Category Critical Care

Coarctation of the Aorta in Older Children

We have discussed my philosophy of pediatric EM prior: primarily it is composed of a wide variety of “grandma diagnoses,” that can be accurately diagnosed and managed by an astute grandmother.  Our purpose, however, is to not be another “grandma,”…

Post-Tonsillectomy Hemorrhage

We know that all bleeding eventually stops: ideally, by means that we have imposed rather than by exhaustion of the patient’s RBC resources. We also know that the easiest, and often most efficacious, way to halt bleeding is to put…

Neonatal Seizures – Not a Benzo Deficiency!

We are all rather accustomed to managing the patient who is having a seizure. ABCDs… Airway, Breathing, Circulation, and Disrobe… and then Benzos if there is still shaking. This method works pretty well. But one population that deserves some specific…

Pancytopenia and Malaria

You may wonder why over the past >3 years I have continued to write and distribute my beloved PedEM Morsels. You consider the fame and fortune that I have amassed and realize that… well, that cannot be it. Certainly knowing…

Croup

We all enjoy treating “fixable” problems. If you can couple that with simple diagnosis and the ability to bill Critical Care time (ok, perhaps that last criteria is a bit too jaded for our newest of residents), then you have…

Hypercyanotic Spells

  We are all familiar with Tetralogy of Fallot, primarily because it is a great topic for test writers to torture us with questions about.  One of the cool things about pediatric cardiology is that it really makes you consider…

Hydration and Status Asthmaticus

We are all proficient at the management of asthma exacerbations.  Regardless of the season, there are always innumerable triggers of reactive airway disease and, hence, we have become very adept at its management.  Certainly, though, it can still generate significant…