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…
Category Critical Care
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…
Lemierre’s Syndrome
Carrying along with the theme of unusual conditions presenting as the common illnesses (see also Kawasaki Disease, HUS and many other Pediatric conditions), let’s bring to mind Lemierre’s Syndrome. • Jugular Vein Thrombosis (JVT) associated with an anaerobic infection in…
Burns
As my family plans to ignite the forest of candles on my birthday cake, it dawns on me that I may need to manage my own burn. So as a Happy Birthday gift to myself, we’ll talk about burns briefly.…
Cardiopulmonary Resuscitation 2010 Update
The American Heart Association just published the updates to CPR for both adults and children. Below are the Pediatric highlights: 5-15% of pediatric arrests are V.Fib: Peds arrest is primarily due to a respiratory insult (we are aware of this).…