Category Procedures / Tips

Upside Down Vagal Maneuver for SVT

Upside Down Vagal Maneuver

Cardiac arrhythmias and conditions in children certainly warrant our concern. The entire clinical spectrum is challenging to evaluate and manage; from the subtle presentation of heart failure or overt shock. Additionally, management may also warrant concern for other important diagnoses…

Ultrasound for Pediatric Head Injury

Cranial Ultrasound for Pediatric Head Injury

Have you ever looked at your handy ultrasound and wondered: “What else can I scan with this?” Certainly, over the past ~2 decades, our point of care ultrasound has evolved into an indispensable asset. When used correctly, it is a…

Pediatric Cervical Spine Injury

Cervical Spine

Oh, once again, Homer is correct! Physics does matter. As does Anatomy and Physiology with respect to caring for children. We’ve previously discussed how these aspects have significance when evaluating ill and injured children (ex, Thoracic Trauma, Abdominal Trauma), but…

Bougienage for Esophageal Foreign Bodies in Children

Bougienage

Let’s be honest: our job is awesome … on so many levels! One of the most awesome aspects, though, is the ability to feel like a Superhero when you are able to make a patient actually feel better! Sometimes that…

Parental Guidance in the Pediatric ED

Parental Guidance

Certainly saving lives is an exciting and rewarding aspect of our roles in the Pediatric ED; however, not all encounters need Chest Compressions and Epinephrine.  I do believe that we are uniquely positioned and trained to discover what each patient…

Hyperkalemia

Hyperkalemia in Children

We all can take things for granted. Certainly I do all of the time: like Gravity, or that a post-menarche female will have a urinary pregnancy test done, or that the kid with altered mental status will have a finger…

Propofol Infusion Syndrome in Children

Propofol Infusion Syndrome in Children

Keeping children calm and cooperative is part of our job and often leads us to using fancy medicines like Ketamine and Nitrous Oxide. Of course, it is important to have a patient safely sedated during a minor procedure like Lumbar Puncture,…