Pediatric cardiac issues can make even the most experienced EM MD have axillary perspiration more than normal. We have covered many cardiac entities in the Morsels (Hypercyanotic Spells, Heart Failure, HTN, Coaractation, Fontan Complications, PGE1, Syncope, and Kawasaki Disease)…
For those of us in the Northern Hemisphere, summer is in full swing! Naturally, as we celebrate with out families, we know the number of pediatric injuries we care for in our EDs will increase significantly. One that we unfortunately…
I think that we’d all agree that 144/89 is not a normal blood pressure, but it is one that those of us who have the pleasure of caring for adults will look at with almost a sense of comfort –…
I am positive that everyone experienced some joyful palpitations on Valentine’s Day yesterday. As our hearts raced with excitement, I am also sure that many of us considered ordering some adenosine… just in case. While it has been fun pondering…
Subtle Signs of Pediatric Heart Failure For anyone who spends time in the Adult ED, signs and symptoms of heart failure become rather conspicuous. The increased work of breathing, the JVD, the significant lower extremity edema are noted prior to…
Fontan Complications As more and more children are having successful surgical procedures to compensate for congenital heart disease, the likelihood that one of these post-operative heart patients will present to your ED increases. It is necessary for us to stay…
We have discussed my philosophy of pediatric EM prior: primarily it is composed of a wide variety of “grandma diagnoses,” that can be accurately diagnosed and managed by an astute grandmother. Our purpose, however, is to not be another “grandma,”…