Category Critical Care

Non-Convulsive Status Epilepticus

Non-Convulsive Status Epilepticus

Most chief complaints generate a clear Differential Diagnosis (Ddx) list in your mind. There are the well-known, “big ticket” issues that need to be considered (Abdominal Pain -> Appendicitis; Chest Pain -> Pericarditis; Headache -> Meningitis) as well as the…

Bacterial Meningitis in Children

Bacterial Meningitis in Children

It is very clear that vaccinations have improved the health of children worldwide! From Measles to Mumps and from Tetanus to Pertussis, we see the significant benefit of vaccinations. We even can administer vaccines in the Emergency Department to help…

Posterior Reversible Encephalopathy Syndrome in Children

Posterior Reversible Encephalopathy Syndrome in Children

2020! What a great year to focus on good clinical vision! Obviously, in children, what we most often see is, fortunately, the benign conditions; however, it takes our vigilant vision to spot the unusual to help us avoid the life…

Nontraumatic AtlantoAxial Subluxation in Children

Atlantoaxial Subluxation

Children can have major conditions disguised as relatively minor problems. We often think of Inborn Errors of Metabolism presenting as innocuous vomiting or Late Onset GBS infection presenting as poor feeding. Obviously, conditions like these don’t remain innocuous for long…

Stress Dose Steroids

Stress Dose Steroids

Caring for patients is extremely rewarding… but it can also be rather Stressful. There are many complex math problems to solve and risk-benefit ratios to balance. Even the seemingly elementary problems can mentally taxing, especially in children who are prone…

Laryngeal Mask Airway for Neonatal Resuscitation

Laryngeal Mask Airway for Neonatal Resuscitation

It is fun to be able to check the “Learned Something New Today” box! Having just attended ACEP 2019 in snowy Denver, I can definitely check that box! One interesting item I learned was taught to be by our esteemed…

Tumor Lysis Syndrome

Tumor Lysis Syndrome

The lysis of tumor cells is one of the goals of successful treatment of cancer. Unfortunately, “Cancer SUCKS!” and even when the tumor is being positively affected, it can still unleash havoc. Oncologic processes are associated with a variety of…