“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.
Children like to pretend to be grown-ups. Unfortunately, sometimes they develop grown-up problems (Cholelithiasis, Kidney Stones, and Hypertension). Additionally, often kids will complain of symptoms that warrant great concern in adults, but often engender apathy when considered in children. Chest Pain is a great example of one of these complaints.
Pediatric Chest Pain Read More »
Neonatal HSV is a rare condition, but one that results in devastating Morbidity and Mortality; therefore, it is imperative that we keep it on our radar and stay vigilant for it!
Is there a way to help define a group of kids who are at Low Risk for Intra Abdominal Trauma?
Low Risk for Intra Abdominal Trauma Read More »
While the goal is often to prevent intubation, occasionally, the only option is to use Mechanical Ventilation for your patient with Severe Asthma. The question, then, is how to make the best of a bad situation.
Mechanical Ventilation for Severe Asthma Read More »
This is another great reason to discuss not throwing antibiotics at every kid with an ear.
Before you jump to the conclusion that this is merely “Colic” in the 2 month old, let us quickly highlight some entities that should be at the top of your DDx when evaluating the inconsolable child
Inconsolable Infant Read More »
I think that we’d all agree that 144/89 is not a normal blood pressure, but it is one that those of us who have the pleasure of caring for adults will look at with almost a sense of comfort – because it isn’t 70/30 or 210/120. Unfortunately, however, this sense of reassurance cannot be had when dealing with children. Depending on the patient’s sex, age, and height, 144/89 may not only represent hypertension but may be associated with hypertensive crisis in kids!
Hypertensive Crisis in Kids Read More »
Cerebral edema is the most feared emergent complication of pediatric diabetic ketoacidosis. Fortunately, it is relatively rare, but the rarity can lead to some confusion when it comes to its management.
Cerebral Edema and Diabetic Ketoacidosis Read More »
We have covered several other pediatric EM myths and misconceptions previously: Cuffed ETT are ok, a doughnut is not a good shape for LP Positioning, the 500:1 rule should not be used, Oral Rehydration is faster than IV, and you can/should give morphine to kids you are worried have appendicitis.
Recently, I was reminded of another myth that continues to have a foothold: Atropine and RSI.
Atropine Not Needed for RSI Read More »
