Category Critical Care

Atropine Not Needed for RSI

We have covered several other pediatric EM myths and misconceptions previously: Cuffed ETT are ok, a doughnut is not a good shape for LP Positioning, the 500:1 rule should not be used, Oral Rehydration is faster than IV, and you can/should give morphine…

Commotio Cordis

Thoracic trauma is a significant cause of morbidity and mortality in children.  We have already discussed the most common conditions associated with pediatric thoracic trauma (Pulmonary Contusion and Pneumothorax). We have also covered some procedural strategies for managing the child…

Pigtail Catheter

This week I had the pleasure of working with my dear colleagues during the Pediatric Procedure Course at ACEP/AAP Advanced Pediatric Assembly.  We covered numerous important procedures, but one that deserves mentioning here is the use of Pigtail Catheters for…

Aortic Trauma

Accidental injury (Trauma) leads to more pediatric deaths than ALL OTHER CAUSES COMBINED! Fortunately, unlike in adults, thoracic trauma is less common in kids (only 4-6% of pediatric traumas).  Unfortunately, it is the SECOND leading cause of death after blunt…

Cerebral Edema and Diabetic Ketoacidosis

  Cerebral edema is the most feared emergent complication of pediatric diabetic ketoacidosis.  Fortunately, it is relatively rare, but the rarity can lead to some confusion when it comes to its management.  We recently discussed the use of mannitol and…

Arteriovenous Malformations

Recall your medical school application?  Do you remember what you wrote about in your personal statement?  I would be willing to bet that a good majority of you wrote about wanting to “make a difference.”  Those of us that spend…

Meningococcemia

On this first Ped EM Morsel of the New Year (HAPPY NEW YEAR EVERYONE!), I feel like it is a great opportunity to emphasize a common theme of the Morsels: remaining vigilant and looking for the severe illness masquerading as…