We often instruct with absolutes. “Never let the sun set on a pleural effusion.” “You’re not dead until you’re warm and dead.” “Never intubate an asthmatic.” Well, often medical decisions exist in a much less dichotomous realm. It is great…
The Morsels have focused a lot on pediatric dehydration topics in the past. We have covered the utility of Probiotics and the need to be vigilant against Hypoglycemia. We have discussed specific infections, like Salmonella, and whether antibiotics are necessary. …
Recently we discussed the use of noninvasive ventilation in kids presenting with respiratory distress. Despite enjoying procedures, I do fell good about myself when I have been able to avoid intubating a child. Unfortunately, that is not always possible…
The decision to intubate a patient is, unquestionably, one of the most significant (and at times intimidating) decisions that we make. In preparation and consideration for all of the potential complications and outcomes of the intubation, it is common to…
Yes, when it is 3am in the Peds ED and there are 20 patients waiting to be seen, the chief complaint of “red eye” on the chart can be seen as a “easy” disposition: “Conjunctivitis. Polytrim. Discharge.” Ok, being superiorly…
It is often said that fever never goes unnoticed by parents. I think most of us would agree with that and that there seems to be a direct correlation between the level of parental concern and the level of elevation…
We all have great respect for potential airway disasters. The bouncy ball that lodges in the kids airway leading to respiratory arrest is commonly spoken off and often contemplated. We are ever ready to perform transtracheal ventilation in instances such…