Sickle Cell Disease (SCD) is terrible, and we are well versed in many of the common presentations. Pain and fever complaints dominate the majority of the encounters in the ED; however, let us not overlook the potential impact SCD has…
Caring for the child in shock is challenging! Vascular access has to be attained. Fluids have to be given quickly and Vasopressors may need to be started early! Certainly, the airway must be evaluated and, occasionally, secured. All of this…
We have discussed, previously, how the unique anatomic and physiologic differences kids have may make conditions more subtle and challenging to detect and diagnose. Additionally, the rarity of some dangerous conditions makes it difficult to easily consider these conditions. One…
Oh, the cacophony of coughing: it is like the theme music to the Pediatric ED during the winter months. While often benign, we do need to consider many conditions that may be the cause (ex, Pneumonia, Bronchiolitis, Asthma, Heart Failure).…
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…
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…
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,…