The diversity of complaints and presentations in the ED keeps us on our toes and requires our continued vigilance. It is not uncommon for me to say, “I did not know that that could happen” during a shift. While we…
A common theme amongst the Ped EM Morsels is remaining vigilant while maintaining a reasonable approach to the care of children. Many devastating conditions can be quite subtle in their initial presentation. Last week, a prior PEM graduate from Carolinas…
Abdominal trauma in children should garner an appropriate amount of respect and concern. The child’s abdominal wall, unfortunately, is not as protective of the internal structures compared to adults’ abdominal wall. Additionally, signs of trauma can be minimal or nonexistent.…
In the Emergency Department, we are constantly juggling large lists of differential diagnoses. We become facile at sorting through the vast Ddx for seizures (ex, simple febrile seizures, complex seizures, neonatal seizures, eclampsia, seizure mimics) and syncope (ex, hair grooming…
Have you ever been told that something “isn’t a big deal” only to later find out that it was? Of course, any one who is in a significant relationship with another person has experienced this phenomenon. I, myself, may be…
We all know that traumatic brain injury is a significant concern when evaluating pediatric patients with head injury. Over the years, this concern has lead to significant shifts in imaging and management practices: some for the better and… others perhaps…
We know that children are super flexible and that is a good thing! Often kids will bend and won’t break! Unfortunately, there are events that still lead to childhood injuries. Some of these events are unfortunate and accidental (ex, Submersions), while…