Syncope occurring in children is often encountered. We have previously discussed the basics of pediatric syncope and even touched on some interesting entities related to syncope (ex, Hair Grooming, Breath Holding Spell, Brugada, Prolonged qTC, Sinus Bradycardia, and Heat Related Illness).…
Many conditions may present subtly in children (ex, Inborn Errors of Metabolism, HUS, Pneumonia), but the subtle presentations of cardiac disease are often the most attention grabbing. We have previously discussed Subtle Signs of Heart Failure and Myocarditis. Let us take a…
Pediatric shock warrants great concern. Whether it is caused by Sepsis, Hypovolemia, Obstructive process (ex, Tamponade, PE, Pneumothorax), Cardiogenic conditions, or “K“ortisol deficiency (Yes, I know it should be “Cortisol”… but then it wouldn’t spell SHOCK.) there are many management…
Kids do odd things. Some of these “odd things” we attribute to exploring and learning about the world (ex, putting objects in nostrils, ears, or mouth). Other times the “odd conditions” are not quite explained, but are well described as…
Vacation can be so blissful! But, sometimes, that “EM mind” just won’t turn off. Have you, like a thirsty vampire, ever glanced at someone’s neck and admired the large external jugular veins? Do you pack your extra supply of suture…
Syncope is a rather common presentation in the Pediatric ED. While the etiology is most often a benign one, our vigilance assists us in detecting some of the more concerning entities. Yes, the episode may have been caused by Hair-Grooming,…
The PedEM Morsels often focus on remaining vigilant. That certainly does not mean ordering a million unnecessary tests, but rather strives to augment our awareness of the complex systems we evaluate and appreciate that certainty is a fool’s proclamation.…