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…
Carrying along with the theme of unusual conditions presenting as the common illnesses (see also Kawasaki Disease, HUS and many other Pediatric conditions), let’s bring to mind Lemierre’s Syndrome. • Jugular Vein Thrombosis (JVT) associated with an anaerobic infection in…
It is certainly the season for pneumonias (even my little daughter had a significant one – see above)… and you will encounter community acquired pneumonia… so, let’s talk therapy. Large Disclaimer – there is no perfect recommendation that can easily…
Bronchiolitis is the most common lower respiratory infection in infants. – Characterized by acute inflammation, edema and necrosis of epithelial cells lining small airways, increased mucus production, mucous plugging, bronchospasm and V/Q mismatch. – Diagnosis is based on clinical history…
Epiglottitis? Think Tracheitis too! • Considered bacterial tracheitis in a patient who has fever, stridor, and symptoms that does not respond to therapy for croup (racemic epinephrine and steroids). • Additionally, that toxic appearing child that you think looks like…
Yes, summer break is officially over, but it is still warm and kids like water! Submersion Basics Submersion Events are the SECOND leading cause of accidental death in children 1-19yrs. (MVC is #1,…
“I Can’t intubate and can’t ventilate. Now what? Surgical cric? That neck seems rather small… what do I do?” Background Transtracheal ventilation is imperative for the EM physician to know how to perform. It is faster, easier, less cumbersome and…