MDI vs Nebulizer for Asthma Exacerbation
Oh, the sound of nebulized beta-agonists… it is like … fingers nails on a chalk board to me! Ok, I might be a bit of a vigilante, going exam room to exam room trying to eliminate albuterol nebs… but, here’s…
Category Procedures / Tips
Heliox – Part of the Kitchen Sick
From the first party where we had balloons that floated, I think we have all had a fascination with the most Noble of the Noble Gases – Helium! While it is fun to make your kids think that you are…
Traumatic Pneumothorax
We all know that kids are not little adults (seriously, how many times can we hear that?), but when we consider procedures it important to appreciate that there are differences. The most important being that EVERYTHING is just smaller, which…
Hypothermia in a Neonate
Well, it is officially cold now and this fact was highlighted during my last shift in the Peds ED when two patients presented with parents concerned for their children having “low temperatures.” This begs the questions (and was actually later…
Minor Closed Head Injury – the 3 month old Caveat
Minor Closed Head Injury – The 3 month old Caveat We are all accustomed to the issues that surround pediatric head injury. • Traumatic brain injury is the leading cause of morbidity and mortality worldwide. • Prompt management of patients…
Transillumination for and Aspiration of Pneumothorax in Neonates
We mentioned in last week’s Morsel that for neonates not responding to resuscitative efforts, that you can transilluminate the chest to determine if there is a pneumothorax present. Let’s finish that discussion: Neonates are prone to developing a pneumothorax. Lack…
Neonatal Resuscitation
It is October and all of the stores have their scariest Halloween devices out… but nothing will make you loose your breath more quickly than a woman delivering precipitously in your ED! When you are awoken from your regular workflow…