Category Critical Care

Congenital Adrenal Hyperplasia

Pediatric EM can be quite difficult. We have discussed how it requires vigilance to see through the mountains of patients presenting with vomiting due to gastroenteritis to find the one kid with an inborn error of metabolism.  Additionally, the super…

Complicated Pneumonia – Parapneumonic Effusion

  Back on November 12, 2010 we discussed Community Acquired Pneumonia, and naturally, we are all masters at its management now (PS, I greatly appreciate those of you who have been actually reading these weekly since 2010).  But, on occasion,…

Childhood Injury – Still the leading cause of Mortality!

    We are all keenly aware that accidental injuries are the most significant cause of childhood mortality.  It is this fact that keeps us all busy in our clinical settings… and is also what frightens us parents of children the…

Cervical Spine Injury and Submersion Injuries

  I’m not sure if you have noticed, but the weather is starting to get a little warm.  It almost makes you want to go swimming… and that brings to mind the second leading cause of accidental deaths in pediatric…

Pediatric Obesity – just when you thought your job was difficult enough…

  We all realize that obesity plays a tremendous role in the health of adults (associated with more comorbidities, more complications, and makes management more difficult). Unfortunately, this reality is becoming more prevalent on the pediatric side of the ED…

Oropharyngeal Trauma

That Popsicle stick is such a pain in the neck!   How many times do I have to yell at my kids for jumping around with sticks in their mouths?  Seriously… playing basketball with a lollipop in your mouth isn’t…

Pierre Robin Sequence

Micrognathia

  Children with respiratory distress can make even the most confident physician wish that the shift had ended a little sooner. Children with airway anomalies will make that already tight sphincter tone rise to epic levels. One of the most…