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Developmental Milestones in the ED
Full Disclosure: I am the proud product of Combined Emergency Medicine and Pediatric training (thank you mentors Mattu, Rogers, Winters, Carraccio et al at U of Maryland). As such, I worked nearly...
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Medication Errors
Certainly, the PedEM Morsels promote a need for vigilance! Vigilance is required to find those troublesome conditions that masquerade as benign conditions (see Inborn Errors of Metabolism,...
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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...
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Occult Abusive Abdominal Injury
Numerous trauma related topics have been covered within the Morsels (ex, pneumothorax, c-spine injury, aortic trauma, head trauma), but, unfortunately, not all trauma that children suffer is...
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Rectal Prolapse
Parental concerns, appropriately, drive a lot of the traffic to our Emergency Departments. Managing concerns and expectations is part of the art of what we do. When a child develops Rectal...
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Lactate Level in Kids
Patients’ families often present to us requesting “bloodwork” to make sure that the child is not “sick” or to tell them “what’s wrong.” While we all know that no lab can be used to proclaim complete...
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Dexamethasone for Asthma
Reactive airway disease is a prevalent problem and, therefore, a common topic for the Morsels. We have discussed my preference for MDIs over Nebs as well as the utility of Magnesium. In...
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Anaphylaxis
Sitting next to my son, who is rather red-cheeked with his current fever, consuming a herculean amount of cartoons, I was reminded of one of my favorite shows when I was young: GI JOE. “Knowing is...
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Damage Control Resuscitation
Damage Control Resuscitation has been the hot topic to discuss in the adult trauma bays. Naturally, this conversation has been also heard more commonly during pediatric trauma resuscitations. What...
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Mechanical Ventilation for Severe Asthma
“Wheezing” is a prominent complaint in the Ped ED and it has been a frequent topic of the PedEM Morsels. We have covered a wide variety of Asthma management aspects: from initial therapies (MDIs vs...
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