Category Procedures / Tips

Pigtail Catheter

This week I had the pleasure of working with my dear colleagues during the Pediatric Procedure Course at ACEP/AAP Advanced Pediatric Assembly.  We covered numerous important procedures, but one that deserves mentioning here is the use of Pigtail Catheters for…

Aortic Trauma

Accidental injury (Trauma) leads to more pediatric deaths than ALL OTHER CAUSES COMBINED! Fortunately, unlike in adults, thoracic trauma is less common in kids (only 4-6% of pediatric traumas).  Unfortunately, it is the SECOND leading cause of death after blunt…

Recurrent Abdominal Pain

Like Sisyphus, you may feel that you are continually pushing a diagnostic boulder up a mountain only to watch it roll back down.  Certainly, some diagnoses offer less of an incline to overcome; however, others, like Chronic Recurrent Abdominal Pain (CRAP),…

Cerebral Edema and Diabetic Ketoacidosis

  Cerebral edema is the most feared emergent complication of pediatric diabetic ketoacidosis.  Fortunately, it is relatively rare, but the rarity can lead to some confusion when it comes to its management.  We recently discussed the use of mannitol and…

Neonatal Analgesia

In general, I try to do things that make my life easier.  Selfish or Brilliant? I’ll let you decide.  But on occasion, choices that we think should make things easier actually can be counterproductive.  A great example of this is…

Oral Rehydration Therapy is Faster

Obviously dehydration is a very significant condition, particularly in the pediatric population, so much so that several Morsels have been dedicated to the topic (ex, ORT, Vomiting vs Diarrhea, Probiotics, Alternatives to IV Fluids). Yet, often I still hear that…

Serum Sickness

This little Morsel stems from a intellectually fun conversation with Dr. Modisett (for those of you overseas, Dr. Modisett is one of our brilliant and illustrious Chief Residents at Carolinas – yes, I am spoiled).  This is another great reason…