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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
Less-lethal law enforcement weapons: clinical management of associated injuries in the emergency department. 低致命性执法武器:急诊科相关伤害的临床管理
Pediatric emergency medicine practice Pub Date : 2021-08-01 Epub Date: 2021-08-02
Jessica Osterman, Cara Buchanan
{"title":"Less-lethal law enforcement weapons: clinical management of associated injuries in the emergency department.","authors":"Jessica Osterman,&nbsp;Cara Buchanan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Less-lethal weapons and tactics are being increasingly used by law enforcement to minimize the reliance on more-lethal force. While these methods are designated as \"less-lethal,\" they can cause morbidity and mortality when deployed. Knowledge of these weapons and tactics can help direct the workup and management of patients with injuries from these methods and can protect clinicians from secondary exposure and injuries. This issue reviews the most common less-lethal weapons and tactics used by law enforcement, describes their mechanism of action, and discusses associated common injury patterns. Recommendations are provided for the evaluation and management of these patients in the emergency department.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"18 8","pages":"1-24"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39222881","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
Diagnosis and management of pediatric primary bone tumors in the emergency department. 儿科原发性骨肿瘤在急诊科的诊断和处理。
Pediatric emergency medicine practice Pub Date : 2021-07-01 Epub Date: 2021-07-02
Mahnoosh Nik-Ahd, Anurag K Agrawal, Melissa Zimel
{"title":"Diagnosis and management of pediatric primary bone tumors in the emergency department.","authors":"Mahnoosh Nik-Ahd,&nbsp;Anurag K Agrawal,&nbsp;Melissa Zimel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Musculoskeletal pain is a common chief complaint of children in the emergency department. Although nonspecific and typically benign, musculoskeletal pain should be investigated thoroughly with consideration for an underlying bone tumor, especially when it is a recurrent visit for pain. This issue reviews the specific signs, symptoms, and unique presentations the emergency clinician should know when evaluating a pediatric patient with musculoskeletal pain. Additionally, assessment of relevant radiographic findings to assist in differentiating bone tumors and guide further management are discussed.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"18 7","pages":"1-20"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39128717","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 assessment and management of pediatric acute mild traumatic brain injury and concussion. 儿科急性轻度外伤性脑损伤及脑震荡的急诊评估与处理。
Pediatric emergency medicine practice Pub Date : 2021-06-01 Epub Date: 2021-06-02
Madeline Joseph, Audrey Paul
{"title":"Emergency department assessment and management of pediatric acute mild traumatic brain injury and concussion.","authors":"Madeline Joseph,&nbsp;Audrey Paul","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Mild traumatic brain injury (mTBI) and concussion, a subtype of mTBI, commonly present to the emergency department (ED) and may present with symptoms identical to those associated with more severe TBI. The development and use of clinical decision rules, increased awareness of the risk of radiation associated with head computed tomography, and the potential for patient observation has allowed emergency clinicians to make well-informed decisions regarding the need for imaging for patients who present with mTBI. For patients who present to the ED with concussion, appropriate diagnosis, management, and education are critical for optimal recovery. This issue reviews the most recent literature on concussion and mTBI and provides recommendations for the evaluation, diagnosis, and treatment of mTBI and concussion in the acute setting.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":" ","pages":"1-28"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38997900","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: CATCH (Canadian Assessment of Tomography for Childhood Head injury) Rule. 计算决策:CATCH(加拿大儿童头部损伤断层扫描评估)规则。
Pediatric emergency medicine practice Pub Date : 2021-06-01
Diana Fleisher
{"title":"Calculated decisions: CATCH (Canadian Assessment of Tomography for Childhood Head injury) Rule.","authors":"Diana Fleisher","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A review of the uses and evidence for the CATCH Rule, which predicts clinically significant head injuries in children.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"18 6","pages":"CD1-CD3"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9222394","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
Consent, refusal of care, and shared decision-making for pediatric patients in emergency settings. 急诊儿科患者的同意、拒绝治疗和共同决策。
Pediatric emergency medicine practice Pub Date : 2021-05-01 Epub Date: 2021-05-02
Sephora N Morrison, Laura Sigman
{"title":"Consent, refusal of care, and shared decision-making for pediatric patients in emergency settings.","authors":"Sephora N Morrison,&nbsp;Laura Sigman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Involving patients or their surrogate decision-makers in their care is an important element of modern medical practice. General consent, informed consent, treatment refusal, and shared decision-making are concepts that are used regularly but can be more complex in pediatric emergency settings. This issue summarizes these concepts and provides case examples that may be encountered. It explains the essential elements of informed consent, the distinction between the informed consent process and the document, how to approach treatment refusal, and approaches to involving patients and their surrogates in shared decision-making. Special circumstances include treatment for sexual and mental health conditions, emancipated minors, mature minors, and situations when custody is unclear. Implementation of these concepts can increase patient satisfaction, resolve conflict, and reduce risk.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"18 5","pages":"1-20"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38897540","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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