Road Rash
Certainly, pediatric rashes can be a challenge (and we have discussed my “Approach to the Pediatric Rash” previously). One “rash,” however, deserves particular attention as it is not a Rash at all: it is a Burn! Let’s remain vigilant for…
Category Procedures / Tips
Spinal Needle Stylet Hokey Pokey
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…
Epinephrine for SHOCK
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…
Occluded Vascular Catheter
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…
Vagal Nerve Stimulator
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…
BRUE
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…
Pediatric Neck Mass
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…