Managing seizures in children is an imperative skill for us all to have. Whether the seizure is Simple Febrile or Complex, we need to be facile in its management and aftercare. Additionally, some of the special circumstances must be considered (ex,…
Eye complaints are commonly encountered when caring for kids in the ED. Often, they are due to a simple issue, like conjunctivitis (although even “simple” deserves vigilance – Conjunctivitis-Otitis-Syndrome), but there are other times when the “red eye” warrants greater…
Unquestionably, a lot of electrolyte panel laboratory studies get ordered reflexively and have little true clinical utility. The healthy kid (or adult for that matter) with vomiting and diarrhea for two days does not typically benefit from the “Chem 200”…
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…
The patient complaint of “headache” often causes me to have a headache. There are so many things to ponder. We have previously covered some important conditions to consider when evaluating headache (ex, AVM, RMSF, Meningitis, Post-LP, Moyamoya, Migraine, Pseudotumor, and Pheochromocytoma).…
Syncope occurring in children is often encountered. We have previously discussed the basics of pediatric syncope and even touched on some interesting entities related to syncope (ex, Hair Grooming, Breath Holding Spell, Brugada, Prolonged qTC, Sinus Bradycardia, and Heat Related Illness).…
We all know that traumatic brain injury is a significant concern when evaluating pediatric patients with head injury. Over the years, this concern has lead to significant shifts in imaging and management practices: some for the better and… others perhaps…