Category Critical Care

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…

Fat Embolism Syndrome in Children

Fat Embolism Syndrome in Children

Ok, so maybe Homer has the wrong idea about “Fat Embolism”… I think he should be more worried about a devastating Food Impaction… but, with the Holidays upon us and the prevalence of fatty foods surrounding, me I began to…

Delivering Bad News in the Pediatric Emergency Department

Breaking Bad News

So it is Friday the 13th in the year 2020… and I awoke in a cold sweat concerned. Concerned about what you ask? (I mean it is still 2020, isn’t that enough to be concerned about on its own?) Concerned…

Calcium Channel Blocker Overdose in Children

Calcium Channel Blocker Overdose in Children

One of the greatest challenges (and also most stimulating) aspects of our profession is staying current with the evolving literature and recommendations. Yes, it can be frustrating, but it is also rewarding to be in a career that will never…