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The introduction of vaccines that prevent bacteremia has significantly reduced the risk of serious bacterial infections associated with Haemophilus influenzae and Streptococcus pneumoniae. How does this impact liability risks when caring for febrile children?
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Guidelines for the management of febrile children dating back to 1993 have complicated liability risks for EDs since they were published, and continue to play a role in ED medical malpractice litigation, says Jim Wilde, MD, director of pediatric emergency medicine at the Medical College of Georgia, who also is fellowship-trained in pediatric infectious diseases.
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Large ED verdicts, all from 2007, may seem to be bellwether cases that portend a change in jury opinions. On the other hand, a recent report says that ED claims have decreased, with claims per 100,000 visits dropping to 3.4 in 2006, down from 5.8 in 2001.
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These next two issues of Emergency Medicine Reports will cover many of the complications and problems that may cause the pregnant woman to come see you. Part I will focus on miscarriage, ectopic pregnancy, gestational trophoblastic disease, and venous thromboembolic states. Part II will discuss hypertensive disorders, amniotic fluid embolism, and late pregnancy bleeding.
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Prompt, accurate assessment of the severity of injury and early initiation
of appropriate critical care — including adequate oxygenation,
ventilation and correction of hypotension — is of crucial importance
in preventing deaths in children with severe trauma. This article reviews
the critical aspects of airway assessment and management in the pediatric
trauma patient.
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