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…
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,…
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…
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…
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…
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…
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…