Category Critical Care

Chimeric Antigen Receptor T Cell (CAR T cell) Therapy Toxicities in the ED

Chimeric Antigen Receptor T Cell (CAR T cell) Therapy

Like Homer, I have thinning hair and really enjoy a cool CAR! Unlike Homer, I always wear my seatbelt and know a CAR can be hazardous! Oh… and yeah,… I also have learned that not all cars have 8 cylinders…

Rat Bite Fever in Children

Rat Bite Fever

I often think of our medical knowledge as a collection of cross-referenced manilla folders that are stored in giant drawers in a large web of neurons. In the beginning, those folders have labels but are filled with sparse information. Through…

Mycoplasma Pneumoniae Induced Rash and Mucositis

Mycoplasma Pneumoniae Induced Rash and Mucositis

We all know that I am not a “fan” of rashes and this is why I have a general “approach to pediatric rashes.” Part of this approach is perception of “sick vs not sick” and an assessment of the mucous…

Pediatric Resuscitation Pitfalls

Pediatric Resuscitation Pitfalls

Caring for children who present in distress is clearly challenging. There are innumerable conditions and entities to rapidly consider (ex, IEM, Heart Failure, Aortic Coarctation, Asthma, Hypoglycemia, Congenital Adrenal Hyperplasia, Thyroid Storm, … Occult Abdominal Trauma) while deftly taking critical…

Necrotizing Fasciitis in Children

Necrotizing Fasciitis and Soft Tissue Infections

Soft tissue infections are commonly encountered when caring for children. From finger infections (Whitlow, Flexor Tenosynovitis) to faces (Periorbital cellulitis, Orbital cellulitis) and within pits and creases (Intertrigo, Perianal Strep), anywhere there is skin we may find an infection. Certainly,…

Blunt Cerebrovascular Injury and “Seatbelt Sign”

Seatbelt Sign and Blunt Cerebrovascular Injury

There are many “medical myths” that require reconsideration from time to time (ex, cuffed ETTs). Some are less mythological and more misconceptions, misunderstandings, or just related to evolution of information and technology (ex, absorbable sutures for wound closure). This brings…

Neonatal Intubation and RSI

Neonatal Intubation and Medications

Congratulations! You have made it successfully to 2021! While 2020 was challenging for EVERYONE, and may have required some brute force to endure, let us take this opportunity to consider avoiding using brute force (“Brutane“) when intubating our smallest of…