We have recently discussed how neonatal seizures are often very subtle and, unfortunately, commonly related to significant pathology (infection, hypoxic-ischemic encephalopahty, intracranial hemorrhage, hypoglycemia, inborn errors of metabolism, etc). Once we determine that we are dealing with a seizure, we…
Nitrous Oxide – It’s Not Just for Dentists! We are all very aware that many of the necessary procedures that need to be done in the Emergency Department, particularly the Pediatric ED, are painful and often scary. We…
Spontaneous Pneumothorax We all see a myriad of patients who complain of chest pain and/or shortness of breath. We can rapidly develop the differential diagnosis and deftly sort through it without much effort; however, we often still end with…
Apparent Life-Threatening Event (ALTE) Being specialists of emergencies we are facile with managing events that have the potential to threaten a person’s life. It is interesting, then, that when a child presents to the ED with an Apparent Life-Threatening Event…
The modern era of vaccinations (Prevnar and HiB) have drastically reduced the risk of serious bacterial infections in our young febrile patients. But, unfortunately, Urinary Tract Infections (UTI) are not affected by the modern vaccines and, therefore must still be…
I love football! Ok… I mean American Football for those of you outside the US… Not that I don’t like soccer, certainly. But back to the point: I love football! Now it is football season again and life is good.…
We know that all bleeding eventually stops: ideally, by means that we have imposed rather than by exhaustion of the patient’s RBC resources. We also know that the easiest, and often most efficacious, way to halt bleeding is to put…