Growing Pains
We have discussed previously how working in the Peds ED is like being tasked with finding the rare, life-threatening needle in the haystack of the benign and common. In order to do this, it requires us to maintain a…
Category Procedures / Tips
Lawn Mower Injuries
Well, in the northern hemisphere the weather is making my lawn look awesome!! Why we are obsessed with green lawns, I don’t know, but I can’t judge as I also enjoy a lush lawn. Unfortunately, all of this obsessive behavior…
Autism
The Emergency Department is appealing to many of us because of the speed at which it occurs. We evaluate rapidly. We get results quickly (relatively anyway… often we get cranky because they aren’t rapid enough). We make decisions expeditiously. Our environment…
Koplik Spots
We all know that our diagnosis is built upon the foundation of the history and physical exam. One of the challenges in caring for children in the ED is that the physical exam can be, at times, difficult to…
Inguinal Hernia
The patient with a swollen and/or painful scrotum will usually not go unnoticed. We have previously discussed testicular torsion and the association of the acute scrotum and HSP. We have also discussed the presentation of Varicoceles. Now let us look…
Low Risk for Intra Abdominal Trauma
We have discussed pediatric trauma several times within the PedEM Morsels (Splenic Injury, Head Injury, Pneumothorax, etc), because it is often a source of trepidation, confusion and concern. This often leads to over-reliance on ionizing radiation to help alleviate concern. Naturally, this is…
Lactate Level in Kids
Patients’ families often present to us requesting “bloodwork” to make sure that the child is not “sick” or to tell them “what’s wrong.” While we all know that no lab can be used to proclaim complete certainty of a patient’s…