Pediatrics — Brown Emergency Medicine Blog — BROWN EMERGENCY MEDICINE BLOG

A Real Pain in the Neck

A 17-year-old boy arrives to the trauma bay. He was the unhelmeted driver of a moped that collided with a truck going approximately 40 mph. He was thrown from the moped and lost consciousness. When EMS arrived on scene his GCS was 8, but it had improved during transport. In the trauma bay he has a GCS of 15 and his primary survey is intact. Vital signs are normal. Secondary survey reveals scattered abrasions and lacerations, as well as left anterior neck tenderness. His only complaint is pain in the left anterior neck…

Neurology, Vascular, NeurosurgeryDanielle KerriganNovember 4, 2022Carotid Dissection, Pediatrics, TraumaComment

Pediatric Submersions

The overhead announcement goes off: “Team B to the trauma room”. The report: EMS is bringing a 2-year-old female that was found unresponsive in the family swimming pool by her mother after being alerted by an older sibling. Unknown downtime. The patient is being bagged by bag-valve mask (BVM) and has slow, but palpable, femoral pulses, she is unresponsive, ETA 2 minutes…

Critical Care, Pediatrics, Resuscitation, TraumaSean BilodeauApril 29, 2022Drowning, PediatricsComment

Evaluation And Care Of Pediatric Patients After Sexual Assault

A 15-year-old female presents to your emergency department with her mother. She is tearful and withdrawn. She tells you that she was sexually assaulted by a 20 year old male acquaintance 2 days prior. She reports that she would like to report the assault and would like to have a forensic exam. She is having some vaginal bleeding and pain around her rectum. She admits to using alcohol and some marijuana on the night of the assault. She is unable to remember everything that happened and thinks her assailant may have put a drug in her drink…

Pediatrics, OB/Gyn, LegalHannah ChasonSeptember 24, 2021Sexual assault, Pediatrics, TraumaComment

Pediatric Diarrhea: History is the Primary Diagnostic Tool

A 5 year-old healthy male presented to the emergency department with his father with a chief complaint of fever, diarrhea, and vomiting. Fever was his first symptom. It started one week prior to presentation and was persistent over the course of the week. His highest temperature was 103.7 °F. Fevers occurred daily despite treatment with antipyretics. After his fever developed, he started having 4-5 daily episodes of watery diarrhea. Dad noted blood in the diarrhea only once. He complained of generalized abdominal pain when having bowel movements…

Infectious Disease, PediatricsFrederick VaroneOctober 12, 2020Diarrhea, Pediatrics, SalmonellaComment

Kawa-shocky

The patient is a 5-year-old female with a past medical history significant only for torticollis who presented to the emergency department with fever, emesis, diarrhea, fatigue, and rash. The patient began having fevers to 102 degrees Fahrenheit five days prior to arrival. The patient’s mother reported that four days ago, the patient began having diarrhea and non-bloody, non-bilious emesis. Two days ago, she began having decreased PO intake, continued fevers and emesis, anuria, and bilateral neck pain. The morning of arrival, the patient’s mother noted a rash on the patient’s back and bilateral conjunctival injection. She brought the patient to her pediatrician’s office, who sent her to the ED for further evaluation and management…

Pediatrics, Cardiology, Critical Care, ResuscitationLindsay MillerSeptember 28, 2020Kawasaki, Rash, Shock, PediatricsComment

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