The Ped EM Morsels have discussed several medical myths (ex, Atropine, Morphine for Appendicitis, IV Fluids for rehydration), but remember that “myths” were not born from madness. Previously, physicians were not maliciously inventing erroneous plans; they were doing what was deemed most…
Obtaining a urinalysis is often part of the management plan in the Ped ED to screen for a condition. Often it is obtained to look for possible infection. Sometimes we are evaluating unusual swelling with concern for proteinuria. What, however,…
Within the PedEM Morsels, we have addressed many topics that involve fluid management. We have discussed the importance of considering glucose in all of your patients. We have also entertained the possibility of using hypertonic saline in critically ill patients.…
Fever is one of the most common chief complaints in the Peds ED. We are all very accustomed to the common considerations (ex, UTI, Croup, Bronchiolitis, Appendicitis, and Sinusitis). We also know there are “zebras” that may try to trample us (ex, Kawasaki’s, Myocarditis,…
We evaluate many common conditions every day in the Peds ED. We become very comfortable with them. As we have discussed several times previously, part of our job is to remain every vigilant for those rare, yet dangerous, entities…
The patient with a swollen and/or painful scrotum will usually not go unnoticed. We have previously discussed testicular torsion and the association of the acute scrotum and HSP. We have also discussed the presentation of Varicoceles. Now let us look…
We have discussed pediatric trauma several times within the PedEM Morsels (Splenic Injury, Head Injury, Pneumothorax, etc), because it is often a source of trepidation, confusion and concern. This often leads to over-reliance on ionizing radiation to help alleviate concern. Naturally, this is…