Tag change in mental status

Chimeric Antigen Receptor T Cell (CAR T cell) Therapy Toxicities in the ED

Chimeric Antigen Receptor T Cell (CAR T cell) Therapy

Like Homer, I have thinning hair and really enjoy a cool CAR! Unlike Homer, I always wear my seatbelt and know a CAR can be hazardous! Oh… and yeah,… I also have learned that not all cars have 8 cylinders…

Fat Embolism Syndrome in Children

Fat Embolism Syndrome in Children

Ok, so maybe Homer has the wrong idea about “Fat Embolism”… I think he should be more worried about a devastating Food Impaction… but, with the Holidays upon us and the prevalence of fatty foods surrounding, me I began to…

Hyperammonemia

Hyperammonemia

The child with altered mental status certainly grabs our attention (rightfully so) and we have discussed several related topics. We often consider the infectious concerns (ex, Encephalitis, Meningitis, Sepsis) and traumatic etiologies (ex, head injury, hemorrhagic shock). We are always…

Bacterial Meningitis in Children

Bacterial Meningitis in Children

It is very clear that vaccinations have improved the health of children worldwide! From Measles to Mumps and from Tetanus to Pertussis, we see the significant benefit of vaccinations. We even can administer vaccines in the Emergency Department to help…

Posterior Reversible Encephalopathy Syndrome in Children

Posterior Reversible Encephalopathy Syndrome in Children

2020! What a great year to focus on good clinical vision! Obviously, in children, what we most often see is, fortunately, the benign conditions; however, it takes our vigilant vision to spot the unusual to help us avoid the life…

Eastern Equine Encephalitis

Eastern Equine Encephalitis in Children

We have previously discussed how saying “It’s JUST a virus,” is not comforting to families and may undermine your credibility. For one, this phrase minimizes the family’s concern… and secondly, viruses can be quite problematic (ex, Influenza, Varicella, HSV, Reye’s…