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Pediatric emergency medicine practice最新文献

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Pediatric cervical spine injury: emergency department management. 小儿颈椎损伤：急诊科处理。
Pediatric emergency medicine practice Pub Date : 2026-06-15
Andrew Dixon, C Jenner Lakusta
{"title":"Pediatric cervical spine injury: emergency department management.","authors":"Andrew Dixon, C Jenner Lakusta","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Although they are rare, pediatric cervical spine injuries can be severe and life-threatening. To detect these injuries while avoiding further harm, emergency clinicians must recognize high-risk signs and mechanisms and consider physiology based on patient age. This review presents evidence-based recommendations for prehospital management, imaging decisions, and emergency department management of pediatric cervical spine injuries.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"23 Suppl 1","pages":"1-42"},"PeriodicalIF":0.0,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148266376","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 pediatric penile problems in the emergency department. 急诊科儿童阴茎问题的处理。
Pediatric emergency medicine practice Pub Date : 2026-06-01
Kyna Donohue, Kathryn Pade
{"title":"Management of pediatric penile problems in the emergency department.","authors":"Kyna Donohue, Kathryn Pade","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Pediatric penile problems range from congenital anomalies to acquired and emergent conditions. Acquired conditions can result from various causes, including infectious and inflammatory conditions, hematologic conditions, strangulation conditions, trauma, and surgical injuries. This review provides an overview of the presentation, diagnosis, and management of pediatric penile problems that may present to the emergency department. Recommendations are given for evaluation and management, with emphasis on pain relief, restoration of normal anatomy, and timely treatment. Guidance is also provided on indications for emergent urologic consultation. Optimizing outcomes for pediatric patients with penile conditions requires addressing key challenges, including effective pain and anxiety management, thoughtful use of imaging, and careful evaluation for possible abuse.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"23 6","pages":"1-24"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147989440","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 sentinel injuries in infants. 急诊科对婴幼儿前哨损伤的处理。
Pediatric emergency medicine practice Pub Date : 2026-05-01
Taylor Dantuma, Melissa Siccama, Amy Young
{"title":"Emergency department management of sentinel injuries in infants.","authors":"Taylor Dantuma, Melissa Siccama, Amy Young","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Sentinel injuries are often found incidentally on infants presenting with medical concerns or minor trauma as the chief complaint. Failure to recognize these findings as a potential indicator of child physical abuse may result in devastating outcomes, including disability and death. This issue reviews the most common sentinel injuries, including bruises, subconjunctival hemorrhages, oral injuries, and burns. Evidenced-based strategies are provided for evaluation and management of infants presenting to the emergency department with sentinel injuries.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"23 5","pages":"1-20"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784055","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
Thoracostomy and thoracotomy for emergency management of pediatric pleural space pathologies. 开胸术在小儿胸膜间隙病变急诊处理中的应用。
Pediatric emergency medicine practice Pub Date : 2026-04-01
Chantel Johnson, James Dodington
{"title":"Thoracostomy and thoracotomy for emergency management of pediatric pleural space pathologies.","authors":"Chantel Johnson, James Dodington","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>While indications and techniques for thoracostomy are well studied in adults, pediatric-specific evidence remains limited for emergency department-based thoracostomy and especially thoracotomy. The ability to perform urgent interventions for life-threatening pleural space pathologies is essential for all emergency clinicians. This issue reviews the clinical indications for thoracostomy and thoracotomy in pediatric patients, outlines procedural considerations for these techniques, and discusses potential complications in the emergency department. Advancements in the field are also highlighted, including emerging approaches to reduce procedural delays and improve patient outcomes.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"23 4","pages":"1-20"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147491970","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 children with tracheostomies, feeding tubes, and cerebrospinal fluid shunts. 气管切开术、喂食管和脑脊液分流患儿的急诊管理。
Pediatric emergency medicine practice Pub Date : 2026-03-01
David Kling, Yae Sul Jeong, Robert Trevino, Garey Noritz
{"title":"Emergency department management of children with tracheostomies, feeding tubes, and cerebrospinal fluid shunts.","authors":"David Kling, Yae Sul Jeong, Robert Trevino, Garey Noritz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Children with medical complexity represent a growing population in emergency medicine, and many of these children depend on medical technology. This issue provides an evidence-based framework for the emergency management of children with 3 commonly encountered technologies: tracheostomies, enteral feeding tubes, and cerebrospinal fluid shunts. Distinct risks, including obstruction, dislodgement, infection, and mechanical failure, are discussed. Strategies for early recognition, stabilization, and incorporation of caregiver input are reviewed to improve outcomes and reduce medical errors. By understanding technology-specific complications and emphasizing collaborative care, emergency clinicians can deliver safer, more effective treatment for this high-risk pediatric population.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"23 3","pages":"1-28"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147291346","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 pediatric febrile seizures in the emergency department. 急诊科小儿热性惊厥的处理
Pediatric emergency medicine practice Pub Date : 2025-09-01
Aimee Belak, David Teng
{"title":"Management of pediatric febrile seizures in the emergency department.","authors":"Aimee Belak, David Teng","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Febrile seizures are a common presentation to emergency departments. While established guidelines exist, variation in the management and treatment of febrile seizures persists across emergency departments. This issue reviews the definition of pediatric febrile seizure and discusses the presentation, differential diagnosis, management, and prognosis. Anticipatory guidance for families and disposition considerations are also provided.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"22 9","pages":"1-20"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144875741","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 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
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