Category Critical Care

Endotracheal Tube Depth

Endotracheal Tube Depth

We all know that airway management is a critical skill for those of us who care for pediatric patients in the acute environment!  Due to conditions like severe respiratory illness (ex, asthma), acute trauma (ex, pulmonary contusion), or acute metabolic…

Can’t Intubate Can’t Ventilate

Can't Intubate Can't Ventilate

“Can’t Intubate Can’t Ventilate” is one of the frightening statements that causes massive surges of adrenaline in everyone. Unfortunately, most neural synapses don’t function well with that large surge of adrenaline, and it is, therefore, imperative to contemplate how to manage…

Thyroid Storm

Thyroid Storm

Thyroid disease is a common consideration for the ill adult patient, but not as commonly considered in children.  That being stated, we have mentioned several conditions which may be related to thyroid disease in children (ex, Bulging Fontanelle, Fever of…

Hereditary Angioedema

Hereditary Angioedema

We have previously discussed Chronic Recurrent Abdominal Pain. Certainly, this is not a sensational topic, yet it is one that is encountered often and can not only derail your shift, but may also obscure our view of the true underlying,…

Down Syndrome Airway

Down Syndrome Airway

The Ped EM Morsels strive to reinforce the notion that children are not an “alien population,” and while they deserve special attention, they should not be feared by us.  Children are, rather, a unique population that requires special consideration of…

Aplastic Anemia

  Previously, the Ped EM Morsels have requested that we remove the phrase “it’s just a virus” from our lexicons. One simple reason is that viruses can lead to significant illness also (ex, myocarditis, Guillain-Barre). While ordering a million tests and…

ECMO in Ped ED

Remaining vigilant for the child with a subtle presentation of a severe illness is part of our job in the Ped ED; however, sometimes, the illness is not subtle and the child requires critical actions (ex, Damage Control Resuscitation, Mechanical…