Emergency Publication
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Preventing, Identifying, and Managing Pediatric Malaria
Malaria has infested every continent except Antarctica and is ranked as the third-leading cause of death for children 1 month to 5 years of age globally. Acute care providers need to be able to identify and manage a child with malaria.
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A Review of Throat Infections: Must-Not-Miss Diseases
In the previous issue, the author reviewed common causes of sore throat as well as diagnostic and therapeutic approaches. In this issue, he tackles ill-appearing children and how to approach those at risk for an airway disaster. This article is a must-read for all practicing emergency medicine clinicians to safely diagnose and manage these high-risk children.
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A Review of Throat Infections: Low-Acuity Disease
Sore throats are common pediatric chief complaints, with etiologies ranging from thrush to epiglottitis. All clinicians must be familiar with the diversity of causes from benign to life-threatening in order to decrease morbidity and mortality with a timely diagnosis.
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Evaluation of Syncope in the Pediatric Emergency Department
Syncope is a frightening event for a child’s family. Fortunately, the majority of etiologies are benign. However, there are rare, potentially life-threatening causes of cardiac diseases that cannot be missed. The authors review and present a balanced approach to a child with syncope.
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An Updated Review of Pediatric Facial Lacerations
Facial lacerations are common. Every acute care provider needs to be prepared to evaluate and manage facial and scalp lacerations and determine the best manner of repair and when referral is appropriate. The author provides an evidence-based, comprehensive and updated review of pediatric facial lacerations.
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Recognizing, Managing, and Reporting Pediatric Sexual Abuse and Assault
Child sexual abuse is a common concern for patients presenting to the emergency department. The approach depends not only on the age and development of the child, but also the allegations, time since the contact occurred, and the child's symptoms. It is imperative that all clinicians are familiar with the optimal approach and evaluation of a child with alleged sexual abuse.
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Hypothermia and Frostbite
Hypothermia is a medical emergency that requires immediate attention and correction. For patients with environmental exposures, especially freezing ambient temperatures, cold water, snow, and ice, frostbite injuries are of significant concern.
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Managing Pott’s Puffy Tumor and Sinogenic or Otogenic Intracranial Empyema
Following the COVID-19 pandemic, the incidence of sinogenic and otogenic intracranial empyemas increased. The author reviews the presentation, imaging, and treatment for this potentially life-threatening infection, with a reminder to keep this on your differential when evaluating your youngest patients.
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Identifying and Managing Rocky Mountain Spotted Fever
Rocky Mountain spotted fever is an infectious disease that may be rapidly fatal if not rapidly recognized based on clinical findings and early institution of appropriate antibiotic therapy. The epidemiologic shift of this disease makes it important for all healthcare providers to be familiar with the current status, clinical presentation, and therapy for Rocky Mountain spotted fever.
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Take on CLABSI Infections with Individualized Education, Leadership Support
Central line-associated bloodstream infections (CLABSIs) are a big problem for patients because they often lead to serious complications such as sepsis. Further, managing such cases can significantly run up the tab for hospitals.