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Pediatric emergency medicine practice最新文献

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Pediatric ankle and foot injuries: identification and management in the emergency department. 儿科踝关节和足部损伤:急诊科的识别和处理。
Pediatric emergency medicine practice Pub Date : 2023-03-01
Elizabeth Zorovich, Vlad Panaitescu, John Kiel
{"title":"Pediatric ankle and foot injuries: identification and management in the emergency department.","authors":"Elizabeth Zorovich,&nbsp;Vlad Panaitescu,&nbsp;John Kiel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Pediatric ankle and foot injuries are common complaints in the emergency department, and proper identification and management of these injuries is critical for uninterrupted limb development. This issue reviews the presentation, systematic evaluation, and management of common pediatric orthopedic injuries of the ankle and foot. Recommendations are given for the disposition of pediatric patients with ankle and foot injuries, with a focus on which patients need immediate orthopedic evaluation and which patients can be discharged home with appropriate follow-up.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"20 3","pages":"1-20"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10735517","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 electrolyte emergencies: recognition and management in the emergency department. 儿科电解质急症:急诊科的认识与处理。
Pediatric emergency medicine practice Pub Date : 2023-02-01
Thomas Conway
{"title":"Pediatric electrolyte emergencies: recognition and management in the emergency department.","authors":"Thomas Conway","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Early recognition and treatment of electrolyte abnormalities protect the patient from derangements in the renal, myocardiac, and central nervous systems. Correction of electrolyte derangements decreases both morbidity and mortality. This issue reviews sodium, potassium, calcium, magnesium, and phosphorus abnormalities and provides a systematic approach to the evaluation and management of the ill child with an electrolyte emergency.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"20 2","pages":"1-20"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10604879","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
Responsible and safe use of opioids in children and adolescents in the emergency department. 在急诊科负责任和安全使用阿片类药物的儿童和青少年。
Pediatric emergency medicine practice Pub Date : 2023-01-01
Samina Ali, Amy L Drendel
{"title":"Responsible and safe use of opioids in children and adolescents in the emergency department.","authors":"Samina Ali,&nbsp;Amy L Drendel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Untreated pain in childhood may have ramifications well into adulthood. Opioid medications have an important role in care for moderate to severe pain that cannot be relieved by first-line interventions, but clinicians must approach opioid use in the emergency department in an evidence-based, socially responsible manner. This issue reviews evidence-based approaches to with a focus on optimizing nonopioid pain management as a first approach and using opioid medications safely, when appropriate. Recommendations are provided for safer opioid prescribing, including assessment of risk factors for opioid misuse, careful family counseling and education, and suggested prescribing limits. Prescription and use of naloxone in the emergency department and as take-home kits are also discussed.</p><p><p></p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"20 1","pages":"1-24"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10571504","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
Movement disorders in children: recognition and management in the emergency department. 儿童运动障碍:急诊科的识别与管理。
Pediatric emergency medicine practice Pub Date : 2022-12-01
Lance Paton, Rhonda Philopena, Phillip Mackewicz
{"title":"Movement disorders in children: recognition and management in the emergency department.","authors":"Lance Paton,&nbsp;Rhonda Philopena,&nbsp;Phillip Mackewicz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The differential diagnosis for pediatric patients presenting to the emergency department with movement-based neurological complaints is wide. Clinicians must ensure these children receive an appropriate evaluation to recognize rare diseases. Early recognition of these diagnoses helps facilitate coordination with specialists, guides imaging, and ensures proper management and disposition. This issue reviews 3 less-common movement disorders: acute cerebellar ataxia, anti-N-methyl-D-aspartate receptor encephalitis, and acute disseminated encephalomyelitis. The common presentations, evaluation, and management of these conditions in the emergency department are discussed.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"19 12","pages":"1-20"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40686255","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 septic shock: recognition and management in the emergency department. 小儿感染性休克:急诊科的认识与处理。
Pediatric emergency medicine practice Pub Date : 2022-11-01 Epub Date: 2022-11-02
Ara Festekjian, Julia Glavinic
{"title":"Pediatric septic shock: recognition and management in the emergency department.","authors":"Ara Festekjian,&nbsp;Julia Glavinic","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Sepsis is a leading cause of morbidity and mortality in children. Early recognition and timely initiation of empiric broadspectrum antibiotics and crystalloid fluid administration have been associated with better outcomes. Although evidence for diagnosis and treatment of septic shock was first generated in adult studies, it is clear that pediatric studies are needed for management of septic shock in children. This issue provides guidance for managing septic shock in children, with a focus on early recognition and appropriate resuscitation.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"19 11","pages":"1-24"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40657046","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
Fever in children aged 3 to 36 Months: management in the emergency department. 3 ~ 36月龄儿童发热:急诊科处理
Pediatric emergency medicine practice Pub Date : 2022-10-01 Epub Date: 2022-10-02
Nader Badri, Lucas Friedman
{"title":"Fever in children aged 3 to 36 Months: management in the emergency department.","authors":"Nader Badri,&nbsp;Lucas Friedman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The advent of pneumococcal and Haemophilus influenzae vaccines has substantially reduced the risk for occult (unsuspected) serious bacterial infection or invasive bacterial infection in the febrile child. The challenge for emergency clinicians is to identify and treat children with serious illness while avoiding overtreatment. This issue reviews the epidemiology and management of fever in children aged 3 to 36 months, focusing primarily on previously healthy, well-appearing children without a source of fever whose evaluation and management are more ambiguous.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"19 10","pages":"1-28"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40368713","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 imaging in the pediatric trauma patient, part 2: thoracic and abdominal trauma. 优化儿科创伤患者的影像学，第2部分:胸部和腹部创伤。
Pediatric emergency medicine practice Pub Date : 2022-09-30
Jinel Scott, Tarundeep Grewal, Selwena Brewster, Ambreen Khan
{"title":"Optimizing imaging in the pediatric trauma patient, part 2: thoracic and abdominal trauma.","authors":"Jinel Scott,&nbsp;Tarundeep Grewal,&nbsp;Selwena Brewster,&nbsp;Ambreen Khan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Imaging is a critical tool for the diagnosis and management of thoracic and abdominal injuries in pediatric patients. The location and mechanism of injury, the physical examination, and other clinical findings should guide emergency clinicians in the selection of the most appropriate imaging modality for the pediatric trauma patient. This supplement reviews the evidence for imaging decisions in the setting of pleural space, lung parenchyma, chest wall, cardiac, diaphragm, solid-organ, and hollow-viscus injuries in pediatric patients. Examples demonstrating imaging modalities, interpretations, and specific findings are provided. Considerations for imaging in suspected nonaccidental abdominal trauma are also discussed.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"19 Suppl 9","pages":"1-26"},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40377346","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 ocular trauma: recognition and management. 儿童眼外伤:识别与处理。
Pediatric emergency medicine practice Pub Date : 2022-09-01 Epub Date: 2022-09-02
Ami Shah, Don Walker
{"title":"Pediatric ocular trauma: recognition and management.","authors":"Ami Shah,&nbsp;Don Walker","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Ocular injuries are the most common cause of preventable blindness in children. A detailed and systematic evaluation of patients with ocular trauma will reduce morbidity and improve long-term vision outcomes. This issue reviews the critical aspects of the pediatric ocular examination for accurate diagnosis of vision-threatening injuries. It also provides recommendations for immediate emergency department treatment, and indications for urgent versus emergent ophthalmology referral.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"19 9","pages":"1-28"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40633695","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 firearm injuries to the extremity: management in the emergency department. 小儿火器致四肢损伤:急诊科的处理
Pediatric emergency medicine practice Pub Date : 2022-08-01
Rawad Rayes, Cathy Dong, Eva Tovar Hirashima
{"title":"Pediatric firearm injuries to the extremity: management in the emergency department.","authors":"Rawad Rayes,&nbsp;Cathy Dong,&nbsp;Eva Tovar Hirashima","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Firearm injuries are a leading cause of pediatric mortality in the United States. The frequency of pediatric extremity firearm injuries and the high repeat incidence in high-risk patients make it important for emergency clinicians to understand how to manage these injuries. This issue focuses on the acute management of firearm injuries to the extremities of pediatric patients, drawing from the pediatric literature or extrapolated from adult literature where pediatric evidence is scarce. Current trends, novel management, and controversies are also discussed.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"19 8","pages":"1-28"},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40526762","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
Human trafficking of children and adolescents: recognition and response in the emergency department. 儿童和青少年人口贩运:在急诊科的识别和应对。
Pediatric emergency medicine practice Pub Date : 2022-07-01 Epub Date: 2022-07-02
Lela Bachrach, Larissa Truschel, Makini Chisolm-Straker
{"title":"Human trafficking of children and adolescents: recognition and response in the emergency department.","authors":"Lela Bachrach,&nbsp;Larissa Truschel,&nbsp;Makini Chisolm-Straker","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Labor and sex trafficking impact children of all ages, genders, and nationalities. Trafficked patients present to the emergency department for illnesses and injuries both related and unrelated to their trafficking experiences. Emergency clinicians are not meant to be experts in labor and sex trafficking, but they must know enough to be able to identify patients at risk for trafficking and ensure that these patients have the opportunity to be connected to relevant services and support. This issue reviews the ways in which youth are trafficked, the indicators of trafficking, and the evidence-based and best-practice recommendations for addressing suspected or confirmed trafficking in the pediatric and adolescent patient populations.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"19 7","pages":"1-24"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40325621","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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