Pediatric Emergency Medicine Reports
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Diagnosing and Managing Pediatric Foreign Body Ingestions: Part I
Pediatric foreign body ingestion comes with a dichotomous presentation to the ED — the child in extremis with a clear need for immediate intervention vs. the well-appearing child with unknown ingestion. This creates a challenge for the emergency medicine provider to use a combination of history, physical examination, different imaging modalities, and overall clinical picture to verify ingestion over aspiration and, furthermore, to determine whether there is any need for immediate intervention. The decision-making tree surrounding foreign body ingestion changes based on time course, type of object, location in the gastrointestinal tract, and size. Therefore, a regimented and practical approach to foreign body ingestions is warranted.
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A Critical Review of Potentially Deadly Pediatric Ingestions
It is imperative for the emergency provider to be aware of common agents that can cause life-threatening toxicity or death should accidental ingestions occur. This article focuses on substances that are potentially catastrophic if ingestions occur and how to manage them accordingly.
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Pediatric Tuberculosis
Mycobacterium tuberculosis (MTB) is a significant challenge to children's health. Barriers exist at multiple levels of the care system for MTB. Early recognition and involvement of MTB specialists is critical to facilitate the best outcome for pediatric patients. The authors provide a thorough review of the current standards for care of these challenging patients.
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Pediatric Mental Health in the Emergency Department
The increasing volume of children with mental health conditions across all acute care settings highlights the need for ED providers to be familiar with the most common mental health presentations in the pediatric population to effectively engage with and provide proper care for and disposition to this at-risk population. -
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.