Category Procedures / Tips

Gross Growth Estimates

One of the most unique aspects of pediatrics is growth and development… and how these impact your evaluation. Even in the emergency department these must be considered. For instance, when determining if that 6 month old was able to crawl…

Acute Otitis Media

You may be rolling your eyes right now at the thought of reading about AOM. Certainly it is not as exciting to think about as Hirschsprung’s Enterocolitis and we see it so often there certainly can’t be anything new to…

Febrile Seizure Evaluation

On this April Fool’s Day, do not let the seizing patient with a fever make a fool of you. Naturally, anytime a patient has a fever and a seizure, the first concerning diagnosis that comes to mind is meningitis; however,…

Interosseous Access for the Neonate in Need

Interosseous Access for the Neonate in Need The neonate in shock strikes fear into even the most veteran physicians (and certainly makes my brain slip a gear or three). Part of the reason is that it happens relatively infrequently (why…

MRSA Abscess – To Give Abx or Not To Give Abx?

1. Our Surgical colleagues often would like us to believe that a scalpel can fix any problem – in this case, they may be correct. 2. We often prescribe antibiotics after drainage of a simple abscess… perhaps to make us…

Child Abuse

An estimated 2,815,600 children are harmed or endangered by their caretakers annually Bruises and Fractures are the most common injuries seen with abuse, but also occur frequently from accidents (I’ve certainly seen more accidental bruises and broken bones than abusive……

Nasal Foreign Bodies

Nasal Foreign Bodies – Positive Pressure Technique   We have all been there… whether at work at home… looking at a child in disbelief: “why would you put that up there?” Inevitably, what goes up, must come down. But how?…