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Pediatric emergency medicine practice最新文献

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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
Recognition and management of pediatric travel-associated infectious diseases in the emergency department 急诊儿科旅行相关传染病的识别与管理
Pediatric emergency medicine practice Pub Date : 2021-11-01 Epub Date: 2021-11-02
David M Walker
{"title":"Recognition and management of pediatric travel-associated infectious diseases in the emergency department","authors":"David M Walker","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Global travel has made travel-associated infectious diseases (TAIDs) a more frequent consideration in the pediatric emergency department. Studies show that physicians may either omit a travel history or, even with a positive travel history, do not consider potentially serious illnesses, such as dengue and malaria. A thorough travel history including the purpose, location, activities, diet, and exposures can help the emergency clinician develop and narrow the differential diagnosis. This issue reviews the epidemiology, clinical presentation, diagnosis, and management of various TAIDs, with the goal of early recognition and disease-specific treatment.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"18 11","pages":"1-32"},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39533626","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
Management of pediatric transplant patients in the emergency department. 急诊儿科移植患者的管理。
Pediatric emergency medicine practice Pub Date : 2021-10-01 Epub Date: 2021-10-02
Brittany DiFabio, Timothy Ruttan
{"title":"Management of pediatric transplant patients in the emergency department.","authors":"Brittany DiFabio,&nbsp;Timothy Ruttan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Transplant patients are at risk for illnesses and complications days, months, or years after transplantation, and they can present complex challenges for emergency clinicians. This review discusses the general approach to the management of pediatric transplant patients in the emergency department, with a focus on general complications and organ-specific complications after solid organ transplantation. Hematopoietic stem cell transplantation and its common complications will also be discussed. A key step in the management of all transplant patients includes consultation with the patient's transplant team to ensure appropriate testing, treatment, and disposition for these patients.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"18 10","pages":"1-20"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39432273","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
Terrestrial envenomations in pediatric patients: identification and management in the emergency department. 儿科病人的陆源中毒:在急诊科的识别和处理。
Pediatric emergency medicine practice Pub Date : 2021-09-01 Epub Date: 2021-09-02
Michael Levine, Nathan Friedman
{"title":"Terrestrial envenomations in pediatric patients: identification and management in the emergency department.","authors":"Michael Levine,&nbsp;Nathan Friedman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The majority of bites and stings from terrestrial animals are not dangerous. However, due to their smaller size, children may be more susceptible to the effects of venom, and they may experience more-severe envenomation effects than adults. This issue reviews the basic epidemiology and underlying pathophysiology of the bites and stings of spiders, bees and wasps, fire ants, scorpions, snakes, and lizards. Clinical presentations are reviewed, and evidence-based recommendations are provided for management of the envenomated patient. While the pathophysiology and much of the presentation and treatment are similar for both children and adults, there can be subtle differences, which will be highlighted in this review.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"18 9","pages":"1-24"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39319372","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 1: head and neck trauma. 优化儿科创伤患者的影像学，第一部分:头颈部创伤。
Pediatric emergency medicine practice Pub Date : 2021-08-15
Jinel Scott, Tarundeep Grewal, Selwena Brewster, Ambreen Khan
{"title":"Optimizing imaging in the pediatric trauma patient, part 1: head and neck trauma.","authors":"Jinel Scott,&nbsp;Tarundeep Grewal,&nbsp;Selwena Brewster,&nbsp;Ambreen Khan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Trauma is the leading cause of death in the pediatric population and is among the most common reasons for ED visits by children. Imaging is an important tool for the diagnosis and management of pediatric trauma, but there are risks associated with exposure to ionizing radiation. In pediatric head and neck injuries, clinical findings and clinical decision tools can help inform selection of the most appropriate imaging modalities for the trauma patient, while also reducing unnecessary radiation exposure. This supplement reviews evidence-based recommendations for imaging decisions and interpretations in skull fractures, traumatic brain injuries, abusive head trauma, cervical spine injuries, and facial bone fractures. Examples demonstrating imaging modalities and specific findings for the types of injuries are also provided.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"18 Suppl 8","pages":"1-39"},"PeriodicalIF":0.0,"publicationDate":"2021-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39338618","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: SIRS, Sepsis, and Septic Shock Criteria. 计算决策:SIRS，败血症和感染性休克标准。
Pediatric emergency medicine practice Pub Date : 2021-08-01
Christian Hietanen
{"title":"Calculated decisions: SIRS, Sepsis, and Septic Shock Criteria.","authors":"Christian Hietanen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A review of the uses and evidence for the Shock Index, Pediatric Age-Adjusted (SIPA), which predicts mortality in children with blunt trauma.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"19 8","pages":"CD1-CD3"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9222398","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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