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…
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…
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…
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…