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Acute Flaccid Myelitis
Having just receive both my 2nd COVID Booster and Flu Vaccinations I have been feeling pretty “immune-ready-for-the-world!” Then, one of my colleagues at Carolinas Medical Center / Levine Children’s...
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National Injury Prevention Day!
Unintentional injuries are the leading cause of morbidity and mortality in children of all ages. While we in Emergency Departments strive to detect injuries and help start the healing process, it is...
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Acute Aortic Dissection in Children
Happy 2023! Yes, I know that the Morsels have been “away” for a little bit. There is a high probability that I was just being lazy, but do not despair, the PedEM Morsels Bakery is back in business....
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Neonatal Subgaleal Hemorrhage
We have discussed the notion that pediatric patients are not aliens, but should be regarded as a special population and we must understand what makes them unique. Neonates, on the other hand, are...
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Acute Esophageal Variceal Bleeding in Children
When we think of severe hemorrhage in children, we typically think about trauma. Maybe injuries to the spleen or kidney come to mind. Perhaps thoughts of pelvic injuries or severe head injury dominate...
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Proximal Tibiofibular Joint Dislocation in Children
In the past, we have discussed several causes of Knee Pain in children. Some of those causes are benign (ex, Osgood Schlatter’s Disease) while others are scary (ex, osteosarcoma). Evaluating the...
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Perichondritis of the Ear in Children
This is the 601st Ped EM Morsel! Having authored 575 (well, now 576) of them, I am often quite convinced that there are no new topics to discuss. Then July happens and we get 14 more amazing interns...
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Lung Abscess in Children
We have digested many Morsels regarding various pulmonary complaints. While some are very rare (ex, Pulmonary Embolism, Pulmonary Hypertensive Crisis, Negative Pressure Pulmonary Edema, CPAM) others...
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Gelastic Seizures: No Laughing Matter
We encounter seizures commonly in the Emergency Department. While they can be dramatic and devastating, we have learned to become comfortable with the wide variety that may present in children. From...
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Pediatric Sepsis Definition 2024
We are all aware of the potential severe impact that infections can have in pediatric patients. Infections are one of the most common topics in the PedEM Morsels (clearly a significant measure of...
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Congenital Syphilis
Neonates presenting to the Emergency Department often cause a lot of uncertainty. Is this scalp swelling normal? Is this bloody stool concerning? Are this odd movements part of normal development? Is...
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Return to Learn / Return to Sport after Concussion
Concussions are commonly encountered in the Emergency Department. We have previously discussed an approach to the question of when a patient “can return to sport.” That recommendation has been revised...
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Gianotti-Crosti Syndrome in Children
As I have said before (and I’m sure others of you have nodded along in agreement), “I hate rashes.” My disdain for rashes, however, only seems to ensure that every shift presents me with another...
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