Trauma and accidental injuries keep us all quite busy in the Emergency Departments across the country. Unfortunately, despite advances in prevention, trauma is still the leading cause of mortality in children. Appropriately, we have discussed numerous topics pertaining to trauma…
Many of us enjoy the aspect of medicine that requires our refined detective skills to not only find clues in the haystacks of chief complaints and presentations, but also use those clues to deduce a diagnosis. It is one of…
We all are well aware of the prevalence “fever” as a presenting complaint. We are also well aware that not all “cc: fever” are created equal. Fever in a neonate may be due to a virus, but we can’t bet…
Recently, @EMHighAK (Alex Koyfman) asked about any “teaching points” with respect to Pediatric DKA and Cerebral Edema. In addition to referencing an oldie, but a goodie morsel on Cerebral Edema, I also mentioned that we should all be careful not…
We have discussed many medical “myths” previously (ex, Atropine for RSI, Cuffed ETTs, ORT vs IVF, Morphine for Appendicitis), but recently one of my esteemed PEM Fellows enlightened me about another. We have touched on some of the complications that…
Many of the PedEM Morsels accentuate the need to be vigilant, although reasonable, and guard against the significant pathology that may present in a benign manner. Often this merely requires maintaining an “active” mind when evaluating children. The “active” mind…
Kids do odd things. Some of these “odd things” we attribute to exploring and learning about the world (ex, putting objects in nostrils, ears, or mouth). Other times the “odd conditions” are not quite explained, but are well described as…