Category Critical Care

Prolonged QTc and Submersion Injuries

For those of us in the Northern Hemisphere, summer is in full swing!  Naturally, as we celebrate with out families, we know the number of pediatric injuries we care for in our EDs will increase significantly.  One that we unfortunately…

Aspirated Foreign Body

We all have great respect for potential airway disasters. The bouncy ball that lodges in the kids airway leading to respiratory arrest is commonly spoken off and often contemplated.  We are ever ready to perform transtracheal ventilation in instances such…

Heat-Related Illness

With the subtly that only Mother Nature has, the days in the Northern Hemisphere have started to get longer and become consistently warmer.  This, along with the fast approaching end of the school year, heralds the beginning of summer time. …

Hypertensive Crisis in Kids

I think that we’d all agree that 144/89 is not a normal blood pressure, but it is one that those of us who have the pleasure of caring for adults will look at with almost a sense of comfort –…

Necrotizing EnteroColitis

Over the years (yes, we have been doing the Ped EM Morsels that long), we have covered several intestinal disasters: for example, HSP and Intussusception, Malrotation, Intussusception, Hirschsprung’s and Enterocolitis. Yes, the differential for the neonate or young child with…

Cuffed Endotracheal Tubes in Children

We all are aware that the pediatric airway is different than an adult airway, so it seems reasonable that the selection of an endotracheal tube would lead to a different result compared to an adult.  We have all be taught…

Spontaneous Pneumothorax

  Spontaneous Pneumothorax We all see a myriad of patients who complain of chest pain and/or shortness of breath.  We can rapidly develop the differential diagnosis and deftly sort through it without much effort; however, we often still end with…