Category Heme/Onc

Ewing Sarcoma

Ewing Sarcoma

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…

Chimeric Antigen Receptor T Cell (CAR T cell) Therapy Toxicities in the ED

Chimeric Antigen Receptor T Cell (CAR T cell) Therapy

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…

Fat Embolism Syndrome in Children

Fat Embolism Syndrome in Children

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…

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…

Anticoagulation Related Bleeding – Use of Prothrombin Complex Concentrate

Prothrombin Complex Concentrate for Anticoagulation Reversal

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…

Bone Cysts

Bone Cysts in Children

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…

Wilms’ Tumor

Wilms' Tumor

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…