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Pediatric Emergency Medicine Reports

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Articles

  • Fluids and Electrolyte Management

    MONOGRAPH: A clinical guide for pediatric maintenance fluid therapy, rehydration therapies, and sodium homeostasis.

  • Diagnosis and Management of Pediatric Concussions in the ED

    MONOGRAPH: Here are crucial steps to treat this common presentation in children.

  • Severe Asthma Exacerbation in Pediatric Patients

    MONOGRAPH: A small subset of children present in extremis requiring second- and third-line medications and airway management. Here is how to treat them.

  • ED Evaluation and Management of Mammalian Bites, and Snake and Spider Envenomations

    As a consequence of their playful and curious nature, children not uncommonly present to the ED with bite injuries; in fact, more than half of bite victims in the ED are children. Although envenomations are infrequent, the relatively high dose of venom per body weight in a young child can lead to significant effects. This article will discuss the key clinical features and management of bites from dogs, cats, and humans, as well as envenomations from snakes and spiders. Although not exhaustive, this review will provide a framework for the care of children who have sustained a bite or possible envenomation.

  • Pediatric Hematologic Emergencies

    MONOGRAPH: In-depth disorders of the hemogram: red blood cells, platelets, and white blood cells.

  • Pediatric Stroke

    MONOGRAPH: Pediatric stroke presents a diagnostic challenge to the emergency physician. Here is what to look for and how to best proceed.

  • Cerebrospinal Fluid Shunt Emergencies

    MONOGRAPH: The prompt recognition and treatment of shunt failure in the emergency department is of the utmost importance to limit morbidity and mortality.

  • Neurological Emergencies in Children and Adolescents

    Neurological issues in children can take a very dramatic but relatively benign form, or can be subtle but representative of serious underlying illness. Differentiating between high- and low-risk presentations can be challenging, but a thorough understanding of pediatric practice guidelines can help emergency department physicians determine the most appropriate ED interventions and eliminate potential injury to a child from either excessive intervention or the sequelae of a missed diagnosis. This monograph will help ED physicians recognize and appropriately treat seizures in children, and provide advice to worried parents about their child’s potential for seizure recurrence. In addition, physicians will learn how to determine which patients require lumbar puncture and understand the risks of brain CT imaging in the pediatric population. It also covers how to know when to emergently or urgently refer children to pediatric neurology.

  • Diagnosis and Treatment of Skin and Soft Tissue Infections

    MONOGRAPH: A comprehensive review of common and life-threatening conditions associated with skin and soft tissue infections in pediatrics.

  • Intussusception and Midgut Volvulus

    MONOGRAPH: It is imperative for ED physicians to differentiate children with life-threatening pathology requiring immediate intervention from the rest.