recent articles

Peds EM Morsels


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 pneumothorax, but what about pneumomediastinum? As you try to resist the urge to say “D’Oh!” let us consider Pneumomediastinum!

PEM Playbook

PEM Playbook – Please Stop Limping

“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…

practice updates

Pediatric Protective Custody

When an emergency physician is faced with a scenario in which he or she does not believe a legal guardian is acting in a child's best interests, further investigation and possibly action is required. In cases where the child’s health or safety are in question, temporary protective custody of a minor may be needed. This post evaluates several cases concerning this topic.

practice updates

Can’t Intubate Can’t Ventilate

“Can’t Intubate Can’t Ventilate” is one of the frightening statements that causes massive surges of adrenaline in everyone. Unfortunately, most neural synapses don’t function well with that large surge of adrenaline, and it is, therefore, imperative to contemplate how to manage this scenario before it arises.