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COVID-19: the effects on the practice of pediatric emergency medicine. COVID-19:对儿科急诊医学实践的影响。
Pediatric emergency medicine practice Pub Date : 2020-06-19
David M Walker, Victorio R Tolentino
{"title":"COVID-19: the effects on the practice of pediatric emergency medicine.","authors":"David M Walker,&nbsp;Victorio R Tolentino","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>An informal survey of 65 pediatric emergency department leaders in North America-from 30 U.S. states and 4 Canadian provinces-revealed changes in operations, infrastructure, staffing, and clinical care that were undertaken as a result of the COVID-19 pandemic. The changes identified by the survey respondents were driven by reductions in pediatric patient volumes, a surge of adult patients, clinical considerations related to containment of infection, and financial factors. Survey respondents also reported effects of the pandemic on academic training programs and provider wellness. This report uses the survey responses to provide a snapshot of the adaptability of pediatric emergency medicine departments and clinicians during a public health emergency.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"17 Suppl 6-3","pages":"1-15"},"PeriodicalIF":0.0,"publicationDate":"2020-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38058994","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
Optimizing emergency management to reduce morbidity and mortality in pediatric burn patients. 优化急诊管理，降低儿科烧伤患者的发病率和死亡率。
Pediatric emergency medicine practice Pub Date : 2020-06-15
Hilary Fairbrother, Megan Long, Elizabeth Haines
{"title":"Optimizing emergency management to reduce morbidity and mortality in pediatric burn patients.","authors":"Hilary Fairbrother,&nbsp;Megan Long,&nbsp;Elizabeth Haines","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Burns are a significant cause of injury-induced morbidity and mortality in pediatric patients. The spectrum of management for pediatric burn victims is vast and relies heavily on both the classification of the burn and the body systems involved. The immediate focus of management includes resuscitation and stabilization, fluid management, and pain control. Additional focus includes decreasing the risk of infection as well as improving healing and cosmetic outcomes. Discharge care and appropriate follow-up instructions need to be communicated carefully in order to avoid long-standing complications. This supplement reviews methods for accurate classification and management of the full range of burns seen in pediatric patients.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"17 Suppl 6-2","pages":"1-51"},"PeriodicalIF":0.0,"publicationDate":"2020-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38042095","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: The impact on pediatric emergency care COVID-19:对儿科急诊护理的影响
Pediatric emergency medicine practice Pub Date : 2020-06-05
David M Walker, Victorio R Tolentino
{"title":"COVID-19: The impact on pediatric emergency care","authors":"David M Walker,&nbsp;Victorio R Tolentino","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Although there is still much that is not understood, experience with previous coronavirus outbreaks and available data on COVID-19 indicate a reduced propensity to affect children. Nonetheless, serious complications—although rare—are being seen in pediatric patients. This review, written with the emergency medicine clinician in mind, describes the epidemiology, clinical features, and management implications for COVID-19 in pediatric patients. It includes a discussion of multisystem inflammatory syndrome in children (MIS-C) associated with COVID-19, as well as other aspects of the COVID-19 pandemic that are affecting children and families, such as poisonings, childhood immunizations, mental health, nonaccidental trauma, and neglect.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"17 Suppl 6-1","pages":"1-27"},"PeriodicalIF":0.0,"publicationDate":"2020-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38008744","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
Points & Pearls: Seizures in neonates: diagnosis and management in the emergency department. 要点与珍珠:新生儿癫痫发作:急诊科的诊断和处理。
Pediatric emergency medicine practice Pub Date : 2020-06-02
Cassandra Koid Jia Shin, Jeranil Nunez
{"title":"Points & Pearls: Seizures in neonates: diagnosis and management in the emergency department.","authors":"Cassandra Koid Jia Shin,&nbsp;Jeranil Nunez","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"17 6","pages":"e1-e2"},"PeriodicalIF":0.0,"publicationDate":"2020-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38020364","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
Seizures in neonates: diagnosis and management in the emergency department. 新生儿癫痫:急诊科的诊断和处理。
Pediatric emergency medicine practice Pub Date : 2020-06-01 Epub Date: 2020-06-02
Melissa L Langhan, Brielle Stanton
{"title":"Seizures in neonates: diagnosis and management in the emergency department.","authors":"Melissa L Langhan,&nbsp;Brielle Stanton","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Neonatal seizures are associated with high morbidity and mortality, but they can be difficult to diagnose because they often present with subtle signs and symptoms. Initial management goals in the emergency department include patient stabilization, seizure cessation, and determination of the etiology; identification of life-threatening treatable causes of the seizures should be prioritized. Further management depends on the history and physical examination findings, laboratory testing results, and imaging studies. This issue reviews common presentations and causes of neonatal seizures, considerations for emergency department management, and the evidence regarding antiepileptic medications for neonates.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"17 6","pages":"1-20"},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37989147","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
Novel 2019 coronavirus SARS-CoV-2 (COVID-19): an overview for emergency clinicians. 2019年新型冠状病毒SARS-CoV-2 (COVID-19):急诊临床医生概述
Pediatric emergency medicine practice Pub Date : 2020-05-02 Print Date: 2020-05-01
A L Giwa, Akash Desai, Andrea Duca
{"title":"Novel 2019 coronavirus SARS-CoV-2 (COVID-19): an overview for emergency clinicians.","authors":"A L Giwa,&nbsp;Akash Desai,&nbsp;Andrea Duca","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The novel coronavirus, SARS-CoV-2, and its infection, COVID-19, has quickly become a worldwide threat to health, travel, and commerce. It is essential for emergency clinicians to learn as much as possible about this pandemic to manage the unprecedented burdens on healthcare providers and hospital systems. This review analyzes information from worldwide research and experience on the epidemiology, prevention, and treatment of COVID-19, and offers links to the most reliable and trustworthy resources to help equip healthcare professionals in managing this public health challenge. As the pandemic sweeps the United States, lessons learned from early centers of infection, notably New York and Northern Italy, can help localities to prepare.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"17 5","pages":"1-24"},"PeriodicalIF":0.0,"publicationDate":"2020-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37832238","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
Points & Pearls: Identification and management of marine envenomations in pediatric patients. 要点与珍珠:儿科患者海洋中毒的识别与管理。
Pediatric emergency medicine practice Pub Date : 2020-04-02
Arooma Ismail, Jeranil Nunez
{"title":"Points & Pearls: Identification and management of marine envenomations in pediatric patients.","authors":"Arooma Ismail,&nbsp;Jeranil Nunez","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"17 4","pages":"e1-e2"},"PeriodicalIF":0.0,"publicationDate":"2020-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37811834","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 marine envenomationsin pediatric patients 儿科患者海洋环境污染的识别与处理
Pediatric emergency medicine practice Pub Date : 2020-04-01 Epub Date: 2020-04-02
Meghan B Spyres, Jeff Lapoint
{"title":"Identification and management of marine envenomations\u0000in pediatric patients","authors":"Meghan B Spyres,&nbsp;Jeff Lapoint","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Marine envenomations can cause a diverse array of clinical syndromes. Systemic and life-threatening reactions, as well as delayed presentations, can occur. The pediatric population is at higher risk for serious reactions to envenomations because their greater body surface area and smaller body mass can lead to a higher relative venom load. Although the majority of the literature on marine envenomations is of low quality, the available literature does suggest that management varies depending on the geographic location. This issue reviews both common and life-threatening presentations of marine envenomations, highlights key aspects of the history and physical examination that will help narrow the differential, and offers recommendations for management based on the envenomating creature and geographic location.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"17 4","pages":"1-24"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37754081","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
Points & Pearls: Emergency department management of patients with failure to thrive 要点与要点:急诊科对未能茁壮成长的病人的管理
Pediatric emergency medicine practice Pub Date : 2020-03-02
Kathryn H. Pade
{"title":"Points & Pearls: Emergency department management of patients with failure to thrive","authors":"Kathryn H. Pade","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"17 3","pages":"e1-2"},"PeriodicalIF":0.0,"publicationDate":"2020-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37718936","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 patients with failure to thrive 急诊科对患者茁壮成长失败的处理
Pediatric emergency medicine practice Pub Date : 2020-03-02
Vincent Calleo, Ryan Surujdeo, Asalim Thabet
{"title":"Emergency department management of patients with failure to thrive","authors":"Vincent Calleo,&nbsp;Ryan Surujdeo,&nbsp;Asalim Thabet","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Although failure to thrive (FTT) is a relatively common presentation in the emergency department, many emergency clinicians are unsure of how to properly work up a pediatric patient with this condition. Obtaining a thorough history and physical examination will likely reveal the cause of FTT. Although most laboratory testing has low diagnostic yield, they may be indicated in certain circumstances. Radiologic testing is normally not indicated unless the history or physical examination point to a specific etiology. This issue reviews the etiology, pathophysiology, and management of patients with FTT, with the goal of improving outcomes while minimizing unnecessary testing, decreasing cost, and expediting emergency department care.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"17 3","pages":"1-12"},"PeriodicalIF":0.0,"publicationDate":"2020-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37691884","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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