Category Critical Care

Pediatric Trauma Pitfalls

Pediatric Trauma Pitfalls

School is out and Summer is in full swing (at least up here in the Northern Hemisphere) and that means … more pediatric trauma (sadly)! Pediatric Trauma can be very challenging to manage for numerous reasons (many that we have…

Cavernous Sinus Thrombosis

Cavernous Sinus Thrombosis in Children

I was always taught to have a very healthy respect for infections of the Hands, Feet, or Face. Certainly, the infection itself can be problematic (tenosynovitis, plantar puncture, sinusitis, otitis media), but those particular areas have lots of very delicate…

High Altitude Illness

High Altitude Illness and Pediatrics

In Charlotte, it has been unseasonably HOT and many of us have been considering escaping to the mountains. Maybe not exactly the way these people have, but at least something to help our families cool off. This lead Dr. Cathy…

Sentinel Bruising & Abusive Injury

Sentinel Bruising and Abusive Injury

A common theme amongst the Ped EM Morsels is remaining vigilant while maintaining a reasonable approach to the care of children. Many devastating conditions can be quite subtle in their initial presentation. Last week, a prior PEM graduate from Carolinas…

Ketamine and Propofol (Ketofol) for Pediatric Sedation

Ketamine and Propofol (Ketofol)

Keeping children comfortable benefits everyone! Patients have less pain and psychological trauma. Their families think you are amazing and… your procedure is easier to do when not also performing professional wrestling maneuvers. Honestly, a successful procedural sedation is one of…

Reye’s Syndrome

Reye's Syndrome

Call me crazy, but discussing Measles last week got me feeling nostalgic. Mumps, Tetanus, and Chicken Pox similarly harken back to the early days… you know, when safe and reliable vaccines didn’t exist. I distinctly remember having chicken pox personally…

Late-Presenting Congenital Diaphragmatic Hernia

Late Presenting Congenital Diaphragmatic Hernia

Part of the challenge with evaluating children is the ever present concern for an unusual emergent condition masquerading as a common condition with non-specific symptoms. It is, thus, important for us to remain vigilant for these conditions, while proceeding in…