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…
So it is Friday the 13th in the year 2020… and I awoke in a cold sweat concerned. Concerned about what you ask? (I mean it is still 2020, isn’t that enough to be concerned about on its own?) Concerned…
One of the greatest challenges (and also most stimulating) aspects of our profession is staying current with the evolving literature and recommendations. Yes, it can be frustrating, but it is also rewarding to be in a career that will never…
Spontaneous Bacterial Peritonitis in Children? I know, you are shaking your head right now. “Come on, Fox! I’ve never seen that before in a kid. That is an adult problem.” Well, while it may not be common, it may occur…
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…
The child with altered mental status certainly grabs our attention (rightfully so) and we have discussed several related topics. We often consider the infectious concerns (ex, Encephalitis, Meningitis, Sepsis) and traumatic etiologies (ex, head injury, hemorrhagic shock). We are always…
Most chief complaints generate a clear Differential Diagnosis (Ddx) list in your mind. There are the well-known, “big ticket” issues that need to be considered (Abdominal Pain -> Appendicitis; Chest Pain -> Pericarditis; Headache -> Meningitis) as well as the…
It is very clear that vaccinations have improved the health of children worldwide! From Measles to Mumps and from Tetanus to Pertussis, we see the significant benefit of vaccinations. We even can administer vaccines in the Emergency Department to help…
