Tag vomiting

Down’s Syndrome Considerations

During the course of a shift in the Emergency Department, I occasionally need to remind myself to rethink my diagnosis.  Fighting diagnostic momentum can be difficult.  That is why we look thoroughly for “Red Flags” (like we’ve talked about with…

Heat-Related Illness

With the subtly that only Mother Nature has, the days in the Northern Hemisphere have started to get longer and become consistently warmer.  This, along with the fast approaching end of the school year, heralds the beginning of summer time. …

Malrotation

    A common theme of each week’s Ped EM Morsels seems to center around how difficult our jobs can be.  I don’t want you to think that I am trying to accentuate a defeatist’s attitude, but rather highlight how the…

Urinalysis vs Dipstick (vs culture)

        Urinalysis A Urinalysis consists of 3 components: Macroscopic (color, clarity, specific gravity) Reagent Strip (chemical analysis) Microscopic There is often variation in providers working regarding which method should be used to evaluate a patient for a…