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PEM Playbook

Kawasaki Disease Shock Syndrome

While Sepsis, Trauma (Abdominal, Chest, Aortic), PE, Tamponade, Myocarditis, Heart Failure, Intussusception, Adrenal Crisis all deserve a place on the list of differential diagnoses, there is another condition to keep in mind -- Kawasaki Disease Shock Syndrome:

Peds EM Morsels

Pediatric ECG

Electrocardiograms are fun to look at: like abstract art that hangs in a fancy museum, their beauty is often in the eye of the beholder. That being said, they are a vital tool to interpret. There are several situations when the Pediatric ECG is an integral part of the evaluation.

Peds EM Morsels

Pulmonary Hypertensive Crisis

We have previously discussed critical presentations involving hypertension (ex, Hypertensive Crisis, Eclampsia, Pheochromocytoma, Thyroid Storm), but there is another that involves the lungs that we need to add to the library. Let’s review Pulmonary Hypertensive Crisis

Peds EM Morsels

Pediatric Difficult Airway

Airway management in the ED is a complex interplay of patient factors, clinical illness status, and provider factors that through our thorough training we become proficient at navigating. One topic that deserves specific attention is the notion of a Difficult Airway.

Peds EM Morsels

Neutropenic Fever

The WBC mandates respect in leukemia and childhood cancers...let us take a minute to review the current recommendations for initial management of Neutropenic Fever.