Category Critical Care

Carbon Monoxide Poisoning in Children

Carbon Monoxide Poisoning in Children

Currently, in the Northern Hemisphere, it is cold (Yes, I know my cold intolerance has been worsening as my hair gets more grey… but objectively, it is freezing!). The time of year certainly affects what conditions we must consider when…

Hyperkalemia

Hyperkalemia in Children

We all can take things for granted. Certainly I do all of the time: like Gravity, or that a post-menarche female will have a urinary pregnancy test done, or that the kid with altered mental status will have a finger…

Propofol Infusion Syndrome in Children

Propofol Infusion Syndrome in Children

Keeping children calm and cooperative is part of our job and often leads us to using fancy medicines like Ketamine and Nitrous Oxide. Of course, it is important to have a patient safely sedated during a minor procedure like Lumbar Puncture,…

Local Anesthetic Systemic Toxicity and Lipid Emulsion Therapy

Local Anesthetic Systemic Toxicity and Lipid Emulsion Therapy

Managing injuries is all too common when caring for children. Whether it is a Fish Hook where it shouldn’t be or a Tongue Laceration or whether it is Mandibular Fracture or a Facial Laceration, anticipating and managing the child’s pain is critical!…

Huffing Hydrocarbons: Inhalant Abuse

Inhalant Abuse

Substance abuse is not only an adult patient problem. Alcohol and illegal drug abuse, unfortunately, also afflicts our pediatric population too. While many of us are accustomed to dealing with the ramifications of such substance abuse in our patients, teenagers…

Pleural Effusion and ReExpansion Pulmonary Edema

Pediatric Pleural Effusion and Reexpansion Pulmonary Edema

Respiratory Distress is a common emergent complaint encountered when caring for children. Whether it is Out of Control Asthma or Pneumonia, or Severe Croup or Aspirated Foreign Bodies, or Bronchiolitis or Heart Failure, or Spontaneous Pneumothorax or Traumatic Pneumothorax … (goodness, that is a…

Hypothyroidism and Myxedema Coma

Myxedema Coma and Hypothyroidism

When managing critically ill adults or even adults with “odd complaints,” we often think of the thyroid gland and its potential disorders. The same ease of contemplation when dealing with a child is not as effortless, but there are occasions…