pediatrics

Not all head trauma is minor.
Not all minor head trauma is clinically significant.

How can we sort out the overtly ok from the sneakily serious?

Dogma often dictates routine care.
There are times when we have to attend to paradigm shifts.
An easy way to save lives? Just say no to (these) drugs

What do you get when you take a pediatric patient and add mechanical ventilation? Probably a lot of anxiety… This post from Joe Ravera and Skyler Lentz will help you conquer mechanical ventilation in pediatric patients.

Comfortable with G-tubes, tracheostomies, and VP shunts?
Good.
Get ready for the next level: Vagus Nerve Stimulators, Intrathecal Pumps, and Ventricular Assist Devices.

In Part One of this two-part series, we discussed re-emerging infectious threats that may creep into our EDs initially unnoticed.
We continue from Part One with the rest of the dreaded thirteen, from varicella through meningococcus

Now let us take a moment to ponder the issues that can arise when an artery finds its origin incorrectly in an adjacent structure – Anomalous Left Coronary Artery from the Pulmonary Artery (ALCAPA).

Learn the key historical and examination pearls to help pick up this sometimes elusive diagnosis, what the value of serum ketones are in the diagnosis of DKA, how to assess the severity of DKA to guide management, how to avoid the dreaded cerebral edema that all too often complicates DKA, how to best adjust fluids and insulin during treatment, which kids can go home, which kids can go to the floor and which kids need to be transferred to a Pediatric ICU.

A 3-year-old male presents with his mom with chief complaint of vomiting and recurrent abdominal pain. Her son will intermittently cry and refuse to eat, followed by normal activity. His appetite has been decreased. VS are normal. Physical exam reveals a patient who appears stated age, nontoxic, and playful. Your physical exam, including abdomen and GU, is normal. The mom rushes out several minutes later and notifies you that her son is crying and holding his abdomen. What’s the diagnosis, and what’s your next step in your evaluation and treatment?