Category Procedures / Tips

Meningitis Chemoprophylaxis

There are a lot of rewarding parts of our jobs… getting to play pat-a-cake with a toddler is certainly one of them… but I was recently reminded of a potential downside: placing yourself in harm’s way. Do not construe that…

Complex Febrile Seizures – More Complex than Simple.

I think that it is fair to say that we are all accustomed to the management of Simple Febrile Seizures. Essentially, you ensure that the case fits the defined criteria (age = 6mos-5yrs; generalized Sz; lasts <15min; child returns to…

Herpetic Whitlow – Don’t Cut It!

  Incision of a paronychia may be the very first procedure that I ever did in my medical career, and because of that, it has always held a special place in hierarchy of medical conditions we manage.  Generally it is…

Head Lice – That Lousy Louse!

  No, Lice does not constitute a medical emergency… you know that… I know that… but parents will freak out if they are concerned that their child might have lice.  So, that will, inevitably, lead them to the nearest care-provider…

Popsicle Panniculitis

  Many management algorithms in the Pediatric ED have “Administration of Ice Popsicle” as the main nodal decision point and therapeutic maneuver.  Some days I feel like a drug dealer as I continually offer free Ice Pops to the little…

Childhood Injury – Still the leading cause of Mortality!

    We are all keenly aware that accidental injuries are the most significant cause of childhood mortality.  It is this fact that keeps us all busy in our clinical settings… and is also what frightens us parents of children the…

Molluscum Contagiosum

We have discussed before how I am not a huge fan of rashes… but I am comfortable with being able to look for the characteristics of the more concerning ones (ex, petechiae, purpura, vesicles, bullae, target lesions, desquamation).  With that…