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Pediatric emergency medicine practice最新文献

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Pediatric submersion injuries: emergency care and resuscitation. 小儿浸水伤：紧急护理和复苏。
Pediatric emergency medicine practice Pub Date : 2022-06-15
Janet Semple-Hess, Rashida Campwala
{"title":"Pediatric submersion injuries: emergency care and resuscitation.","authors":"Janet Semple-Hess, Rashida Campwala","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Drowning and submersion injuries are highly prevalent, yet preventable, causes of pediatric mortality and morbidity. Prehospital care should focus on restoring normal ventilation and circulation as quickly as possible to limit the extent of hypoxic insult. Diagnostic testing for symptomatic patients may include blood glucose level, arterial blood gas level, complete blood count, electrolyte levels, chest radiography, and cardiorespiratory monitoring with pulse oximetry and a rhythm strip. In this review, passive external, active external, and active internal rewarming techniques for treatment of hypothermic patients are discussed. A systematic approach to treatment and disposition of pediatric drowning victims is provided, and risk factors, caveats in pediatric care, and factors affecting prognosis are also discussed.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"19 6 Suppl","pages":"1-46"},"PeriodicalIF":0.0,"publicationDate":"2022-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40324960","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: Bacterial Meningitis Score for Children. 计算决策:儿童细菌性脑膜炎评分。
Pediatric emergency medicine practice Pub Date : 2022-05-01
Cullen Clark
{"title":"Calculated decisions: Bacterial Meningitis Score for Children.","authors":"Cullen Clark","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A review of the uses and evidence for the Bacterial Meningitis Score, which rules out bacterial meningitis in pediatric patients.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"19 3","pages":"CD1-CD3"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9233315","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: local anesthetic dosing calculator. 计算决策:局麻药剂量计算器。
Pediatric emergency medicine practice Pub Date : 2022-05-01
Nathan Teismann
{"title":"Calculated decisions: local anesthetic dosing calculator.","authors":"Nathan Teismann","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A review of the uses and evidence for the Local Anesthetic Dosing Calculator, which is used to help avoid toxic doses local anesthetics.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"19 Suppl 5","pages":"CD1-CD2"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9240532","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
Lead poisoning in children: emergency department recognition and management. 儿童铅中毒:急诊科的认识与处理。
Pediatric emergency medicine practice Pub Date : 2022-04-01 Epub Date: 2022-04-02
Ariella Nadler
{"title":"Lead poisoning in children: emergency department recognition and management.","authors":"Ariella Nadler","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Millions of children continue to be at risk for lead exposure despite a dramatic decline over the past 4 decades, and hundreds present annually to emergency departments with lead poisoning. These patients can be challenging to identify due to their nonspecific presentation and frequent lack of known exposure. This issue will prepare the emergency clinician to identify and care for the lead-poisoned patient, focusing on: (1) identifying key historical features, signs, and symptoms at presentation; (2) the medical management of lead poisoning; and (3) formulation of a safe discharge plan.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"19 4","pages":"1-20"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40313773","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
Current Practice and Pitfalls of Select Biomarkers in the Emergency Care of Children. 儿童急诊护理中生物标志物选择的现状与误区
Pediatric emergency medicine practice Pub Date : 2022-03-01 Epub Date: 2022-03-02
Landon A Jones
{"title":"Current Practice and Pitfalls of Select Biomarkers in the Emergency Care of Children.","authors":"Landon A Jones","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Specific biomarker levels can help differentiate children who require emergent medical interventions, such as procedures, surgeries, or antibiotics, from those who may not. Appropriate application of biomarkers after a thorough history and physical examination can potentially improve cost-effective management by minimizing unnecessary procedures and tests without sacrificing patient safety. This issue reviews the literature regarding 4 biomarkers: lactate, C-reactive protein, ferritin, and procalcitonin. Evidence-based recommendations are made for the clinical evaluation of bacterial meningitis, common infections, and appendicitis.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":" ","pages":"1-24"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39821972","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: Step-by-Step Approach to Febrile Infants. 计算的决定:一步一步的方法发热婴儿。
Pediatric emergency medicine practice Pub Date : 2022-03-01
Emily Heikamp
{"title":"Calculated decisions: Step-by-Step Approach to Febrile Infants.","authors":"Emily Heikamp","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A review of the uses and evidence for the Step-by-Step approach, which identifies febrile infants aged ≤90 days who are at low risk of invasive bacterial infections.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"19 3","pages":"CD3-CD5"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9233320","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 chest pain: using evidence to reduce diagnostic testing in the emergency department. 儿科胸痛:使用证据减少急诊科的诊断测试。
Pediatric emergency medicine practice Pub Date : 2022-02-01 Epub Date: 2022-02-02
Jay D Fisher, Beth Warren
{"title":"Pediatric chest pain: using evidence to reduce diagnostic testing in the emergency department.","authors":"Jay D Fisher,&nbsp;Beth Warren","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Pediatric chest pain is a relatively common presenting complaint, but identifying serious pathologies without overtesting patients with less-serious pathologies can be a challenge for emergency clinicians. This issue reviews the available literature to provide evidence-based recommendations to support a more standardized approach to the evaluation and management of pediatric patients with chest pain. This issue will help the emergency clinician identify red flags associated with cardiac causes of pediatric chest pain, recognize life-threatening causes of cardiac and non- cardiac chest pain, clinically diagnose the most common causes of non-cardiac chest pain, and appropriately utilize diagnostic tests in the evaluation of chest pain patients.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"19 2","pages":"1-24"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39944230","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: Hour-specific Risk for Neonatal Hyperbilirubinemia. 计算决策:新生儿高胆红素血症的小时特异性风险。
Pediatric emergency medicine practice Pub Date : 2022-01-01
Chionye Ossai
{"title":"Calculated decisions: Hour-specific Risk for Neonatal Hyperbilirubinemia.","authors":"Chionye Ossai","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A review of the uses and evidence for the Hour-specific Risk for Neonatal Hyperbilirubinemia tool, which predicts risk of hyperbilirubinemia in neonates.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"19 1","pages":"CD1-CD2"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9233316","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
Neonatal hyperbilirubinemia: recommendations for diagnosis and management in the emergency department. 新生儿高胆红素血症:急诊诊断和处理的建议。
Pediatric emergency medicine practice Pub Date : 2022-01-01 Epub Date: 2022-01-02
Abdullah Khan, Tommy Y Kim
{"title":"Neonatal hyperbilirubinemia: recommendations for diagnosis and management in the emergency department.","authors":"Abdullah Khan,&nbsp;Tommy Y Kim","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Hyperbilirubinemia is one the most common reasons for emergency department visits for the neonate. Most cases of unconjugated hyperbilirubinemia are benign. Although rare, unrecognized or untreated pathologic unconjugated hyperbilirubinemia can lead to the development of acute bilirubin encephalopathy and, ultimately, kernicterus. This issue reviews the emergency department evaluation and management of neonatal hyperbilirubinemia and discusses how to recognize acute bilirubin encephalopathy, with the goal of preventing kernicterus. Recommendations are provided for risk stratification and determining the need for phototherapy or exchange transfusion, using nomograms to plot total serum bilirubin levels and taking into consideration hyperbilirubinemia and neurotoxicity risk factors.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":" ","pages":"1-24"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39847198","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 electrical injuries in the emergency department: an evidence-based review. 急诊儿科电伤:循证回顾
Pediatric emergency medicine practice Pub Date : 2021-12-01 Epub Date: 2021-12-02
Kathryn Schissler, Carla Pruden
{"title":"Pediatric electrical injuries in the emergency department: an evidence-based review.","authors":"Kathryn Schissler,&nbsp;Carla Pruden","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Electrical injuries in pediatric patients are uncommon but can be life-threatening and require efficient and effective identification and management. Injury severity is based on the characteristics of the electricity, the duration of contact with the electrical source, and the current's pathway through the body. This issue discusses the specific threats posed by high-voltage, low-voltage, and lightning injuries. The various presentations are described, including burns, arrhythmias, respiratory arrest, cardiac arrest, blunt trauma from falls or blast events, rhabdomyolysis, tympanic membrane rupture, and altered mental status, among others. The most current literature is reviewed, and an evidence-based approach is provided for the diagnosis and management of electrical injuries in pediatric patients presenting to the emergency department.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"18 12","pages":"1-24"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39720596","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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