Category Neonatal Issues

Neonatal Seizures – Not a Benzo Deficiency!

We are all rather accustomed to managing the patient who is having a seizure. ABCDs… Airway, Breathing, Circulation, and Disrobe… and then Benzos if there is still shaking. This method works pretty well. But one population that deserves some specific…

Congenital Adrenal Hyperplasia

Pediatric EM can be quite difficult. We have discussed how it requires vigilance to see through the mountains of patients presenting with vomiting due to gastroenteritis to find the one kid with an inborn error of metabolism.  Additionally, the super…

Concurrent Meningitis in infant with UTI?

    Last week I mentioned that, at times, you realize that what you were taught may have been … hmm… not fully correct.  Recently a colleague raised a great question: in the infant (6 week old) who has a…

Bronchiolitis – Who Needs to Stay?

  Well, this “winter” in Charlotte has been delightful – temperatures in the 60’s, blue skies, and birds singing (literally).  While this makes for fun times outside of the hospital, it seems to have spawned a never-ending stream of kids…

Pierre Robin Sequence

Micrognathia

  Children with respiratory distress can make even the most confident physician wish that the shift had ended a little sooner. Children with airway anomalies will make that already tight sphincter tone rise to epic levels. One of the most…

Neonatal HSV

  Neonatal HSV is a rare condition, but one that results in devastating Morbidity and Mortality; therefore, it is imperative that we keep it on our radar and stay vigilant for it! Neonatal HSV Neonatal HSV is a rare disease…

Hypothermia in a Neonate

Well, it is officially cold now and this fact was highlighted during my last shift in the Peds ED when two patients presented with parents concerned for their children having “low temperatures.” This begs the questions (and was actually later…