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 –…
Category Critical Care
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…
Subtle Signs of Pediatric Heart Failure
Subtle Signs of Pediatric Heart Failure For anyone who spends time in the Adult ED, signs and symptoms of heart failure become rather conspicuous. The increased work of breathing, the JVD, the significant lower extremity edema are noted prior to…
Fontan Complications
Fontan Complications As more and more children are having successful surgical procedures to compensate for congenital heart disease, the likelihood that one of these post-operative heart patients will present to your ED increases. It is necessary for us to stay…
Splenic Sequestration – Be a Spleen Detective!
A common theme of many of the PedEM Morsels has been the need to be ever vigilant. This is not in contradistinction to the adult side of the ED. Certainly vigilance is mandatory with all patient encounters; however, the fact…