There are many conditions that are rarely encountered, but warrant great concern due to the level of morbidity and mortality associated with them. HSV comes to mind. RMSF is another good example. Some of these conditions were once more common,…
Caring for children in the ED can be challenging for certain. Managing the critically ill child requires a lot of skill and action (ex, Can’t Intubate, Can’t Ventilate and Hypercyanotic Spell). Remaining vigilant for the subtly sick takes a lot of…
Caring for patients is very humbling. I once described the EM Mindset as being one that requires Humble Arrogance (See EMDocs.net) – requiring humility to know you can’t know it all and arrogance to believe that your skills can make a…
Certainly, one of the most common procedures in the Ped ED is the lumbar puncture. We have discussed efforts to ensure that our first attempt is our best attempt: good positioning and analgesia are critical. We have also discussed how to deal with the…
Air may be considered the sine qua non of life (without it there is nothing); however, we prefer to have it in specific areas, like our lungs. Finding air where it isn’t supposed to be can often portend serious medical…
We have previously explored some issues with one of my “favorite” topics: Apparent Life Threatening Events (See ALTE and Never Trust a Neonate). Recently, it has been recommended that the term “Apparent Life Threatening Event / ALTE” be removed from…
Kids, while adorable, can be a real pain in the neck (at least for their parents). Of course, occasionally, they will have pains in their own necks. We have addressed several potential causes of the neck pain previously (ex, Torticollis, Strep…