The critically ill infant and child can be “tricky” to spot sometimes. Often the phrase “That kid just doesn’t look right,” is heard around the room of critically ill children. So we recognize that “something isn’t right,” but have a hard time putting…
Pediatric shock warrants great concern. Whether it is caused by Sepsis, Hypovolemia, Obstructive process (ex, Tamponade, PE, Pneumothorax), Cardiogenic conditions, or “K“ortisol deficiency (Yes, I know it should be “Cortisol”… but then it wouldn’t spell SHOCK.) there are many management…
Thyroid disease is a common consideration for the ill adult patient, but not as commonly considered in children. That being stated, we have mentioned several conditions which may be related to thyroid disease in children (ex, Bulging Fontanelle, Fever of…
Fortunately, the critically ill child is not as common in the Emergency Department as the critically ill adult. Unfortunately, when the critically ill child does arrive, it can be challenging to recognize him/her initially. This can lead to delays in…
Sitting next to my son, who is rather red-cheeked with his current fever, consuming a herculean amount of cartoons, I was reminded of one of my favorite shows when I was young: GI JOE. “Knowing is half the battle,”…
A common theme of many of the PedEM Morsels has been the need to be ever vigilant. This is not in contradistinction to the adult side of the ED. Certainly vigilance is mandatory with all patient encounters; however, the fact…
Pediatric EM can be quite difficult. We have discussed how it requires vigilance to see through the mountains of patients presenting with vomiting due to gastroenteritis to find the one kid with an inborn error of metabolism. Additionally, the super…