Commotio cordis is caused by the blunt impact of a hard object directly over the heart occurring during a specific window of ventricular repolarization leading to immediate collapse, ventricular fibrillation, and cardiac arrest. This episode focuses on risk factors and management of this rare but catastrophic injury.
Infected stones are urologic emergencies and need prompt antibiotic therapy and decompression by Urology.
Happy Holidays everyone! I won't be posting new content until after the new year. Why? Because I am working several shifts during the holiday week and you all should be spending time with friends and family instead of reading my silly little blog. See you in 2023!
Abdominal migraines are a real thing and are characterized by abdominal pain that is dull, constant, periumbilical and hard to localize. Children also have at least two of the following; pallor, anorexia, nausea, and/or vomiting.
Peritonsillar Abscesses are the most common deep neck infection in adolescents and young adults. You will see them in grade schoolers as well. Learn about the diagnosis and management, including making the choice between needle aspiration versus wielding a scalpel for incision and drainage.
Tongue lacerations are surprisingly common in the Emergency Department. Fortunately most of them don't require any specific interventions. You just let them go and they heal on their own. Really. But if you do have to repair I offer advice in this brief podcast episode.
This post details ways to deal with a situation where the patient / family "Wants to talk to your supervisor"
There are many demands in the emergency department. Perhaps the most important ones come from patients and their families. This post looks at those situations in which patients/parents are requesting – nay demanding specific tests.
Here is a podcast episode that I recorded for Cincinnati Children's show "Young & Healthy" entitled "Parents, We Need Your Attention: Babies and Kids are Sick, Children’s Hospitals are Full, Wait Times are Long." It addresses why our EDs, Urgent Cares, and Hospitals are so busy, and offers caregiver focused advice on Bronchiolitis management.
There's an amoxicillin shortage right now... seriously. This post includes guideline resources and alternative option recommendations like tablets and capsules.
