Category Critical Care

Catecholaminergic Polymorphic VTach

Honestly, one of the best aspects of writing the Ped EM Morsels weekly is that I benefit from learning (or re-learning) something each week. This week is a great example of that phenomenon. We do not often have to care…

Delayed Diagnosis of Aspirated Foreign Body

We all know kids love to get objects stuck in areas where no foreign body should be. We have discussed this several times (the Nasal Foreign Body, the Ear Foreign Body, and the Ingested Foreign Body), but the Aspirated Foreign…

ALTE in Neonate

Something that is certainly unique about the practice of emergency medicine is the approach to problems from the “worst first” perspective.  Now, generally, I would consider myself as someone who minimizes testing and prefers to spend a few extra minutes…

Tick Paralysis

Ascending paralysis naturally evokes concern for Guillain-Barre syndrome, but one entity that should be on your differential and requires special action is Tick Paralysis.  Let’s take a minute to refresh our memories about this interesting and important condition. Presentation Prodrome…

Prolonged QTc

We obtain ECGs for a number of reasons in the ED, but in the pediatric ED, we often obtain them in the child who presents with a complaint related to syncope.  We have discussed syncope issues previously (Syncope, Hair-combing syncope,…

Submersion Injury Prevention

Working in the Emergency Department places us in a unique position to allow our words to have a significant impact with our patients and their families. While this time of year brings submersion injuries to the front of our minds…

Hemophilia in the ED

I think that we would all agree that “bleeding” as the chief complaint catches your attention in the Peds ED (or any ED for that matter).  We have previously covered Post-Tonsillectomy Hemorrhage, oropharyngeal trauma, Hemorrhagic Disease of the Newborn, ITP and the…