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Clinical Pediatric Emergency Medicine最新文献

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Emergency Department Evaluation of the Pediatric Heart Transplant Recipient 儿科心脏移植受者的急诊评估
Clinical Pediatric Emergency Medicine Pub Date : 2018-12-01 DOI: 10.1016/j.cpem.2018.12.006
Anna Joong MD, Asma Khan MD
{"title":"Emergency Department Evaluation of the Pediatric Heart Transplant Recipient","authors":"Anna Joong MD,&nbsp;Asma Khan MD","doi":"10.1016/j.cpem.2018.12.006","DOIUrl":"10.1016/j.cpem.2018.12.006","url":null,"abstract":"<div><p><span><span>With an increasing number of pediatric </span>heart transplant patients, it is inevitable that they will seek medical care at an </span>emergency department for cardiac or noncardiac complaints. Given the special issues associated with transplant (some of which are similar to other organ transplants and some of which are unique to cardiac transplantation), the emergency care provider should have an understanding of what care can be independently provided, concerns which may require additional testing or expertise, and when to call the cardiac consultant. The goal of this review is to address these issues.</p></div>","PeriodicalId":44913,"journal":{"name":"Clinical Pediatric Emergency Medicine","volume":"19 4","pages":"Pages 353-357"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cpem.2018.12.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47941085","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
Point-of-Care Cardiac Ultrasound (POCCUS) in the Pediatric Emergency Department 儿科急诊科的即时心脏超声(POCCUS)
Clinical Pediatric Emergency Medicine Pub Date : 2018-12-01 DOI: 10.1016/j.cpem.2018.12.009
Shivani G. Patel , Tania L. Saroli , Russ Horowitz
{"title":"Point-of-Care Cardiac Ultrasound (POCCUS) in the Pediatric Emergency Department","authors":"Shivani G. Patel ,&nbsp;Tania L. Saroli ,&nbsp;Russ Horowitz","doi":"10.1016/j.cpem.2018.12.009","DOIUrl":"10.1016/j.cpem.2018.12.009","url":null,"abstract":"<div><p><span><span>Point-of-care ultrasound is increasingly being used throughout clinical medicine, especially in the </span>emergency department and </span>intensive care units<span>. A more focused area within point-of-care ultrasound is in echocardiography<span>. In this review, the use of point-of-care cardiac ultrasound, specifically for rapid cardiac evaluation in the pediatric emergency department, is examined to highlights its benefits and utility.</span></span></p></div>","PeriodicalId":44913,"journal":{"name":"Clinical Pediatric Emergency Medicine","volume":"19 4","pages":"Pages 323-327"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cpem.2018.12.009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45320070","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
The Use of Electrocardiography in the Emergency Department 心电图在急诊科的应用
Clinical Pediatric Emergency Medicine Pub Date : 2018-12-01 DOI: 10.1016/j.cpem.2018.12.001
Priya G. Jain MD , Ahmad Sami Chaouki MD, PhD
{"title":"The Use of Electrocardiography in the Emergency Department","authors":"Priya G. Jain MD ,&nbsp;Ahmad Sami Chaouki MD, PhD","doi":"10.1016/j.cpem.2018.12.001","DOIUrl":"10.1016/j.cpem.2018.12.001","url":null,"abstract":"<div><p><span><span>Electrocardiograms can be useful in the emergency department<span><span> setting when dealing with patients presenting with cardiac symptoms and signs. These include chest pain, syncope, </span>palpitations, </span></span>cyanosis, heart failure symptoms, and </span>ingestions<span><span>. Although the electrocardiogram may be helpful in identifying an underlying diagnosis, it may be normal in many cases and should be used as an adjunct diagnostic tool, not to be relied upon solely. Important diagnoses that can be made by electrocardiogram alone include supraventricular and ventricular arrhythmias, conduction system abnormalities such as heart block, and some channelopathies, such as long QT syndrome and </span>Brugada syndrome<span>. Caution must be taken in that, often, these diagnoses cannot be excluded even in the presence of a normal electrocardiogram (differing sensitivity for different diseases) and, often, incidental findings may occur in the absence of heart disease (nonspecific findings). Therefore, it is important to synthesize all data prior to coming to any conclusions.</span></span></p></div>","PeriodicalId":44913,"journal":{"name":"Clinical Pediatric Emergency Medicine","volume":"19 4","pages":"Pages 317-322"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cpem.2018.12.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44714530","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
Management of Pediatric Chest Pain, Palpitations, Syncope, and Murmur Presenting to the Emergency Department 急诊儿科胸痛、心悸、晕厥和杂音的处理
Clinical Pediatric Emergency Medicine Pub Date : 2018-12-01 DOI: 10.1016/j.cpem.2018.12.005
Sheetal Patel MD, Farshad Sedaghat-Yazdi MD, Michael Perez MD
{"title":"Management of Pediatric Chest Pain, Palpitations, Syncope, and Murmur Presenting to the Emergency Department","authors":"Sheetal Patel MD,&nbsp;Farshad Sedaghat-Yazdi MD,&nbsp;Michael Perez MD","doi":"10.1016/j.cpem.2018.12.005","DOIUrl":"10.1016/j.cpem.2018.12.005","url":null,"abstract":"<div><p><span><span>Chest pain, </span>palpitations and syncope are amongst the most common symptoms presenting to the </span>emergency department (ED). A finding of a murmur, although rare to present as primary cause for ED visit, can often be an associated finding noted during the evaluation. Although these symptoms can be very alarming to patients and parents, they are infrequently associated with significant cardiac disease. Although the cardiac etiologies for these common symptoms are rare, these cardiac conditions can sometimes be life threatening. This review examines these presenting symptoms of chest pain, syncope and palpitations or the finding of murmur for possible differential diagnoses.</p></div>","PeriodicalId":44913,"journal":{"name":"Clinical Pediatric Emergency Medicine","volume":"19 4","pages":"Pages 328-339"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cpem.2018.12.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44784859","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
The Adult Patient with Congenital Heart Disease in the Emergency Department 急诊科的成人先天性心脏病患者
Clinical Pediatric Emergency Medicine Pub Date : 2018-12-01 DOI: 10.1016/j.cpem.2018.12.010
Salil Ginde MD
{"title":"The Adult Patient with Congenital Heart Disease in the Emergency Department","authors":"Salil Ginde MD","doi":"10.1016/j.cpem.2018.12.010","DOIUrl":"10.1016/j.cpem.2018.12.010","url":null,"abstract":"<div><p><span>It is well recognized that adult survivors with congenital heart disease are at risk for several cardiac and noncardiac complications that can impact their long-term outcomes. </span>Emergency departments<span> are increasingly being used for the evaluation and management of acute complications in these patients. However, there are several issues that are unique to adults with congenital heart disease related to the complexity of their cardiac anatomy<span>, previous surgical intervention, and residual hemodynamic lesions that can complicate their presentation and management. This review examines the many challenges faced in caring for adults with congenital heart disease presenting to the emergency department, including the issues related to underlying cardiac lesion, access to care, and the evaluation and management of common clinical presentations.</span></span></p></div>","PeriodicalId":44913,"journal":{"name":"Clinical Pediatric Emergency Medicine","volume":"19 4","pages":"Pages 358-366"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cpem.2018.12.010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47254261","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
Coronary Artery Emergencies in Children 儿童冠状动脉急症
Clinical Pediatric Emergency Medicine Pub Date : 2018-12-01 DOI: 10.1016/j.cpem.2018.12.011
Nazia Husain MBBS, MPH, Michael Carr MD
{"title":"Coronary Artery Emergencies in Children","authors":"Nazia Husain MBBS, MPH,&nbsp;Michael Carr MD","doi":"10.1016/j.cpem.2018.12.011","DOIUrl":"10.1016/j.cpem.2018.12.011","url":null,"abstract":"<div><p><span>Coronary artery<span> issues are rare in children, leading to challenges for the pediatric emergency medicine practitioner. The differential diagnosis can be grouped into congenital or acquired coronary abnormalities. Congenital </span></span>coronary anomalies<span> leading to myocardial ischemia<span><span> or aborted sudden cardiac death<span> are most often due to an anomalous origin of a coronary artery. Acquired coronary artery disease is most commonly related to the </span></span>sequelae<span><span> of Kawasaki disease<span>. Lastly, rare, specific patient populations are at higher risk for early coronary disease. This review discusses the most common pediatric causes of coronary artery events, providing an overview of the evaluation and management in an </span></span>emergency department setting.</span></span></span></p></div>","PeriodicalId":44913,"journal":{"name":"Clinical Pediatric Emergency Medicine","volume":"19 4","pages":"Pages 367-372"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cpem.2018.12.011","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42415511","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
Value-Based Health Care in the Pediatric Emergency Department 基于价值观的儿科急诊保健
Clinical Pediatric Emergency Medicine Pub Date : 2018-12-01 DOI: 10.1016/j.cpem.2018.12.002
Emily Roben MD, MS , Joyce Johnson MD , George R. Verghese MD, MBA
{"title":"Value-Based Health Care in the Pediatric Emergency Department","authors":"Emily Roben MD, MS ,&nbsp;Joyce Johnson MD ,&nbsp;George R. Verghese MD, MBA","doi":"10.1016/j.cpem.2018.12.002","DOIUrl":"10.1016/j.cpem.2018.12.002","url":null,"abstract":"<div><p><span>Value-based health care is finding increasing importance in medical care. This manuscript reviews the concept of value-based health care and its application to pediatric patients with cardiac complaints in the </span>emergency department.</p></div>","PeriodicalId":44913,"journal":{"name":"Clinical Pediatric Emergency Medicine","volume":"19 4","pages":"Pages 312-316"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cpem.2018.12.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43894855","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
National Pediatric Readiness Project: Making a Difference Through Collaboration, Simulation, and Measurement of the Quality of Pediatric Emergency Care 国家儿科准备项目:通过协作、模拟和测量儿科急诊护理质量而有所作为
Clinical Pediatric Emergency Medicine Pub Date : 2018-09-01 DOI: 10.1016/j.cpem.2018.08.008
Marc Auerbach MD, MSci , Marianne Gausche-Hill MD , Craig D. Newgard MD, MPH
{"title":"National Pediatric Readiness Project: Making a Difference Through Collaboration, Simulation, and Measurement of the Quality of Pediatric Emergency Care","authors":"Marc Auerbach MD, MSci ,&nbsp;Marianne Gausche-Hill MD ,&nbsp;Craig D. Newgard MD, MPH","doi":"10.1016/j.cpem.2018.08.008","DOIUrl":"10.1016/j.cpem.2018.08.008","url":null,"abstract":"<div><p><span>The National Pediatric Readiness Project is a national quality initiative sponsored by the American College of Emergency Physicians, the American Academy of Pediatrics, and the Emergency Nurses Association. Multiple efforts across numerous states are in process to optimize pediatric readiness of </span>emergency departments. This article describes past, current, and future efforts to ensure pediatric readiness of our nations' emergency departments and to understand the relationship between pediatric readiness and quality of pediatric emergency care.</p></div>","PeriodicalId":44913,"journal":{"name":"Clinical Pediatric Emergency Medicine","volume":"19 3","pages":"Pages 233-242"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cpem.2018.08.008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46062718","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
The Importance of Family Reunification in Pediatric Disaster Planning 家庭团聚在儿童灾害规划中的重要性
Clinical Pediatric Emergency Medicine Pub Date : 2018-09-01 DOI: 10.1016/j.cpem.2018.08.007
Nichole Gubbins MD , Brent D. Kaziny MD, MA
{"title":"The Importance of Family Reunification in Pediatric Disaster Planning","authors":"Nichole Gubbins MD ,&nbsp;Brent D. Kaziny MD, MA","doi":"10.1016/j.cpem.2018.08.007","DOIUrl":"10.1016/j.cpem.2018.08.007","url":null,"abstract":"<div><p><span>In the aftermath of a disaster, families may become separated. With greater than 60 million children being apart from their families during the day, one could imagine a disaster resulting in great difficulties in reuniting these children with their families. History has shown us that widespread events can prove particularly challenging as was shown during Hurricane Katrina when it took up to 6 months to reunite all displaced children with their families. This article will discuss the history of pediatric disaster preparedness efforts, highlighting some of the available resources in the development of a </span>family reunification plan. Next will be a discussion of basic features of a well-thought-out family reunification plan, including critical areas to establish as part of an institution's plan. Key partners necessary to engage will be discussed, as well as the importance of testing any plan through drills. Finally, future work will be highlighted.</p></div>","PeriodicalId":44913,"journal":{"name":"Clinical Pediatric Emergency Medicine","volume":"19 3","pages":"Pages 252-259"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cpem.2018.08.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44746847","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
Nurses Are Integral to the Success of EMS for Children 护士是儿童EMS成功不可或缺的因素
Clinical Pediatric Emergency Medicine Pub Date : 2018-09-01 DOI: 10.1016/j.cpem.2018.08.006
Deena Brecher MSN, RN, ACNS-BC, CEN, CPEN, FAEN , Krisanne Graves PhD, RN, CPHQ
{"title":"Nurses Are Integral to the Success of EMS for Children","authors":"Deena Brecher MSN, RN, ACNS-BC, CEN, CPEN, FAEN ,&nbsp;Krisanne Graves PhD, RN, CPHQ","doi":"10.1016/j.cpem.2018.08.006","DOIUrl":"10.1016/j.cpem.2018.08.006","url":null,"abstract":"<div><p>Nurses, particularly emergency nurses, have long been involved with Emergency Medical Services<span> for Children (EMSC) at the local, state, and national level. Partnerships with several professional nursing associations, including the Emergency Nurses Association, have championed the mission of EMSC. These partnerships have been essential to ensuring pediatric emergency readiness, disaster preparedness, and education across the Health Resources and Services EMSC program. Emergency nurses are actively engaged in quality improvement work with the Facility Recognition Collaborative and the Pediatric Readiness Quality Collaborative with their EMSC partners, as well as research through the Pediatric Emergency Care Applied Research Network. In the future, continuing to leverage and expand partnerships with professional nurses and nursing organizations is an important component to the success and growth of EMSC.</span></p></div>","PeriodicalId":44913,"journal":{"name":"Clinical Pediatric Emergency Medicine","volume":"19 3","pages":"Pages 282-288"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cpem.2018.08.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45660476","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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