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Pediatric emergency medicine practice最新文献

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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
Brief resolved unexplained events: practical evaluation and management in the emergency department. 短暂缓解的不明原因事件：急诊科的实用评估和管理。
Pediatric emergency medicine practice Pub Date : 2024-04-01
Lukas R Austin-Page, Christine S Cho
{"title":"Brief resolved unexplained events: practical evaluation and management in the emergency department.","authors":"Lukas R Austin-Page, Christine S Cho","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In a 2016 clinical practice guideline, the American Academy of Pediatrics (AAP) created and introduced the term brief resolved unexplained event (BRUE). This guideline defined specific criteria for diagnosis of BRUE and provided a set of guidelines for evaluation of these infants as well as characteristics that indicate a BRUE will have a low risk for a repeat event or a serious underlying disorder. This issue reviews the definition and broad differential diagnosis of a BRUE, highlights the criteria for risk stratification of infants who experience a BRUE, summarizes the management recommendations for patients with a lower-risk BRUE, and examines the available literature that evaluates the impact of the AAP guidelines in the years since its publication.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"21 4","pages":"1-24"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140176961","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
Substance use in adolescents: recognition and management in the emergency department. 青少年药物使用：急诊科的认识和管理。
Pediatric emergency medicine practice Pub Date : 2023-10-01
Abha H Athale, Michael J Stoner
{"title":"Substance use in adolescents: recognition and management in the emergency department.","authors":"Abha H Athale,&nbsp;Michael J Stoner","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Adolescent substance use continues to be a prevalent problem and is a cause of morbidity, mortality, and high rates of resource utilization. The variability in presentations of drug intoxication can make accurate identification of the ingested substance, and thus efficient treatment, challenging. This issue provides a review of typical presenting signs, symptoms, and physical examination findings of commonly used drugs. Evidence-based recommendations are offered for a general approach to managing adolescent patients who present with drug intoxication, with specific guidance, when indicated.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"20 10","pages":"1-24"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41157508","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 evaluation and management of nonaccidental trauma in pediatric patients. 儿科患者非意外创伤的急诊评估与处理。
Pediatric emergency medicine practice Pub Date : 2023-09-01
Gwendolyn Hooley, Sylvia E Garcia
{"title":"Emergency department evaluation and management of nonaccidental trauma in pediatric patients.","authors":"Gwendolyn Hooley,&nbsp;Sylvia E Garcia","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Children who have suffered physical abuse may present to the healthcare setting multiple times before a diagnosis is made. Emergency clinicians must be able to recognize sentinel and severe signs of nonaccidental trauma and pursue an appropriate evaluation to prevent further injury. This issue offers evidence-based recommendations for the identification and management of nonaccidental trauma in children. Key historical and physical examination findings that should trigger an evaluation for physical abuse are reviewed. Recommendations are given for obtaining diagnostic studies and consulting with specialists. Guidance is provided for documenting and reporting findings when nonaccidental trauma is suspected.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"20 9","pages":"1-20"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10041393","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
Mammalian bite wounds in children: evidence-based management in the emergency department. 儿童哺乳动物咬伤:急诊循证管理。
Pediatric emergency medicine practice Pub Date : 2023-09-01
Mara Aloi, Tarrell Coley, Kara Iskyan Geren, Melanie Hartenian, Brian Rempe
{"title":"Mammalian bite wounds in children: evidence-based management in the emergency department.","authors":"Mara Aloi,&nbsp;Tarrell Coley,&nbsp;Kara Iskyan Geren,&nbsp;Melanie Hartenian,&nbsp;Brian Rempe","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Mammalian bites in children carry risk for infection, adverse cosmetic outcomes, and emotional distress. Emergency clinicians must carefully assess bite wounds and consider any risk factors for serious infection or other complications in order to make appropriate treatment decisions. This review provides evidence-based recommendations for the evaluation and treatment of mammalian bite wounds in children in the emergency department, including guidelines for empiric antibiotic therapy, wound management, and prophylaxis for infectious disease and bloodborne pathogens. The unique considerations in the management of human bite wounds are also discussed.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"20 Suppl 9","pages":"1-42"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10475904","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 macrocephaly. 儿童大头畸形的急诊科处理。
Pediatric emergency medicine practice Pub Date : 2023-08-01
Michele McDaniel
{"title":"Emergency department management of children with macrocephaly.","authors":"Michele McDaniel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Although the cause of macrocephaly is found to be benign in many cases, the large differential diagnosis includes conditions that can be life-threatening. Prompt recognition and timely diagnosis can lead to a better prognosis in many cases. This issue summarizes the available literature on macrocephaly and provides recommendations for the evaluation, diagnosis, and appropriate disposition of children with macrocephaly in the acute setting. Developmental milestones, \"red flags,\" and neurologic examination by age are reviewed to help narrow the differential diagnosis and identify underlying etiologies. Guidance is provided for which imaging studies are indicated, and recommendations are given for which children need transfer or admission.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"20 8","pages":"1-20"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9867578","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 acute asthma: an evidence-based review. 儿科急性哮喘急诊管理:循证综述
Pediatric emergency medicine practice Pub Date : 2023-07-01
Audrey Zelicof Paul, Kim A Rutherford, Stephanie M Abuso
{"title":"Emergency department management of pediatric acute asthma: an evidence-based review.","authors":"Audrey Zelicof Paul,&nbsp;Kim A Rutherford,&nbsp;Stephanie M Abuso","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Asthma is the most common chronic disease of childhood. Although home action plans and the use of maintenance medications have improved daily management and control of asthma, many children still require emergency department care at least once per year. Emergency clinicians must be able to manage patients with acute asthma exacerbations and determine their safe disposition. This issue reviews the current evidence-based emergency department management recommendations for moderate to severe acute asthma in pediatric patients. Timely use of bronchodilators and systemic corticosteroids, as well as adjunct modalities, are discussed. Current challenges in asthma management related to vaping and COVID-19 are also addressed.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"20 7","pages":"1-28"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9684787","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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