Category Critical Care

Deep Venous Thrombosis

Deep Venous Thrombosis DVT

Over the years, the Ped EM Morsels have addressed several conditions that historically are considered to be “adult” problems, but are actually concerns that we may need to have for children also (ex, Cholecystitis, Cholelithiasis, Pulmonary Embolism, Glaucoma, Sigmoid Volvulus,…

Octreotide for Sulfonylureas Toxicity

Octreotide for Sulfonylureas Toxicity

We all should fear Hypoglycemia! It likes to deceive us; it can cause critical illness; and it can be caused by critical illness. Obviously, many conditions can be associated with hypoglycemia (ex, Burns, Seizures, Gastroenteritis, Inborn Errors). While the detection…

Pediatric Facial Fractures & Age

Facial Fractures in Children

Often clinicians shy away from caring for children, because of the notion that “they aren’t little adults.” We have previously discussed my disdain for this mantra. They are not aliens! They do, however, have different anatomy and physiology that must…

Pediatric Trauma Pitfalls

Pediatric Trauma Pitfalls

School is out and Summer is in full swing (at least up here in the Northern Hemisphere) and that means … more pediatric trauma (sadly)! Pediatric Trauma can be very challenging to manage for numerous reasons (many that we have…

Cavernous Sinus Thrombosis

Cavernous Sinus Thrombosis in Children

I was always taught to have a very healthy respect for infections of the Hands, Feet, or Face. Certainly, the infection itself can be problematic (tenosynovitis, plantar puncture, sinusitis, otitis media), but those particular areas have lots of very delicate…

High Altitude Illness

High Altitude Illness and Pediatrics

In Charlotte, it has been unseasonably HOT and many of us have been considering escaping to the mountains. Maybe not exactly the way these people have, but at least something to help our families cool off. This lead Dr. Cathy…

Sentinel Bruising & Abusive Injury

Sentinel Bruising and Abusive Injury

A common theme amongst the Ped EM Morsels is remaining vigilant while maintaining a reasonable approach to the care of children. Many devastating conditions can be quite subtle in their initial presentation. Last week, a prior PEM graduate from Carolinas…