Category Critical Care

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…

Duodenal Hematoma

Pediatric Duodenal Hematoma

Abdominal trauma in children should garner an appropriate amount of respect and concern. The child’s abdominal wall, unfortunately, is not as protective of the internal structures compared to adults’ abdominal wall. Additionally, signs of trauma can be minimal or nonexistent.…

Laryngeal Fracture

Laryngeal Injury

Few things are more synonymous with pediatric emergency care than “throat pain” and “trauma.” If you are seeing children in the ED right now, I’m sure there is one complaining of sore throat and another has had a recent traumatic…

Renal Trauma

Renal Trauma in Children

Seeing blood in a child’s urine will catch a parent’s attention. We’ve discussed several causes of blood in the urine (ex, Microscopic Hematuria, Sickle Cell Trait, Kidney Stones, UTI), but the one that deserves special attention is Abdominal Trauma. Since accidental…