Category Critical Care

Ludwig’s Angina in Children

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

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

Traumatic Brain Injury - TBI Initial Management

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

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…

Hamman’s Syndrome and DKA

Hamman's Syndrome

Certainly there are many issues to consider while diagnosing and managing diabetic ketoacidosis (DKA), like the possibility of cerebral edema. Often, these ill patients complain of significant nausea and abdominal / chest pain as well. Before we just attribute those…

Acute Cerebellar Ataxia

Cerebellar Ataxia

Hooven animals are complicated creatures (just like humans). They can be majestic, but rambunctious. They can be wild, yet tamed. In medicine, we often try to distinguish between them: Horses versus Zebras. While searching among the horses for the zebras,…

Adenosine Dose

Adenosine Dosage

Supraventricular Tachycardia (SVT) can be a very rewarding condition to treat! It is generally easy to diagnose and can be very satisfying to treat. When treating it, we also get to use one of the “coolest” medicines (ok, it isn’t quite…