Injury Prevention
I have two beautiful children (yes, they look like their mother) and I will be the first to tell you that they are more apt to listen to anyone other then their parents. I am not sure where this phenomena…
Category Procedures / Tips
Pyloric Stenosis
We have discussed vomiting a lot (we just can’t get away from it sometimes!). We covered “simple” issues like emesis/diarrhea and therapies for dehydration. We have also covered more ominous conditions like intussusception, necrotizing enterocolitis, and Inborn Errors of Metabolism. All…
Rapid MRI for VP Shunt Evaluation
VP Shunts have greatly benefited many children with hydrocephalus. Unfortunately, VP shunts can have complications… and we have discussed some of them before (Tapping a VP Shunt). The evaluation of a child with a VP shunt who is not critically…
Round Pneumonia
We have previously discussed Pediatric Pneumonia (and why I still live outside in the dog house). We all commonly assess the pediatric CXR and need to be skilled in its interpretation; but have you ever looked at a CXR of…
Parental Satisfaction
In Annals of Emergency Medicine this month is an article about Parental Satisfaction (Byczkowski TL, et al. A Comprehensive View of Parental Satisfaction With Pediatric Emergency Department Visits. Annals of EM. Oct 2013; 62(4): pp.340-350). The pressures of “patient…
Delayed Diagnosis of Kawasaki Disease
Vigilance can be the most difficult part of our job. After being inundated with kids who have all started back to school and swapped their various viruses with one another and now have new fevers (after having just got…
Traumatic Lumbar Puncture
Lumbar Punctures are commonly done in the Emergency Department and we have discussed several important issues pertaining to them in the past (Positioning, Variance of Analysis based on Age, and Neonatal HSV), but we have yet to discuss the most…