerning conditions that we must consider. In the course of our…

Anticoagulation Related Bleeding – Use of Prothrombin Complex Concentrate

Prothrombin Complex Concentrate for Anticoagulation Reversal

Children occasionally deal with “adult” medical problems (ex, Pulmonary Embolism, Cholecystitis, Renal Stones, DVTs) and, hence, may require medications that we don’t typically encounter in the pediatric patient populations. One of my least favorite medications seen on the adult and…

Pediatric Murmurs

Pediatric Murmurs

Ok, so I know that we are in the middle of a Pandemic of COVID-19, but we still need to stay vigilant for all the other treacherous and challenging conditions. With all of the anxiety that is surrounding the pandemic,…

Posterior Reversible Encephalopathy Syndrome in Children

Posterior Reversible Encephalopathy Syndrome in Children

2020! What a great year to focus on good clinical vision! Obviously, in children, what we most often see is, fortunately, the benign conditions; however, it takes our vigilant vision to spot the unusual to help us avoid the life…

Newborn’s Heart Rate Determination

Newborn Heart Rate Determination

We are often drawn to new techniques and methods. While we may become enamored with exotic management strategies (ex, ECMO in the ED, Delayed Sequence Intubation), focusing on the basics is vitally important to the successful management of even the…

Left or Right Ventricular Hypertrophy on Pediatric ECG

Left or Right Ventricular Hypertrophy on Pediatric ECG

Pediatric ECGs are useful screening tools that we like to use for cases of Syncope or Chest Pain. While we may be actively looking for signs of Prolonged QTc, Brugada Sign, WPW, or Pulmonary Embolism, what we may find, instead,…

Upside Down Vagal Maneuver for SVT

Upside Down Vagal Maneuver

Cardiac arrhythmias and conditions in children certainly warrant our concern. The entire clinical spectrum is challenging to evaluate and manage; from the subtle presentation of heart failure or overt shock. Additionally, management may also warrant concern for other important diagnoses…