Let’s have a heart to heart. We have talked previously about pediatric myocarditis and recognizing the subtle signs of pediatric heart failure. We have even discussed some of the complications that children can get after the final stage of single ventricle…
Oh, trampolines how I despise you. No, I am not a killjoy. Yes, I am a hypocrite (as I once enjoyed flinging myself through the air as I tried to test my immature abilities to avoid other human flying objects…
Managing seizures and seizure disorders in children is a required skill for emergency medicine providers. Clearly we know to never let hypoglycemia fool us and to always consider other seizure mimics. Fortunately, most seizures will spontaneously resolve and then we…
As you all know, one of the common themes of the Ped EMMorsels is remaining vigilant. Clearly it requires our vigilance to find those elusive, rare, yet life-threatening conditions (ex, IEM, CHF, Coarctation) that mimic the more common and benign…
Like Homer, I have thinning hair and really enjoy a cool CAR! Unlike Homer, I always wear my seatbelt and know a CAR can be hazardous! Oh… and yeah,… I also have learned that not all cars have 8 cylinders…
I often think of our medical knowledge as a collection of cross-referenced manilla folders that are stored in giant drawers in a large web of neurons. In the beginning, those folders have labels but are filled with sparse information. Through…
We all know that I am not a “fan” of rashes and this is why I have a general “approach to pediatric rashes.” Part of this approach is perception of “sick vs not sick” and an assessment of the mucous…
Caring for children who present in distress is clearly challenging. There are innumerable conditions and entities to rapidly consider (ex, IEM, Heart Failure, Aortic Coarctation, Asthma, Hypoglycemia, Congenital Adrenal Hyperplasia, Thyroid Storm, … Occult Abdominal Trauma) while deftly taking critical…
Soft tissue infections are commonly encountered when caring for children. From finger infections (Whitlow, Flexor Tenosynovitis) to faces (Periorbital cellulitis, Orbital cellulitis) and within pits and creases (Intertrigo, Perianal Strep), anywhere there is skin we may find an infection. Certainly,…
There are many “medical myths” that require reconsideration from time to time (ex, cuffed ETTs). Some are less mythological and more misconceptions, misunderstandings, or just related to evolution of information and technology (ex, absorbable sutures for wound closure). This brings…
Congratulations! You have made it successfully to 2021! While 2020 was challenging for EVERYONE, and may have required some brute force to endure, let us take this opportunity to consider avoiding using brute force (“Brutane“) when intubating our smallest of…
Ok, so maybe Homer has the wrong idea about “Fat Embolism”… I think he should be more worried about a devastating Food Impaction… but, with the Holidays upon us and the prevalence of fatty foods surrounding, me I began to…
