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Pediatric emergency medicine practice最新文献

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Emergency department management of pediatric sexual abuse. 儿童性虐待的急诊科管理。
Pediatric emergency medicine practice Pub Date : 2025-05-01
Kirsten Morrissey, Christopher Woll
{"title":"Emergency department management of pediatric sexual abuse.","authors":"Kirsten Morrissey, Christopher Woll","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Pediatric sexual abuse is a widespread problem impacting children and adolescents across all ages, races, ethnicities, and socioeconomic groups, and it is a topic that emergency clinicians caring for children need to be familiar with. A structured, multidisciplinary approach to the assessment, diagnosis, treatment, and follow-up of these patients is essential. This issue provides a comprehensive review of the current definitions, assessment techniques, diagnostic considerations, and management strategies for children who have experienced sexual abuse.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"22 5","pages":"1-28"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pediatric wound care in the emergency department. 急诊科的儿科伤口护理。
Pediatric emergency medicine practice Pub Date : 2025-04-15
Svetlana Duvidovich, Jennifer E Sanders
{"title":"Pediatric wound care in the emergency department.","authors":"Svetlana Duvidovich, Jennifer E Sanders","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Traumatic wounds and lacerations are common pediatric presenting complaints to emergency departments. Although there is a large body of literature on wound care, many emergency clinicians base management of wounds on theories and techniques that have been passed down over time. Therefore, controversial, conflicting, and unfounded recommendations are prevalent. This issue reviews evidence-based recommendations for wound care, including wound cleansing and irrigation, anxiolysis/sedation techniques, closure methods, and postrepair wound care.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"27 Suppl 4","pages":"1-50"},"PeriodicalIF":0.0,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Emergency department diagnosis and management of skin and soft-tissue infections in children. 儿童皮肤和软组织感染的急诊诊断和处理。
Pediatric emergency medicine practice Pub Date : 2025-04-01
Sima Patel, Prachi Singh
{"title":"Emergency department diagnosis and management of skin and soft-tissue infections in children.","authors":"Sima Patel, Prachi Singh","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Children with skin and soft-tissue infections (SSTIs) commonly present to the emergency department, and while most of these infections are mild, some can be severe, with high morbidity and mortality. Emergency clinicians must be able to recognize frequently encountered SSTIs and be prepared to treat them appropriately. This issue reviews the various etiologies and patient presentations of common SSTIs, including purulent, nonpurulent, and necrotizing infections. Findings on the history and physical examination that can differentiate SSTIs from mimics are discussed, and evidence-based recommendations are provided for management.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"22 4","pages":"1-20"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Management of patients with juvenile idiopathic arthritis in the emergency department. 急诊科对幼年特发性关节炎患者的管理。
Pediatric emergency medicine practice Pub Date : 2025-03-01
Julie Cherian
{"title":"Management of patients with juvenile idiopathic arthritis in the emergency department.","authors":"Julie Cherian","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Juvenile idiopathic arthritis (JIA) is the most common pediatric rheumatic disease. Children may present to the emergency department during the initial presentation of JIA or due to disease-related complications. Differentiating JIA from emergent causes of joint pain, including severe infections and malignancies, can be challenging. This issue reviews the clinical presentation of JIA, provides guidance for differentiating JIA from conditions with similar presentations, and offers recommendations for management of JIA and JIA-related complications in the emergency department.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"22 3","pages":"1-20"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pediatric apophysitis management in the emergency department. 急诊科的小儿apophytis管理。
Pediatric emergency medicine practice Pub Date : 2025-02-01
Brian D Novi, William Mak
{"title":"Pediatric apophysitis management in the emergency department.","authors":"Brian D Novi, William Mak","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>When children and adolescents present to the emergency department with sports-related injuries, it can be challenging to differentiate apophyseal injuries from other common injuries such as fractures or muscle or ligament injuries. Recognition of apophyseal injuries can help facilitate optimal healing, prevent future injury, and minimize unnecessary testing. This issue reviews the major anatomic areas of apophysitis, presents guidance for activity modification and return precautions, and indications for when it is appropriate to refer patients for specialty care.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"22 2","pages":"1-16"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Emergency department management of primary headache disorders in pediatric patients. 儿科患者原发性头痛疾病的急诊科管理。
Pediatric emergency medicine practice Pub Date : 2025-01-01
Lujain F Abul, Aidan McParland, Garth D Meckler
{"title":"Emergency department management of primary headache disorders in pediatric patients.","authors":"Lujain F Abul, Aidan McParland, Garth D Meckler","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Headaches are a common reason for pediatric visits to the emergency department. Emergency clinicians must distinguish between common and dangerous secondary causes of headache and primary headache disorders such as migraine and tension-type headaches. This issue discusses the diagnosis of primary headaches by history and physical examination, the options for first-line treatment of primary headache and for severe or refractory migraines, and procedural interventions that may be considered when other therapies have failed. Guidance is provided for patient and family education regarding triggers, lifestyle modifications, and nutraceutical prophylaxis.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"22 1","pages":"1-28"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Emergency department management of acute scrotal pain in pediatric patients. 急诊科对小儿急性阴囊疼痛的处理。
Pediatric emergency medicine practice Pub Date : 2024-10-01
Mukuka Kangwa, Yi Li, Natasha A Tejwani, Hillary L Copp, James Naprawa
{"title":"Emergency department management of acute scrotal pain in pediatric patients.","authors":"Mukuka Kangwa, Yi Li, Natasha A Tejwani, Hillary L Copp, James Naprawa","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Testicular torsion is a urologic emergency, accounting for up to 15% of cases of acute scrotal pain. Rapid recognition and management are essential to ensure viability of the testis. Doppler ultrasound can be used to confirm the diagnosis of testicular torsion; however, recent studies suggest that a more judicious use of ultrasound may be safe, decrease delays in surgical management, and avoid unnecessary utilization of resources. This issue reviews the epidemiology and historical and physical examination findings of testicular torsion and other common causes of acute scrotal pain. The existing literature is reviewed and recommendations are provided to guide the emergency clinician in appropriate management and disposition of boys with acute scrotal pain.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"21 10","pages":"1-24"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142355874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
COVID-19, MIS-C, and long COVID in pediatric patients: an update. 儿童患者中的 COVID-19、MIS-C 和长 COVID：最新进展。
Pediatric emergency medicine practice Pub Date : 2024-07-01
Joshua Rocker, Caroline Weiss
{"title":"COVID-19, MIS-C, and long COVID in pediatric patients: an update.","authors":"Joshua Rocker, Caroline Weiss","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>COVID-19, the disease caused by SARS-CoV-2, has been disruptive worldwide. It was primarily a respiratory disease that affected many of the medically vulnerable, but the true impact of postacute sequelae of SARS-CoV-2 (PASC), which has been demonstrated to involve all organ systems, is now coming to light. In addition, a new disease entity emerged, multisystem inflammatory syndrome in children (MIS-C), which has had significant morbidity and mortality associated with it. This issue reviews the presentation, evaluation, and management of patients with COVID-19, MIS-C, and PASC. Additionally, the current literature supporting public health measures, as well as COVID-19 vaccinations and their complications are discussed.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"21 7","pages":"1-28"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141432977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Severe traumatic brain injury in children: an evidence-based review of emergency department management. 儿童严重创伤性脑损伤：急诊科管理的循证审查。
Pediatric emergency medicine practice Pub Date : 2024-06-15
Hilary Fairbrother, Kirsten Morrissey
{"title":"Severe traumatic brain injury in children: an evidence-based review of emergency department management.","authors":"Hilary Fairbrother, Kirsten Morrissey","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>More than 1.7 million traumatic brain injuries occur in adults and children each year in the United States, with approximately 30% occurring in children aged <14 years. Traumatic brain injury is a significant cause of morbidity and mortality in pediatric trauma patients. The early management of severe traumatic brain injury is focused on mitigation and prevention of secondary injury, specifically by avoiding hypotension and hypoxia, which have been associated with poorer outcomes. This review discusses methods to maintain adequate oxygenation, maximize management of intracranial hypertension, and optimize blood pressure in the emergency department to improve neurologic outcomes following pediatric severe traumatic brain injury.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"21 Suppl 6","pages":"1-48"},"PeriodicalIF":0.0,"publicationDate":"2024-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141421337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Identification and management of pediatric venous thromboembolism in the emergency department. 急诊科儿科静脉血栓栓塞症的识别和处理。
Pediatric emergency medicine practice Pub Date : 2024-05-01
Michael P Johnson, Asim A Abbasi
{"title":"Identification and management of pediatric venous thromboembolism in the emergency department.","authors":"Michael P Johnson, Asim A Abbasi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Although the incidence of pediatric venous thromboembolism is increasing, it is often overlooked in children due to the overall low incidence. This issue reviews the epidemiology of pediatric venous thromboembolism, including the factors that have led to its increasing prevalence, and discusses the physiology of hemostasis and coagulation. Key features of the history and physical examination, as well as identification of risk factors, are reviewed, as these have the most diagnostic value for venous thromboembolism in pediatric patients. Recommendations are also provided for diagnostic testing and management in the emergency department.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"21 5","pages":"1-24"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140867568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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