Category Critical Care

Spleen Injury

Recently we discussed abusive occult abdominal injuries and how a high index of suspicion is often required as the physical exam can be misleading.  The same is true with respect to accidental injuries, which are the leading cause of morbidity…

Lactate Level in Kids

Patients’ families often present to us requesting “bloodwork” to make sure that the child is not “sick” or to tell them “what’s wrong.”  While we all know that no lab can be used to proclaim complete certainty of a patient’s…

Occult Abusive Abdominal Injury

  Numerous trauma related topics have been covered within the Morsels (ex, pneumothorax, c-spine injury, aortic trauma, head trauma), but, unfortunately, not all trauma that children suffer is accidental. Non-accidental Trauma / Child Abuse is a prevalent concern for us as we care…

Pneumomediastinum

Every so often you encounter a patient that has a finding that catches you by surprise.  Like having air in places that should not have air in them.  We have discussed spontaneous pneumothorax and traumatic pneumothorax in children as well as how to…

Mechanical Ventilation for Severe Asthma

“Wheezing” is a prominent complaint in the Ped ED and it has been a frequent topic of the PedEM Morsels.  We have covered a wide variety of Asthma management aspects: from initial therapies (MDIs vs Nebs) to potential hydration issues;…

Damage Control Resuscitation

  Damage Control Resuscitation has been the hot topic to discuss in the adult trauma bays.  Naturally, this conversation has been also heard more commonly during pediatric trauma resuscitations.  What is it and does it really apply to kids?  Great…

Anaphylaxis

  Sitting next to my son, who is rather red-cheeked with his current fever, consuming a herculean amount of cartoons, I was reminded of one of my favorite shows when I was young: GI JOE.  “Knowing is half the battle,”…