Many times providers convey to me that their greatest concerns come from the thought of having to care for the critically ill pediatric patient. Unquestionably, this patient deserves a high level of respect and is why we have an entire…
Like Homer, I have thinning hair and really enjoy a cool CAR! Unlike Homer, I always wear my seatbelt and know a CAR can be hazardous! Oh… and yeah,… I also have learned that not all cars have 8 cylinders…
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…
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…
Children occasionally deal with “adult” medical problems (ex, Pulmonary Embolism, Cholecystitis, Renal Stones, DVTs) and, hence, may require medications that we don’t typically encounter in the pediatric patient populations. One of my least favorite medications seen on the adult and…
Anticipating that some of you may want to think of something other than the COVID-19 pandemic right now (yet, another reason to never say “It’s Just a Virus.”), let’s take 2 minutes to discuss another topic that can be quite…
Despite being able to ignore many odd occurrences in the house, there are several things that will classically attract acute attention from a parent: fever; a child “not eating;” not pooping for a day; lumps and bumps; and rashes. The…
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…
Blood shooting out of the urethra will catch people’s attention! While it may be due to a relatively benign issue, there are a number of considerations that immediately come to our minds: Renal Trauma, Abdominal Trauma, Renal Stones, UTI. While…
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…
The diversity of complaints and presentations in the ED keeps us on our toes and requires our continued vigilance. It is not uncommon for me to say, “I did not know that that could happen” during a shift. While we…
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,…
