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Clinical Pediatric Emergency Medicine最新文献

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Extremity Fractures in an Infant 婴儿四肢骨折
Clinical Pediatric Emergency Medicine Pub Date : 2019-12-01 DOI: 10.1016/j.cpem.2019.100727
Rachel Cafferty , Michelle Alletag
{"title":"Extremity Fractures in an Infant","authors":"Rachel Cafferty ,&nbsp;Michelle Alletag","doi":"10.1016/j.cpem.2019.100727","DOIUrl":"10.1016/j.cpem.2019.100727","url":null,"abstract":"<div><p>A 52-day-old infant presented to the emergency department<span><span> with newly discovered fractures of the left arm, including fractures of the distal humerus and </span>distal radius and an ulnar metaphyseal corner fracture. Initial presentation was concerning for nonaccidental trauma. Review of systems and physical examination findings suggested an alternative etiology. Further radiographic studies and laboratory results revealed the ultimate diagnosis.</span></p></div>","PeriodicalId":44913,"journal":{"name":"Clinical Pediatric Emergency Medicine","volume":"20 4","pages":"Article 100727"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cpem.2019.100727","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54156035","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
Sixteen-Year-Old Female Adolescent With Fever and Altered Mental Status 16岁女青少年发烧和精神状态改变
Clinical Pediatric Emergency Medicine Pub Date : 2019-12-01 DOI: 10.1016/j.cpem.2019.100739
Jessica L. Perniciaro MD
{"title":"Sixteen-Year-Old Female Adolescent With Fever and Altered Mental Status","authors":"Jessica L. Perniciaro MD","doi":"10.1016/j.cpem.2019.100739","DOIUrl":"10.1016/j.cpem.2019.100739","url":null,"abstract":"<div><p>A female adolescent presented to the emergency department with altered level of consciousness, fever, and hypotension. Initial management was focused on acute resuscitation. Shortly after arrival, the search for the cause of the patient's shock became acutely focused due to the finding of a positive urine pregnancy test result, but the ultimate etiology of her decompensation was not fully determined until days later in the intensive care unit.</p></div>","PeriodicalId":44913,"journal":{"name":"Clinical Pediatric Emergency Medicine","volume":"20 4","pages":"Article 100739"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cpem.2019.100739","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42182771","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
How Much Drool Is Too Much? 多少口水算多?
Clinical Pediatric Emergency Medicine Pub Date : 2019-12-01 DOI: 10.1016/j.cpem.2019.100742
Gena Schubert DO , Josh Haverland MD , Craig Vander Wyst MD , Jon McGreevy MD, MSPH
{"title":"How Much Drool Is Too Much?","authors":"Gena Schubert DO ,&nbsp;Josh Haverland MD ,&nbsp;Craig Vander Wyst MD ,&nbsp;Jon McGreevy MD, MSPH","doi":"10.1016/j.cpem.2019.100742","DOIUrl":"10.1016/j.cpem.2019.100742","url":null,"abstract":"<div><p>A 3-year-old boy presented to the emergency department with a chief complaint of “lethargy” and was found to have ptosis with eventual respiratory failure and need for emergent intubation. There is a broad differential for a patient with respiratory failure, and careful physical examination and history are imperative to reduce morbidity and prevent mortality. After further evaluation and workup, the diagnosis is ultimately revealed.</p></div>","PeriodicalId":44913,"journal":{"name":"Clinical Pediatric Emergency Medicine","volume":"20 4","pages":"Article 100742"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cpem.2019.100742","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37831971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Respiratory Distress and Abdominal Distension in an 8-Month-Old 8个月大婴儿的呼吸窘迫和腹胀
Clinical Pediatric Emergency Medicine Pub Date : 2019-12-01 DOI: 10.1016/j.cpem.2019.100731
Lydia Rabon , Jon F. McGreevy
{"title":"Respiratory Distress and Abdominal Distension in an 8-Month-Old","authors":"Lydia Rabon ,&nbsp;Jon F. McGreevy","doi":"10.1016/j.cpem.2019.100731","DOIUrl":"10.1016/j.cpem.2019.100731","url":null,"abstract":"<div><p><span><span>An 8-month-old presented to a community hospital with respiratory distress, progressive abdominal distension, and emesis in the setting of fever and significant irritability. His illness course eventually progressed to requiring </span>intubation and bedside </span>exploratory laparotomy<span>. He was subsequently diagnosed with abdominal compartment syndrome secondary to methicillin-resistant Staphylococcus aureus sepsis. The differential for abdominal distension in this age group is extensive, and the eventual diagnosis offers valuable teaching points in the management of the sick infant with abdominal distension.</span></p></div>","PeriodicalId":44913,"journal":{"name":"Clinical Pediatric Emergency Medicine","volume":"20 4","pages":"Article 100731"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cpem.2019.100731","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42492484","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
Impact of Blood Culture Contamination on Patients and Health Care Systems: A Review of QI Strategies Within the ED 血液培养污染对患者和卫生保健系统的影响:ED内QI策略的回顾
Clinical Pediatric Emergency Medicine Pub Date : 2019-09-01 DOI: 10.1016/j.cpem.2019.100718
Jacqueline B. Corboy MD, MS , Megan Attridge MD
{"title":"Impact of Blood Culture Contamination on Patients and Health Care Systems: A Review of QI Strategies Within the ED","authors":"Jacqueline B. Corboy MD, MS ,&nbsp;Megan Attridge MD","doi":"10.1016/j.cpem.2019.100718","DOIUrl":"10.1016/j.cpem.2019.100718","url":null,"abstract":"<div><p>Emergency departments<span> are a primary site for evaluation of pediatric patients presenting with fever. Part of this evaluation may include the collection of blood cultures to rule out infection from a bacterial pathogen<span>. Many of these samples, however, yield results that are not representative of a true bacterial infection, causing undue burden on patients and their families and adding considerable costs for the health care system. Reducing the rate of false-positive blood cultures may be achieved through quality improvement methodology. Strategies for the reduction of blood culture contamination, including process improvement and targeted education, are discussed in this review.</span></span></p></div>","PeriodicalId":44913,"journal":{"name":"Clinical Pediatric Emergency Medicine","volume":"20 3","pages":"Article 100718"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cpem.2019.100718","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42831308","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
Quick Tips for Visual Displays of Data 数据可视化显示的快速提示
Clinical Pediatric Emergency Medicine Pub Date : 2019-09-01 DOI: 10.1016/j.cpem.2019.100740
Emily Roben
{"title":"Quick Tips for Visual Displays of Data","authors":"Emily Roben","doi":"10.1016/j.cpem.2019.100740","DOIUrl":"10.1016/j.cpem.2019.100740","url":null,"abstract":"","PeriodicalId":44913,"journal":{"name":"Clinical Pediatric Emergency Medicine","volume":"20 3","pages":"Article 100740"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cpem.2019.100740","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46662321","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
Clonidine Overdose: A Review of Pharmacology and Medication Error 可乐定过量:药理学和用药错误综述
Clinical Pediatric Emergency Medicine Pub Date : 2019-09-01 DOI: 10.1016/j.cpem.2019.100716
Jennifer Y. Colgan, Sally Reynolds
{"title":"Clonidine Overdose: A Review of Pharmacology and Medication Error","authors":"Jennifer Y. Colgan,&nbsp;Sally Reynolds","doi":"10.1016/j.cpem.2019.100716","DOIUrl":"10.1016/j.cpem.2019.100716","url":null,"abstract":"<div><p><span><span>Medication error is the most common medical error and disproportionately affects pediatric patients. Physicians have a responsibility to understand root causes for medication error and common prevention strategies. Further research in this field is imperative to prevent medication errors resulting in adverse patient events. This article uses a case of potential </span>clonidine toxicity that presented to the </span>emergency department to illustrate and review these concepts. Given that clonidine is being prescribed to both pediatric and adult patients for expanding clinical indications, children are at higher risk for potential overdose. Therefore, a brief review of clonidine toxicity and its management is also provided.</p></div>","PeriodicalId":44913,"journal":{"name":"Clinical Pediatric Emergency Medicine","volume":"20 3","pages":"Article 100716"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cpem.2019.100716","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47510931","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
Multidisciplinary Quality Improvement Approach to Standardize Care and Communication for Suspected Child Abuse Arriving to the ED 多学科质量改进方法:对到达急诊科的疑似虐待儿童进行标准化护理和沟通
Clinical Pediatric Emergency Medicine Pub Date : 2019-09-01 DOI: 10.1016/j.cpem.2019.100715
Kate Balsley , Mary Clyde Pierce , Yiannis L. Katsogridakis , Norell Rosado , Lisa Mathey , Sheila Hickey , Michael Kelleher
{"title":"Multidisciplinary Quality Improvement Approach to Standardize Care and Communication for Suspected Child Abuse Arriving to the ED","authors":"Kate Balsley ,&nbsp;Mary Clyde Pierce ,&nbsp;Yiannis L. Katsogridakis ,&nbsp;Norell Rosado ,&nbsp;Lisa Mathey ,&nbsp;Sheila Hickey ,&nbsp;Michael Kelleher","doi":"10.1016/j.cpem.2019.100715","DOIUrl":"10.1016/j.cpem.2019.100715","url":null,"abstract":"<div><p>The Ann &amp; Robert H. Children's Hospital of Chicago identified dissatisfaction with communication, expectations, and care during evaluation for suspected child abuse, which requires coordination among emergency department (ED) providers, child abuse pediatricians (CAPs), and social workers. The aim of this project was to develop and implement standard care and communication in the evaluation of suspected child abuse. A multi-disciplinary project team was convened and utilized quality improvement methodology to complete a barriers assessment and gap analysis. The project team developed a guideline with clear criteria and decision points. A scripting tool was also designed to standardize communication and increase transparency with families. The ED implemented this guideline for suspected child abuse in December 2018. Employing a quality improvement approach to streamlining communication and care for children presenting to the ED for suspected child abuse was effective for ensuring buy-in from team members.</p></div>","PeriodicalId":44913,"journal":{"name":"Clinical Pediatric Emergency Medicine","volume":"20 3","pages":"Article 100715"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cpem.2019.100715","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48721439","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: 2
Introducing article numbering to Clinical Pediatric Emergency Medicine 《临床儿科急诊医学》文章编号介绍
Clinical Pediatric Emergency Medicine Pub Date : 2019-09-01 DOI: 10.1016/S1522-8401(19)30092-8
Theresa
{"title":"Introducing article numbering to Clinical Pediatric Emergency Medicine","authors":"Theresa","doi":"10.1016/S1522-8401(19)30092-8","DOIUrl":"10.1016/S1522-8401(19)30092-8","url":null,"abstract":"","PeriodicalId":44913,"journal":{"name":"Clinical Pediatric Emergency Medicine","volume":"20 3","pages":"Article 100736"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1522-8401(19)30092-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49529767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Striving For Better 追求更好
Clinical Pediatric Emergency Medicine Pub Date : 2019-09-01 DOI: 10.1016/j.cpem.2019.100719
Jacqueline B. Corboy MD, MS
{"title":"Striving For Better","authors":"Jacqueline B. Corboy MD, MS","doi":"10.1016/j.cpem.2019.100719","DOIUrl":"10.1016/j.cpem.2019.100719","url":null,"abstract":"","PeriodicalId":44913,"journal":{"name":"Clinical Pediatric Emergency Medicine","volume":"20 3","pages":"Article 100719"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cpem.2019.100719","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47841253","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: 2
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