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Pediatric emergency medicine practice最新文献

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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
Erratum for: The effect of medically-attended injury experience on the use of home safety equipment 医疗护理伤害经验对使用家庭安全设备的影响的勘误
Pediatric emergency medicine practice Pub Date : 2021-04-19 DOI: 10.22470/PEMJ.2020.00059.E1
I. Jeong, S. Jung, Joohyun Suh, K. Ahn, J. A. Bae
{"title":"Erratum for: The effect of medically-attended injury experience on the use of home safety equipment","authors":"I. Jeong, S. Jung, Joohyun Suh, K. Ahn, J. A. Bae","doi":"10.22470/PEMJ.2020.00059.E1","DOIUrl":"https://doi.org/10.22470/PEMJ.2020.00059.E1","url":null,"abstract":"","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84420485","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
The child with a syndrome: considerations for management in the emergency department. 儿童综合征:急诊管理的考虑。
Pediatric emergency medicine practice Pub Date : 2021-04-01 Epub Date: 2021-04-02
Adam Sigal, Shannon Zik, Christopher Valente
{"title":"The child with a syndrome: considerations for management in the emergency department.","authors":"Adam Sigal,&nbsp;Shannon Zik,&nbsp;Christopher Valente","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Children with syndromes often access emergency services and they may present unique challenges for emergency clinicians. This issue reviews 3 pediatric syndromes-spina bifida, Down syndrome, and Marfan syndrome-each of which are associated with unique emergent conditions. Patients with spina bifida have chronic colonization of bacteria in the urine, and antibiotics are not always needed. Children with Down syndrome are at risk for neurologic injury with minor trauma; advanced imaging such as magnetic resonance imaging may be needed in select cases. For children in whom a connective tissue disorder is suspected, aortic dissection and spontaneous pneumothorax must be considered. This issue reviews the pitfalls in interpreting routine testing and discusses the diagnostic and therapeutic approaches helpful in evaluating children with syndromes.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"18 4","pages":"1-24"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25527555","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
Pneumothorax secondary to acupuncture in an adolescent girl 少女针刺继发气胸一例
Pediatric emergency medicine practice Pub Date : 2021-03-25 DOI: 10.22470/PEMJ.2020.00213
Yasser AlFraih, H. Merali
{"title":"Pneumothorax secondary to acupuncture in an adolescent girl","authors":"Yasser AlFraih, H. Merali","doi":"10.22470/PEMJ.2020.00213","DOIUrl":"https://doi.org/10.22470/PEMJ.2020.00213","url":null,"abstract":"Acupuncture is a primary therapeutic technique used in traditional Chinese medicine. It refers to the stimulation of specific pressure points along the body surface with heat, pressure, or insertion of thin needles. In our review of the literature, acupuncturerelated complications are rarely reported, particularly in children. The rare reports are usually by the clinicians managing the complications rather than the acupuncturists. One study found that only 20% of reports were authored by the acupuncturists who performed the procedures causing the adverse events. Because acupuncture is gaining popularity and usage among children, raising awareness of the potential complications is crucial. Reporting complications contributes to education, recognition, and establishment of safety guidelines for this alternative therapy in children. We report a case of iatrogenic pneumoth침 치료 후 사춘기 여아에게서 발생한 기흉","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"5 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72398689","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: 1
Pediatric acute demyelinating syndromes: identification and management in the emergency department. 小儿急性脱髓鞘综合征:在急诊科的识别和处理。
Pediatric emergency medicine practice Pub Date : 2021-03-01 Epub Date: 2021-03-02
Camille Halfman
{"title":"Pediatric acute demyelinating syndromes: identification and management in the emergency department.","authors":"Camille Halfman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Acute demyelinating disorders can present with vague complaints and subtle abnormalities of the neurological examination. A thorough history and physical examination are important for narrowing the differential diagnosis and determining which diagnostic studies are indicated. This issue focuses on the most common acute demyelinating disorders in children: Guillain-Barré syndrome and acute transverse myelitis. Common presenting signs and symptoms of these conditions are reviewed, and evidence-based recommendations are provided for the initial assessment and management of Guillain-Barré syndrome and acute transverse myelitis in the emergency department.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"18 3","pages":"1-16"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25392581","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
Accidental trauma of infancy: emergency department evaluation and management. 婴儿期意外创伤:急诊科评价与处理。
Pediatric emergency medicine practice Pub Date : 2021-02-15
Daniel Saltzman, Mariya Skube
{"title":"Accidental trauma of infancy: emergency department evaluation and management.","authors":"Daniel Saltzman,&nbsp;Mariya Skube","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The common mechanisms and injury patterns of accidental trauma in infants differ from those of older children and adults, with falls representing the most common etiology. While the evaluation of traumatic injury in infants should follow an algorithm similar to that used for adults, the unique pediatric physiologic response to trauma must be taken into consideration. In addition, the utility of certain imaging studies in these patients is highly case specific, particularly with minor head injuries. This supplement reviews the evaluation and management of infants with accidental traumatic injury, including the most common circumstances and pathophysiology of injury, the differential diagnosis of the infant trauma victim, and the workup and management of accidental injuries in this patient population.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"18 Suppl 2","pages":"1-39"},"PeriodicalIF":0.0,"publicationDate":"2021-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25350567","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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