Pediatric Emergency Medicine Reports
RSSArticles
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Common Pediatric Upper Extremity Overuse Injuries
Pediatric overuse injuries are becoming very common as the intensity of athletic competition extends to our younger population. Acute care providers must include these injuries in their differential as they listen to and examine young athletes. Identification and coordination of care with a sports medicine expert will optimize the long-term outcomes for these children.
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Assessment of Tetanus Risk in the Pediatric Emergency Department
Tetanus is a life-threatening, preventable disease. It is most commonly acquired from a wound site; however, it can be obtained via injuries of other tissues. Both primary and secondary measures of prevention contribute to the eradication of tetanus. Therefore, appropriate tetanus prophylaxis should be administered in a timely fashion when patients present with wounds or infected tissue. Because tetanus prevention can be so effective, it is imperative to review, document, and address any tetanus deficiencies.
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An Approach to Household Toxicological Emergencies in the Pediatric Patient
Patients with toxic ingestions most often will present to the emergency department as either a well-appearing patient with a known ingestion or as an ill-appearing patient with an unknown or suspected ingestion. This article will present the approach to both of these circumstances, discussing treatment and monitoring of specific overdoses as well as the initial approach to an ill child with a suspected overdose. The focus will be on common and accidental ingestions of toxins by pediatric patients.
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Pediatric Sports-Related Injuries of the Lower Extremity: Ankle
Pediatric lower extremity injuries are common in the emergency department, especially with increasing sports specialization in young athletes. Acute care providers need to be familiar with common injury patterns, indications for radiographs, and more specialized imaging. Recognizing and maintaining a high degree of suspicion for high-morbidity injuries that may masquerade as an ankle sprain is critical. The authors review common injuries and also injuries that cannot be missed including Maisonneuve fracture, talar fractures, navicular fractures, Jones or pseudo-Jones fractures, Lisfranc injuries, and Salter-Harris fractures.
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Noninvasive Ventilation and Acute Respiratory Failure
MONOGRAPH: Noninvasive ventilation indications, contraindications, and the growing body of literature supporting its use in a variety of clinical scenarios.
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A Review of the Limping Child and Painful Hip
MONOGRAPH: A focus on on the minor musculoskeletal trauma and atraumatic causes of limp and hip pain in the pediatric population.
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Foreign Bodies of the Head and Neck
MONOGRAPH: Diagnosing and managing ear, nose, and throat foreign bodies with discussion separated by location.
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Pediatric Seizures
Although benzodiazepines remain the first-line therapy, awareness of next steps in therapy is necessary.
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Current ED Management of Abscesses in Children
MONOGRAPH: Timely, appropriate management is critical to achieve the best possible outcome. The authors review the current best practice options.
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Fluids and Electrolyte Management, Part 2
MONOGRAPH: A clinician's guide to the management of electrolyte disorders and common metabolic acid-base disorders.