recent articles

practice updates

Osteomyelitis in Kids

Another tasty Ped EM Morsel to complement last week's adult osteomyelitis post by Ben Cooper. Thanks to Sean M. Fox, MD (@PedEMMorsels) for this great post!

practice updates

Intranasal Analgesia

Being flexible and creative are important traits to have while working the ED. It is also vital to always keep the end result in mind. Pain control is always an important endpoint for us to constantly consider. While most of us would say that we strive alleviate our patients’ pain, there is evidence that we are not great at it. Thanks to Sean M. Fox, MD (@PedEMMorsels) for this great post!

practice updates

Appendicitis Clinical Decision Rules

Often the Ped EM Morsels discuss diagnoses that emphasize astute clinical skills and vigilance while minimizing the importance of laboratory testing. Appendicitis is a great example of this! Thanks to Sean M. Fox, MD (@PedEMMorsels) for this great post!

practice updates

Lactate Level in Kids

We see that, like in adults, an elevated lactate can help identify those patients who are potentially sicker than others, although not perfectly. It is only helpful if it alerts you to severe illness presenting subtly or helps direct your resuscitation efforts… which, again, require the astute clinician to determine. Thanks to Sean M. Fox, MD (@PedEMMorsels) for this gem with significant clinical relevance.

practice updates

Acute Chest Syndrome

Often, the dreaded complications that we are taught to look for don’t present to us in the Emergency Department, but develop and evolve during the hospitalization that began with the patient seeing us in the ED. Our skill can help the child in distress, but our vigilance can detect the evolving Acute Chest Syndrome and perhaps even prevent it. Thanks to Sean M. Fox, MD (@PedEMMorsels) for this gem with significant clinical relevance.

Peds EM Morsels

Options to Intravenous Fluids

IO Placement: "Should be done without hesitation in a child who lacks easily obtainable IV access and signs of poor perfusion"
Placing an IV in a sick pediatric patient can be a real challenge. Fortunately, there are options! Thanks to Sean M. Fox, MD (@PedEMMorsels) for this gem with significant clinical relevance.

Peds EM Morsels

Delayed Diagnosis of Kawasaki Disease

"Set an alarm that gets your attention anytime someone presents with 'fever for 5 days'"
Sean M. Fox, MD (@PedEMMorsels) with some excellent tips on recognizing factors putting your pediatric patients at risk for delayed diagnosis of Kawasaki Disease, including the more challenging to diagnose "incomplete" form of the disease.