Category Endo/Met/Tox

High-Dose Insulin Therapy

High Dose Insulin therapy for overdose

Overdose of Calcium Channel Blockers and Beta-Adrenergic Antagonist (Beta Blockers) are feared in pediatric patients as they can have severe toxicity and mortality. This means we may need to take drastic actions. High Dose Insulin Therapy is one of those therapies that your Toxicologist may recommend. Let us review this therapy so you can be ready.

Vitamin C Deficiency and Scurvy in Children

Vitamin C Deficiency and Scurvy in Children

We are always on the lookout for the big, bad, and ugly causes of our patients’ complaints in the Emergency Department. Someone has epistaxis and we think about bleeding disorders. If a patient is limping, we know it may be…

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…

Neutralize Button Battery in the Esophagus

Button Battery Ingestion Neutralization

Last week was a highly productive week for my educational enlightenment. I learned that not all Compartment Syndrome is Acute… it can be Chronic as well. I also learned that there is a cross over between the application of Honey…

Hyperammonemia

Hyperammonemia

The child with altered mental status certainly grabs our attention (rightfully so) and we have discussed several related topics. We often consider the infectious concerns (ex, Encephalitis, Meningitis, Sepsis) and traumatic etiologies (ex, head injury, hemorrhagic shock). We are always…

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…