A 4-year-old is carried out of a second-story bedroom after firefighters extinguish her burning clothes. Her back and torso are involved. Her face is burned. There is soot at the nares. Her arms and legs are hot and red – but not blistered. The burn is obvious. The most dangerous questions are not. How much […]
Donāt Play with Fire: Five Decisions in Pediatric ED Burn Care Read More Ā»
1. Know the who, what, and why In the 2024-2025 National Battery Ingestion Hotline annual report, national NPDS data showed 2,705 disc battery ingestion exposures after confirmed non-ingestions were excluded; 1,690 were in children ages 0-5 years and 303 were in children ages 6-12 years. Larger batteries – especially 20 mm lithium coin cells in
The 3: Button Battery Ingestions Read More Ā»
I received a text the other night from Dr. Yaron Ivan (of PEM Rules fame): “Have you ever seen a patient like this?” PEM clinicians know that this is the type of text message that immediately grabs your attention. Dr. Ivan told me about a case of a patient presenting with acute unilateral mydriasis –
The Reassuring Case of the Blown Pupil Read More Ā»
We are back with Part 2 – Check out Part 1 here! Itās that time of year again – backpacks are packed, buses are rolling, and learners everywhere are heading back to school. Here at HipPEMcrates, weāre going back to school too – with a PEM twist. Weāve put together an ABCs of the Pediatric
Back to School: ABCās of the Pediatric ER, Part 2 Read More Ā»
Itās that time of year again – backpacks are packed, buses are rolling, and learners everywhere are heading back to school. Here at HipPEMcrates, weāre going back to school too – with a PEM twist. Weāve put together an ABCs of the Pediatric ER, but this isnāt your average alphabet list. Each letter highlights a
Back to School: ABCās of the Pediatric ER, Part 1 Read More Ā»
With the growing legalization and availability of THC products, pediatric ED visits related to edible ingestion are on the rise. Here on HipPEMcrates, we have covered the concerning trends, the lack of proper labeling, and the small doses needed for severe toxicity in children. The Philadelphia Poison Center recently issued an important alert outlining key definitions
Wake, Bake, and Educate: What Are Minor Cannabinoids? Read More Ā»
š§ The Case A 5-month-old infant presents to the ED with: Initial Workup: “The blood drawn lookedā¦ brownish.” š©ø The Turn: Chocolate Blood + Unexpected Hypoxia Blood gas reveals a methemoglobin level of 31.6%(normal is <1.5%) You immediately recognize this as methemoglobinemiaāa condition where hemoglobin is oxidized (FeĀ²āŗ ā FeĀ³āŗ) and can no longer carry
Clinical Scenario: The Baby Who Turned Blue Read More Ā»
1. Edible Cannabis: A Growing Risk With the legalization of cannabis in many states, the availability of edible cannabis products has skyrocketed. These productsāoften packaged like everyday snacks such as candies, chocolates, or baked goodsāare highly attractive to children. From 2017 to 2021, pediatric exposures to THC (the active ingredient in cannabis) in children under
The 3…Emerging Threats in Pediatric Poisoning Read More Ā»
1. Management of Acetaminophen Poisoning in the US and Canada: A Consensus Statement Intentional overdoses are on the rise, with acetaminophen (Tylenol) remaining a common agent due to its widespread availability. This article reviews current best practices in managing acetaminophen toxicity, clearly defining acute ingestion as occurring within a 24-hour period. It also addresses the
The 3…Toxicology Articles You Should Read Right Now Read More Ā»
While respiratory illnesses like asthma and bronchiolitis are often the “bread and butter” of the Pediatric ER, drug overdoses and poisonings are rising at an alarming rate. Between 2019 and 2020, overdose-related deaths among children and adolescents surged by over 80%, making poisonings the third leading cause of death in this populationābehind firearms and motor
From Tylenol to THC: Small Patients, Big Threats Read More Ā»
