Category Name: Peds EM Morsels

Peds EM Morsels

Pneumomediastinum

Every so often you encounter a patient that has a finding that catches you by surprise. Like having air in places that should not have air in them. We have discussed spontaneous pneumothorax and traumatic pneumothorax in children as well as how to detect pneumothorax in neonates and how to treat a...

Peds EM Morsels

Pediatric Rash

“Rash” seems to be a ubiquitous complaint some days in the Ped ED. Knowing that the skin is the largest organ, it seems only appropriate that we should take these complaints seriously. Unfortunately, often I feel a little inadequate when trying to decipher the code of the Pediatric Rash.

clinical cases

The Scary Airway Series Part II: Mastering Obesity, Peds, and Burns

We’ve all heard it at one point or another: “Man, I’d HATE to have to intubate THAT!” Typically, this sentence is used to describe a patient in an ominous, sphincter-tightening situation, or the patient with the obviously suboptimal airway. You walk by the door to the Resuscitation Bay or T...

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.

Peds EM Morsels

Subtle Signs of Pediatric Heart Failure

"Dyspnea / tachypnea in conjunction with abdominal pain (hepatomegaly) warrants consideration of acute heart failure as much as the kid presenting in overt shock"Sean M. Fox, MD (from the great pedemmorsels.com) discusses signs, symptoms, and mimics of heart failure in children.

Peds EM Morsels

Rapid MRI for VP Shunt Evaluation

"Patients with hydrocephalus will have nearly 4 scans per year during childhood"For evaluation of VP shunts in children, the cost and study duration a rapid MRI is closer to CT than you might think (and without the ionizing radiation!). Best of all, the evidence comes from studies performed with pop...