Articles Tagged With: children
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Is Endomyocardial Biopsy Still Necessary if Cardiac MRI Is Available?
A multicenter registry study in Europe of patients with suspected myocarditis has shown that, compared to cardiac magnetic resonance imaging, endomyocardial biopsy still is the gold standard, and lower ejection fraction and need for immunosuppressant drugs predicted a worse outcome.
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Nonaccidental Trauma
Nonaccidental trauma is a significant problem in emergency medicine and serves as the frontline of defense and protection for children. All providers must have a high degree of suspicion for the sometimes subtle presentation of an abused child. Early diagnosis and timely intervention are the only ways to allow these vulnerable children a chance at a normal, healthy life.
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Vaccine Effectiveness Against Long COVID in Children and Adolescents
Findings consistent with long COVID occur in 4.5% of infected children. COVID vaccination reduces the risk of long COVID by 50% in adolescents and by 24% in children aged 5 to 11 years.
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Vaccination Can Prevent or Lessen Long COVID
Could long COVID — a horrific condition anyone would want to avoid — shake people out of the malaise of vaccine apathy, if not outright distrust? Evidence is accumulating that receiving the COVID-19 vaccination before being initially infected with SARS-CoV-2 can significantly reduce the risk of long COVID in children and adults.
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First-Choice Antibiotic for Acute Bacterial Sinusitis in Children
Review of a large database reveals that, for children treated for acute sinusitis, amoxicillin and amoxicillin-clavulanate yield similar rates of treatment failure. However, medication side effects are more common when amoxicillin-clavulanate is used.
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Proton Pump Inhibitors: Too Much of a Good Thing?
Proton pump inhibitor use in infants is associated with a 34% increase in the risk of subsequent infection-related hospitalization. These medications should be used only when the benefits clearly outweigh the risks.
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Improving Mental and Behavioral Health Among Young Patients
Three national organizations offer recommendations for managing children, adolescents, and young adults in medical facilities and in their communities.
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What Happens if Police Bring a Child to the ED?
Try gathering healthcare providers, quality officers, the legal department, security, and local law enforcement monthly to discuss disagreements about minors in custody. These conversations can inform efforts to revise policies, with the goal of preventing future disputes.
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Challenges in Diagnosing MIS-C
Even though there are clear diagnostic criteria for multisystem inflammatory syndrome in children (MIS-C), the initial diagnosis is not always certain, and there can be overlapping concurrent bacterial, viral, and parasitic infections that also require prompt treatment.
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There Could Be Trouble if Providers Board Children with Psychiatric Complaints
If parents disagree with a hold, convey that staff are keeping the child safe, explain the steps they are taking to find an accepting hospital, and detail how the ED cannot discharge a patient who is on an involuntary hold. When families are informed and given space to vent, the situation can de-escalate.