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…
Blood shooting out of the urethra will catch people’s attention! While it may be due to a relatively benign issue, there are a number of considerations that immediately come to our minds: Renal Trauma, Abdominal Trauma, Renal Stones, UTI. While…
Dermatologic eruptions (AKA rashes) exist on such an interesting spectrum – from unexciting to emergent. We’ve previously discussed my general approach to rashes (and occasional disdain for them). We have also reviewed our need to maintain vigilance for the potential…
Sickle Cell Disease (SCD) is terrible, and we are well versed in many of the common presentations. Pain and fever complaints dominate the majority of the encounters in the ED; however, let us not overlook the potential impact SCD has…
The vast majority of the time, caring for patients, particularly children, is extremely rewarding and life affirming. We are among the few who are privileged to make a true positive impact on a person’s life. There are times, however, when…
Caring for children can be rather challenging. Yes, there is a fair amount of finding ways to avoid saying “It’s Just a Virus” while conveying the fact that the child is doing just fine; however, there are also a number of…
We have discussed many medical “myths” previously (ex, Atropine for RSI, Cuffed ETTs, ORT vs IVF, Morphine for Appendicitis), but recently one of my esteemed PEM Fellows enlightened me about another. We have touched on some of the complications that…
Sickle Cell Disease is a terrible disease and can be associated with many complications that cause patients to present to the emergency department. We have previously touched on several clinical issues related to sickle cell disease. We have covered Acute…
In the past we have discussed how prolonged fever in the Pediatric Patient should cause you to think “outside of the box.” Kawasaki Disease often comes to mind. Naturally malignancy should also be considered and a thorough history (any Back…
