Blood in the vomit. Blood in the stool. Blood in the diaper. How far do I go in my investigation? What do I really have to worry about? The differential diagnosis of GI bleeding in children is broad.

Seemingly vague, but potentially dangerous…common, but possibly with consequences……or maybe just plain frustrating. Let’s talk risk stratification, diagnosis, and management!

“She won’t walk“, or “He just looks like he’s limping“. So many things can be going on — how do we tackle this chief complaint? You’re dreading a big work-up. You almost want to tell the kid: please, STOP LIMPING…

Do we recognize shock early enough? How do we prioritize our interventions? Are we making our patient better or worse?

Altered mental status in children can be subtle. Look for age-specific behaviors that range from irritability to anger to sleepiness to decreased interaction. In the altered child, anchoring bias is your biggest enemy. Keep your mind open to the possibilities, and be ready to change it, when new ...

It’s a busy shift. Today no one seems to have a chief complaint. Someone sends a troponin on a child. Good, bad, or ugly, how are you going to interpret the result? And while we’re at it – what labs do I need to be careful with in children – sometimes the normal ranges of common labs can...

Traumatized children need your full attention. Protocols work well for adults, but trauma in children requires that we exercise our clinical muscles just a bit more.

Pediatric airway management is a skill that integrates the three types of knowledge as described by the ancient Greeks: Episteme — theoretical knowledge Techne — technical knowledge Phronesis — practical wisdom — also called prudence. Here we’ll invoke each type of knowledge and unde...