Category Procedures / Tips

Ketamine and Propofol (Ketofol) for Pediatric Sedation

Ketamine and Propofol (Ketofol)

Keeping children comfortable benefits everyone! Patients have less pain and psychological trauma. Their families think you are amazing and… your procedure is easier to do when not also performing professional wrestling maneuvers. Honestly, a successful procedural sedation is one of…

External Ear Lacerations

Ear Lacerations

Lacerations and injuries are pervasive in the Pediatric ED. While lacerations on the arms and legs deserve consideration (at least consideration of whehter they need tetanus prevention?), facial lacerations will often attract a lot of attention. We have discussed other…

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…