Category Critical Care

Neonatal Resuscitation

It is October and all of the stores have their scariest Halloween devices out… but nothing will make you loose your breath more quickly than a woman delivering precipitously in your ED! When you are awoken from your regular workflow…

Tapping a VP Shunt

The number of technology dependent children that we see seems to steadily be increasing. These technologies can be quite beneficial for the patient, but are associated with potential complications and issues. Ventriculoperitoneal (VP) shunts certainly benefit patients who have hydrocephalus;…

Acute Rheumatic Fever – Don’t Forget about it!

              We’ve discussed Strep Pharyngitis (12/3/2010) and how in treating it we are primarily focusing on preventing Rheumatic Heart Disease. It is certainly safe to say that we’ve done a great job of reducing…

Staph Scalded-Skin Syndrome

    The Chief Complaint of “rash” is such a misleading complaint. It seems so innocuous…“I’ll just run in this room real quick and diagnose non-specific viral rash in a well appearing kid and be done.” But, we all know…

Don’t be afraid of PGE1

Just mentioning congenital heart disease (CHD) to most physicians causes an involuntary tightening of muscles in regions we dare not mention; yet, given the fact you are often the only one standing at the bedside, you have learned to work…

Hirschsprung’s Disease (HD) and Enterocolitis

We all will recognize that delayed passage of meconium (no BM in the first 48 hours of life) is concerning for Hirschsprung’s Disease. Well, that should mean that it isn’t an entity that I need to consider in the ED…

Interosseous Access for the Neonate in Need

Interosseous Access for the Neonate in Need The neonate in shock strikes fear into even the most veteran physicians (and certainly makes my brain slip a gear or three). Part of the reason is that it happens relatively infrequently (why…