Facial Hemangioma
The skin is the largest organ, yet we often undervalue its importance. Ok, maybe it is just me being less than comfortable with all of the oddities that can present with skin findings (ex, pyoderma gangrenosum). This is why I…
Category Critical Care
Pediatric Penetrating Neck Injury
A child’s neck, naturally, is a special region of their body. It has numerous vital and delicate structures crammed in closely together. Neck complaints, therefore, warrant our vigilance (ex, Neck Mass, Torticollis, Retropharyngeal Abscess), particularly when the come in the…
Thromboelastagram and Trauma
Trauma and accidental injuries keep us all quite busy in the Emergency Departments across the country. Unfortunately, despite advances in prevention, trauma is still the leading cause of mortality in children. Appropriately, we have discussed numerous topics pertaining to trauma…
Ludwig’s Angina in Children
Pediatric head and neck infections are encountered commonly in the Emergency Department. While most often these will be relatively simple (although still annoying to the patient and family) like Acute Otitis Media, Otitis Externa, Sinusitis, or Pharyngitis, they can also become…
Central Line and Fever
Yes. It is indubitable. Children will present for evaluation of fever. Many, if not most, will be well and likely have a self-limited illness (but, do NOT say “it’s just a virus”!). Some, however, will have fevers associated with other…
Major Traumatic Brain Injury
While the weird, wild, and unusual conditions that affect our pediatric patients deserve our attention, traumatic injuries unquestionably demand much of our clinical attention. We have certainly discussed many trauma topics previously (ex, Abdominal Trauma, Aortic Trauma, Damage Control Resuscitation, Dental…
Pulmonary Hypertensive Crisis
Caring for children can be rather challenging. Yes, there is a fair amount of finding ways to avoid saying “It’s Just a Virus” while conveying the fact that the child is doing just fine; however, there are also a number of…