Serotonin syndrome and Neuroleptic malignant syndrome aren't really the same thing are they? But what if they are? No they're not. Maybe?
Lidocaine hurts when you inject it mostly because it is acidic. Learn how to add 8.4% sodium bicarbonate to buffer lidocaine to make it hurt less.
This post reviews the drugs used in rapid sequence intubation - including pre-medication, sedatives and paralytics.
Take a look at this post to learn more about medical management of the agitated child and adolescent. Both oral and IM options are suggested.
Stress dose steroids are vexing for some reasons. They don't have to be. Initial dosing can be simpler than it seems. Read/watch for more.
Given the increased prevalence of opiate abuse I felt that it was important to discuss some of the nuances of Narcan dosing.
This is a public service announcement: Ask parents exactly how much acetaminophen or ibuprofen they are giving. The results may surprise you.
This may be a bit hard to swallow, but not every disease process in the Emergency Department is exciting. Streptococcal pharyngitis is an incredibly common condition, especially in the Pediatric Emergency Department and I wanted to take this opportunity to answer some common questions. Who [...]
Another quick hit - when dosing oral midazolam for anxiolysis - like when you're doing a procedure - you can dose above the listed limit of 0.5 mg/kg. In fact, you can dose up to 1 mg/kg! For the child who is preschool and under I [...]
Though 15mg/kg for acetaminophen are firmly ingrained in your brain, remember that initial and subsequent dosing for the rectal suppository is higher. Rectal Acetaminophen Per Birmingham et al in 2001 the "loading" dose of rectal acetaminophen is 40 mg/kg followed by 20 mg/kg doses every 6 h. The risk [...]