Sickle Cell Disease and Fever
This post from Pediatric EM Morsels and Dr. Sean Fox evaluates sickle cell disease and fever.
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Laundry Detergent Pod Toxicity
Laundry detergent pods may look tasty, but they can have significant toxicity if ingested, inhaled, or exposed to mucous membranes in pediatric patients. This post from Sean Fox details what you need to know.
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Fever of Unknown Origin
What do you do with the pediatric patient with fever of unknown origin? Is it infection, immunologic, drug fever, a malignancy? Dr. Sean Fox gives you what you need to know on pediatric fever of unknown origin.
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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 pneumothorax, but what about pneumomediastinum? As you try to resist the urge to say “D’Oh!” let us consider Pneumomediastinum!
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.
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Septic Arthritis
We have discussed several entities that may lead to a child limping. We have covered osteomyelitis, plantar punctures, and toddler’s fractures. We have also touched upon Osgood Schlatter’s Disease, SCFE, osteosarcoma and even Growing Pains. Now let us review a topic that always crosses our minds when considering the painful extremity: Septic Arthritis.
Mastoiditis
Acute Mastoiditis is the most common complication of AOM – how do you diagnose it and how does the ENT physician manage it?
Seizure Mimics
The pediatric patient with seizure, or is it really a seizure? A host of other conditions can look just like seizure. This Peds EM Morsel provides you with some answers.
Ovarian Torsion
Naturally, we have all been taught to think “outside the box” and know to consider conditions outside the abdominal cavity.. When we are thinking outside of the box, make sure we keep Ovarian Torsion on our DDx list for the young girls.
ECMO in the Ped ED
Remaining vigilant for the child with a subtle presentation of a severe illness is part of our job in the Ped ED; however, sometimes, the illness is not subtle and the child requires critical actions (ex, Damage Control Resuscitation, Mechanical Ventilation, Optimize Chest Compressions) . Often, it is best to consider these critical actions prior to needing to do them so there is no delay. One such, potentially life-saving, critical action is Extracorporeal Membrane Oxygenation (ECMO). Recently there was a nice review of Pediatric ECMO [Gehrmann, 2015] that deserves further contemplation. Below are some highlights from that article:
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