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C. Diff in Kids
Obviously diarrheal illness can be quite debilitating and even devastating in children. Often the main concern is Dehydration and that focusing on Oral Rehydration Therapy many of these children will...
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Shoulder Dislocation
Kids always seem to test gravity… and continually find that it works. While gravity certainly has its advantages, it also tends to lead to a fair amount of injuries for our pediatric patients. We...
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Tongue Laceration
Yes, as we’ve mentioned before, kids are often Gravitationally Challenged. Toddlers, toddle and tumble constantly. Often, this leads to simple bumps and bruises and minor injuries. Occasionally, these...
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Suicide Risk
We have covered numerous critical topics in the Ped EM Morsels over the past numerous years. Many are quite attention grabbing (ex, Tonsillectomy Hemorrhage, Delayed Sequence Intubation, and...
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Subungal Hematoma
Kids love to explore their environment, but sometimes that environment (and their lack of agility and sluggish reflexes) leads to injuries. Fortunately, often these injuries are minor. Unfortunately,...
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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,...
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Post Lumbar Puncture Headache
Performing a lumbar puncture in the ED is certainly a task with which we are very familiar. We have discussed potential reasons to perform a lumbar puncture (ex, Headaches, Pseudotumor cerebri, and...
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Brugada in Children
Syncope is a rather common presentation in the Pediatric ED. While the etiology is most often a benign one, our vigilance assists us in detecting some of the more concerning entities. Yes, the...
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Fever of Unknown Origin
Fever is one of the most common chief complaints in the Peds ED. We are all very accustomed to the common considerations (ex, UTI, Croup, Bronchiolitis, Appendicitis, and Sinusitis). We also know...
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Atopic Dermatitis
“Rash.” Certainly, this is not a favorite chief complaint in the Ped ED, but unquestionably it is a common one. While there may be very few “rash emergencies,” there are several significant...
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Maintenance Fluids
Within the PedEM Morsels, we have addressed many topics that involve fluid management. We have discussed the importance of considering glucose in all of your patients. We have also entertained the...
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Ankle Injury
If even the magnificent Michael Jordan could have his “ankles broke” by Allen Iverson’s maleficent cross-over, then it should come as no surprise that mere mortal children will present to our EDs with...
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Pediatric Rash
“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....
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Influenza Vaccination
Obviously, the audience (you all) who read these Morsels love critical care topics (Post-Tonsillectomy Hemorrhage has been the most viewed Morsel since it was written in 2012), but excellent care in...
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Fish Hook Foreign Body
Kids love to explore their worlds. That exploration, especially when combined with immature decision making and slow reflexes, can lead to foreign bodies of all sorts becoming lodged in body parts of...
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Pelvic Fracture
Obviously, as the leading cause of mortality in children, traumatic injuries warrant significant attention. As such, the PedEM Morsels have covered various traumatic topics (ex, Abdominal Trauma,...
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ECMO in 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...
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Cerumen Impaction
Certainly, knowing critical care topics (ex, ECMO in ED, Submersion Injuries, Optimize Chest Compressions, and Non-Invasive Ventilation) is vital to being effective in the ED, but mastery of less...
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Scabies
“Scabies.” I know that you are already itching. Soon it will be uncontrollable. The Ped EM Morsels have covered several conditions that cause pruritus (ex, Eczema, Tinea Capitis, Hyperbilrubinemia) as...
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Phimosis
We have mentioned before how knowledge of some “less glamorous conditions” can really help make your day go more smoothly in the ED. Knowing how to manage rectal prolapse, constipation, recurrent...
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