Category Procedures / Tips

Apparent Life-Threatening Event

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…

UTI and Duration of Fever

UTI and Duration of Illness

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…

Safely Remove Helmet and Shoulderpads

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.…

Post-Tonsillectomy Hemorrhage

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…

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…