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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
A review of the 2020 update of the Pediatric Advanced Life Support guidelines. 2020年儿科高级生命支持指南更新回顾
Pediatric emergency medicine practice Pub Date : 2023-06-01
Robert M Hoffmann, Andrew F Miller
{"title":"A review of the 2020 update of the Pediatric Advanced Life Support guidelines.","authors":"Robert M Hoffmann,&nbsp;Andrew F Miller","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Pediatric cardiac arrest presents an infrequent but high-stakes event for emergency clinicians, who need to maintain expertise in this area. Evidence regarding pediatric resuscitations has been accumulating substantially over the past decade and highlights the unique considerations and challenges when resuscitating children. This issue reviews resuscitation principles of children in cardiac arrest while addressing the newest evidence-based and best-practice recommendations by the American Heart Association.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"20 6","pages":"1-28"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10043904","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
Calculated decisions: Pediatric NIHSS Stroke Scale (PedNIHSS). 计算决策:儿科NIHSS卒中量表(PedNIHSS)。
Pediatric emergency medicine practice Pub Date : 2023-05-01
Derek Tam
{"title":"Calculated decisions: Pediatric NIHSS Stroke Scale (PedNIHSS).","authors":"Derek Tam","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This supplement reviews the evidence and applications for Pediatric NIH Stroke Scale, which quantifies stroke severity using a child-specific version of the National Institutes of Health Stroke Score.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"20 5 Suppl","pages":"CD1-CD2"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9420938","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
An evidence-based review of life-threatening secondary headaches in pediatric patients in the emergency department. 急诊儿科患者中危及生命的继发性头痛的循证回顾
Pediatric emergency medicine practice Pub Date : 2023-05-01
Sarah Chen, Aarti Gaglani, Michael J Stoner
{"title":"An evidence-based review of life-threatening secondary headaches in pediatric patients in the emergency department.","authors":"Sarah Chen,&nbsp;Aarti Gaglani,&nbsp;Michael J Stoner","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Headache is a common complaint in pediatric patients presenting to the emergency department. Diagnosis of life-threatening pathology can be difficult due to the nonspecific symptoms for many of these conditions. Emergency clinicians must have a high index of suspicion, obtain a detailed history, and conduct a thorough physical examination to accurately identify life-threatening causes of headache. This issue reviews the general approach, differential diagnosis, and initial workup and management of the most common dangerous causes of secondary headaches in pediatric patients.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"20 5","pages":"1-20"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9426311","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 dangerous back pain in children. 儿童危险背部疼痛的急诊科处理。
Pediatric emergency medicine practice Pub Date : 2023-04-01
William C Sokoloff, Matthew P Kusulas
{"title":"Emergency department management of dangerous back pain in children.","authors":"William C Sokoloff,&nbsp;Matthew P Kusulas","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Back pain in the pediatric population remains an unusual and concerning complaint that may be an indicator of serious underlying pathology. This issue reviews rare but dangerous etiologies of pediatric back pain and highlights signs and symptoms that may raise a red flag for potentially dangerous etiologies of back pain among children and teens. The evaluation of these patients, including judicious and effective imaging recommendations, is also discussed. A data-driven algorithm for evaluating patients can save the majority of patients from the expense and anxiety of unnecessary testing while effectively identifying the most appropriate means (and locations) for working up pathologic pediatric back pain.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"20 4","pages":"1-24"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9186520","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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