We have discussed the potential hazards of being a child on numerous occasions (ex, Injury Prevention, Trampolines, Lawn Mowers, Submersions, Electricity, Firearms), but nothing leads to more injuries than motor vehicles (sometimes, even when they are standing still – Vehicle…
Managing seizures in children is an imperative skill for us all to have. Whether the seizure is Simple Febrile or Complex, we need to be facile in its management and aftercare. Additionally, some of the special circumstances must be considered (ex,…
Evaluating and managing the child in SHOCK is certainly challenging. Identifying it (ex, Cap Refill, Shock Index, Lactate level) is challenging. Treating it is also challenging (see, Epi over Dopa). The challenge of determining the cause, though, should not be…
There are a number of conditions that were once very prevalent that immunizations have made less commonplace. While they may be less common, they may still occur and we should remain vigilant for them (see, Measles, Mumps, Tetanus, Pertussis). Recently,…
Sometimes it seems like the intestines are connected to every organ system as children present with abdominal complaints related to so many conditions. These can be intra-abdominal issues (ex, CRAP, Appendicitis, Intussusception, Hirschsprung’s) as well as extra-abdominal issues (ex, Strep Pharyngitis, Pneumonia, Testicular Torsion, HSP). Unquestionably, the…
Respiratory illness, sepsis, and trauma are three important entities afflicting children that may lead to needing to manage a child’s airway. Airway management in the ED is a complex interplay of patient factors, clinical illness status, and provider factors that,…
We all are well aware of the prevalence “fever” as a presenting complaint. We are also well aware that not all “cc: fever” are created equal. Fever in a neonate may be due to a virus, but we can’t bet…