Pediatric shock warrants great concern. Whether it is caused by Sepsis, Hypovolemia, Obstructive process (ex, Tamponade, PE, Pneumothorax), Cardiogenic conditions, or “K“ortisol deficiency (Yes, I know it should be “Cortisol”… but then it wouldn’t spell SHOCK.) there are many management…
Children with chronic medical problems may require a variety of specialized tools, but what do you do when those tools become the problem. We have previously reviewed issues with Baclofen Pumps as well as Vagal Nerve Stimulators. We have also…
Managing seizures in pediatric patients is a common occurrence in the Emergency Department. We have discussed seizure related issues in the past: Seizure Mimics, Neonatal Seizures, Simple Febrile Seizures, and Complex Febrile Seizures. Some seizures require us to remember unique pediatric…
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…
The world can be a scary and dangerous place, but few things are as dangerous as an acutely agitated patient in your emergency department. While violent adults in the ED seem nearly commonplace (although still deserve provider’s vigilance), the agitated…
The evaluation of pediatric patients with rashes is a common occurrence in the Ped ED… and a common area of frustration for many of us (ok, maybe it is just me). We have previously covered an approach to the evaluation…