Alopecia
Hair loss may not seem like an Emergency to you… but it is! (Ok… maybe my perspective has changed as I’ve aged.) Seriously though, Alopecia will certainly catch a parent’s attention and they may just come to the ED for…
Category Neonatal Issues
Late-Presenting Congenital Diaphragmatic Hernia
Part of the challenge with evaluating children is the ever present concern for an unusual emergent condition masquerading as a common condition with non-specific symptoms. It is, thus, important for us to remain vigilant for these conditions, while proceeding in…
Ultrasound for Pediatric Head Injury
Have you ever looked at your handy ultrasound and wondered: “What else can I scan with this?” Certainly, over the past ~2 decades, our point of care ultrasound has evolved into an indispensable asset. When used correctly, it is a…
Parental Guidance in the Pediatric ED
Certainly saving lives is an exciting and rewarding aspect of our roles in the Pediatric ED; however, not all encounters need Chest Compressions and Epinephrine. I do believe that we are uniquely positioned and trained to discover what each patient…
Group B Strep (GBS): Early, Late, and Very Late
GBS, E. Coli, and Listeria: everyone is aware that those are the bad bugs we worry about in the sick neonate. We even, sometimes, worry about them in the well appearing neonate who is febrile (Never Trust a Neonate!). We…
Neonatal Acute Otitis Media
Ears! They are the focus of many ED visits! Things get stuck in them (ex, Ear Canal Foreign Body, Cerumen). They can become inflamed from swimming (ex, Swimmer’s Ear). Infection, though, is what we most often encounter. We are all…
Facial Hemangioma
The skin is the largest organ, yet we often undervalue its importance. Ok, maybe it is just me being less than comfortable with all of the oddities that can present with skin findings (ex, pyoderma gangrenosum). This is why I…