Pediatric Emergency Medicine Reports
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Pediatric Facial Lacerations in the Emergency Department
Pediatric facial lacerations are common, and every emergency medicine physician needs to be familiar with the approach to pediatric facial and scalp lacerations, child-friendly methods for repair, and different options for analgesia.
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Throat Infections Part II: Deadly, Must-not-Miss, Pediatric Throat Infections
Although less frequent than the conditions discussed in part I, recognition of the critical, life-threatening throat infections is essential. Ill-appearing pediatric patients with a change in voice or stridor should prompt a rapid and thorough evaluation to ensure expedited management. This article reviews the critical, must-not-miss etiologies of a sore throat.
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Throat Infections Part I: Low-Acuity Disease Entities
Sore throats are common! Being able to differentiate low-acuity self-limited infections from those processes that may result in sepsis or life-threatening airway compromise is critical. The author, in this two-part article, reviews the range of pathologies that may present with a sore throat. -
Pediatric Procedural Sedation and Analgesia in the Emergency Department
Children in the acute care setting may require nonpharmacologic and pharmacologic adjuncts for anxiety, pain, or to successfully complete diagnostic testing or therapeutic interventions. The authors review the requirements and pharmacologic agents necessary to complete a successful pediatric procedural sedation and analgesia.
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Bloodborne Pathogens
In the acute care setting, clinicians may be confronted with a child who has had a nonoccupational blood and/or body fluid exposure. Being prepared with a focused approach and the ability to identify the multiple factors that may adjust the risk of contracting bloodborne pathogens is valuable in such exposures. The authors provide a focused approach to nonoccupational blood and/or body fluid exposure, as well as a discussion of each of the bloodborne pathogens.
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Caring for Young Febrile Infants
Every clinician has struggled with managing a febrile infant. We know the majority will have a benign viral illness, but we fear the serious bacterial infection that may have devastating consequences in this vulnerable population. This evidence-based article reviews the current literature and approach to infants less than 60 days of age.
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Febrile and First-Time Seizures
The sudden appearance of COVID-19 has created an additional challenge to the evaluation of children with "flu-like" symptoms. This article compares and contrasts influenza and coronavirus and provides a critical update on a timely topic.
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Influenza-Like Illness in the Time of the COVID-19 Pandemic
The sudden appearance of COVID-19 has created an additional challenge to the evaluation of children with "flu-like" symptoms. This article compares and contrasts influenza and coronavirus and provides a critical update on a timely topic.
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Pediatric Bony Knee Injuries
Pediatric knee injuries are common and seen frequently in the emergency department. The injuries range from minor to significant, but all have the potential to affect the patient's future participation in athletics — as well as normal childhood, and then adult, activities. The authors comprehensively cover pediatric bony knee injuries, including diagnostic testing, management, and referrals.
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Fever in the Returning Pediatric Traveler
Although, currently, there are travel restrictions in many countries, this will pass. Acute care physicians need to have an awareness of diseases that are prevalent in other countries to accurately diagnose, manage, and treat patients traveling to and from other parts of the world. The authors present an incredibly valuable synopsis of fever and differential of fever in returning pediatric travelers