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…
Embryology is amazing. Seriously. Think about it. Growing from one cell to all of the complex structures that form our organs is literally miraculous. It is shocking that it is able to occur correctly at all and it should be…
The critically ill infant and child can be “tricky” to spot sometimes. Often the phrase “That kid just doesn’t look right,” is heard around the room of critically ill children. So we recognize that “something isn’t right,” but have a hard time putting…
Caring for people, particularly children, can be very humbling. Just when you think you have a grasp of the potential hazards and pitfalls, a new zebra runs you over. While focusing extensively on “zebras” can be counterproductive, it is useful…