Clinical Pediatric Emergency Medicine最新文献

Localized Intravascular Coagulopathy of Venous Malformation Involving the Labia as a Mimic of Child Sexual Abuse 局部血管内凝血病的静脉畸形涉及阴唇作为模拟儿童性虐待

Clinical Pediatric Emergency Medicine Pub Date : 2020-09-01 DOI: 10.1016/j.cpem.2020.100787

Leslie Strickler DO, FAAP , Lan Anh Van-Dinh MD , Christopher Torrez MD , Jessica Williams MD

引用次数: 0

Pediatric Fractures: Identifying and Managing Physical Abuse 儿童骨折:识别和管理身体虐待

Clinical Pediatric Emergency Medicine Pub Date : 2020-09-01 DOI: 10.1016/j.cpem.2020.100786

Jessalyn Shaw MD, Kirsten Simonton MD

引用次数: 0

Child Maltreatment and Cannabis: Intersection in Pediatric Emergency Department Visits 儿童虐待和大麻:儿科急诊科访问的交集

Clinical Pediatric Emergency Medicine Pub Date : 2020-09-01 DOI: 10.1016/j.cpem.2020.100790

Jennifer A. Tendler MD, FAAP , Pratima R. Shanbhag MD, FAAP , Kathryn M. Wells MD, FAAP

引用次数: 1

Failure of Midline Fusion in a Neonate Mistaken as Trauma From Acute Sexual Assault 新生儿中线融合失败误诊为急性性侵犯创伤

Clinical Pediatric Emergency Medicine Pub Date : 2020-09-01 DOI: 10.1016/j.cpem.2020.100788

Jada Ingalls DO , Reena Isaac MD

引用次数: 1

Bruising in Infants and Children: Minor Skin Injuries Can Have Major Implications 婴儿和儿童的瘀伤:轻微的皮肤损伤可能会产生重大影响

Clinical Pediatric Emergency Medicine Pub Date : 2020-09-01 DOI: 10.1016/j.cpem.2020.100785

Kelsey A. Gregory MD , Amanda K. Fingarson DO

{"title":"Bruising in Infants and Children: Minor Skin Injuries Can Have Major Implications","authors":"Kelsey A. Gregory MD , Amanda K. Fingarson DO","doi":"10.1016/j.cpem.2020.100785","DOIUrl":"10.1016/j.cpem.2020.100785","url":null,"abstract":"<div><p>Bruising is a common finding in children presenting to emergency departments and can result from either accidental or abusive trauma. In physically abused children, bruising often precedes other, more severe injuries. Key features can help distinguish normal childhood bruising from bruising concerning for physical abuse, which can guide an appropriate medical workup and help ensure child safety.</p><p>This review will cover bruising features associated with physical abuse. A child's age and developmental capabilities relate to the likelihood of bruising being due to physical abuse. Features specific to the bruising itself are also significant. Bruising location, as well as the pattern and number of bruises are relevant in assessing injury plausibility. A careful medical assessment with consideration of alternate diagnoses is critical in thoroughly evaluating the likelihood of abuse. Laboratory and radiographic studies can help identify potentially contributory underlying medical conditions as well as injuries that may not be apparent on physical examination.</p></div>","PeriodicalId":44913,"journal":{"name":"Clinical Pediatric Emergency Medicine","volume":"21 3","pages":"Article 100785"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cpem.2020.100785","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43428582","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

When Child Neglect Is an Emergency 当儿童被忽视是一个紧急情况

Clinical Pediatric Emergency Medicine Pub Date : 2020-09-01 DOI: 10.1016/j.cpem.2020.100784

Kristine Fortin MD, MPH

引用次数: 0

Applications of Telemedicine in Child Abuse Pediatrics 远程医疗在虐待儿童儿科学中的应用

Clinical Pediatric Emergency Medicine Pub Date : 2020-09-01 DOI: 10.1016/j.cpem.2020.100789

John D Melville MS, MD , Natalie Laub MD , Vincent J Palusci MD, MS

{"title":"Applications of Telemedicine in Child Abuse Pediatrics","authors":"John D Melville MS, MD , Natalie Laub MD , Vincent J Palusci MD, MS","doi":"10.1016/j.cpem.2020.100789","DOIUrl":"10.1016/j.cpem.2020.100789","url":null,"abstract":"<div><p>Child abuse is a common and morbid condition that is frequently identified in the emergency department, but emergency departments far outnumber specialized child abuse pediatricians. The small size and slow growth of child abuse as a specialty requires innovative approaches to ensure that specialized services are available to all children who may have been abused.</p><p>This review covers the history and core concepts of telemedicine<span> in child abuse pediatrics, highlighting services including live patient visits, advice and consultation, and retrospective peer review. We describe a deliberate approach to establishing a telemedicine program. Training and practice help establish new competencies in this form of medicine. Evaluation and sound business planning lead to sustainable and positive change. We also discuss challenges unique to child abuse telemedicine including confidentiality, security, provider engagement, and specialized training.</span></p><p>Child abuse is a common and pervasive problem whereas child abuse pediatricians are both few and far between. Telemedicine may provide a solution to problems of availability and distribution within our specialty.</p></div>","PeriodicalId":44913,"journal":{"name":"Clinical Pediatric Emergency Medicine","volume":"21 3","pages":"Article 100789"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cpem.2020.100789","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49329623","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: 4

Child Maltreatment: A Problem Both Worsened and Concealed in Crises 儿童虐待:一个在危机中恶化又隐藏的问题

Clinical Pediatric Emergency Medicine Pub Date : 2020-09-01 DOI: 10.1016/j.cpem.2020.100800

Kirsten Simonton MD, Amanda Fingarson DO

引用次数: 0

Abusive Head Trauma: A Review of Current Knowledge 虐待性头部创伤:当前知识综述

Clinical Pediatric Emergency Medicine Pub Date : 2020-09-01 DOI: 10.1016/j.cpem.2020.100791

Sundes Kazmir MD , Norell Rosado MD

引用次数: 0

Optimizing Interdisciplinary Care of Pediatric Sexual Assault and Abuse in the Emergency Department: A Quality Improvement Approach 优化跨学科护理儿科性侵犯和虐待在急诊科:质量改进方法

Clinical Pediatric Emergency Medicine Pub Date : 2020-09-01 DOI: 10.1016/j.cpem.2020.100799

Lisa Mathey MSN, APRN-NP, SANE-A, SANE-P , Kate Balsley MPH , Sheila Hickey MSW MJ , Kirsten Simonton MD , Jose Celio , Yiannis L. Katsogridakis MD, MPH

{"title":"Optimizing Interdisciplinary Care of Pediatric Sexual Assault and Abuse in the Emergency Department: A Quality Improvement Approach","authors":"Lisa Mathey MSN, APRN-NP, SANE-A, SANE-P , Kate Balsley MPH , Sheila Hickey MSW MJ , Kirsten Simonton MD , Jose Celio , Yiannis L. Katsogridakis MD, MPH","doi":"10.1016/j.cpem.2020.100799","DOIUrl":"10.1016/j.cpem.2020.100799","url":null,"abstract":"<div><p>The Ann & Robert H. Lurie Children's Hospital of Chicago identified issues with team communication, consistency of services provided, and continuity of care within the sexual abuse and assault program in the emergency department<span><span> (ED) which necessitated improvement efforts. The aim of this project was to engage an interdisciplinary team to define and delineate roles and streamline clinical workflows from ED presentation to nonacute follow-up. An interdisciplinary team was convened and utilized quality improvement methodology to complete a current state analysis, develop a future state design, and prioritize interventions for improvement. The project team focused on four interventions: (1) establish a team approach with delineated roles and responsibilities; (2) develop and implement consistent workflows to reduce unwarranted variation<span> in care; (3) expand education on the sexual assault nurse examiner (SANE) program more broadly to the care teams in the ED; and (4) implement clinical decision support (CDS) tools to streamline the continuum of sexual assault services provided. Three of the interventions (all but education) were carried out as a comprehensive care guideline for patients presenting to the ED for evaluation. The ED implemented this care guideline in August 2019. The utilization of quality improvement methodology was effective in ensuring an organized, interdisciplinary team response for the evaluation of pediatric and adolescent sexual abuse and assault in the ED. It enabled strong buy-in from team members and ownership of the process with anticipated improvements </span></span>in patient care and experiences.</span></p></div>","PeriodicalId":44913,"journal":{"name":"Clinical Pediatric Emergency Medicine","volume":"21 3","pages":"Article 100799"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cpem.2020.100799","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47758144","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