Pediatric Emergency Medicine Reports
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Beating the Pandemic: What Emergency Providers Should Know About COVID-19
The disease associated with the 2019 novel coronavirus (COVID-19) is now a significant event in world history, with uncertain but likely major consequences for individuals, families, healthcare workers, health systems, and the global economy. Although COVID-19 appears to pose only a limited danger to children, older adults face the possibility of much more serious manifestations. At this time it seems COVID-19 will demand the attention of most practitioners and allied health providers over the next year. Thus, familiarization with what is known so far about its pathophysiology, epidemiologic risk factors, treatment, and future directions for research is important as we face and fight this crisis united as healthcare providers.
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Diabetes in Pediatric ED Patients
Emergency medicine providers commonly will encounter children with type 1 and type 2 diabetes. Unfortunately, the incidence of both is increasing, and the acute care provider must be able to recognize the subtle and dramatic presentations of both diseases. Early recognition and management of both the disease and its complications — diabetic ketoacidosis, hyperglycemic hyperosmolar state, and cerebral edema — are critical to ensure an optimal outcome.
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Status Epilepticus
The authors present an approach to the diagnostic evaluation and therapeutic management of neonates and children in SE.
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Deadly Pediatric Rashes
Rash is a common complaint in the emergency department (ED). Often, the pediatric rash is a benign, self-limiting condition that requires no intervention; however, there are occasions when rashes are true emergencies. Identifying these rare occasions is critical for the pediatric patient. This issue reviews and discusses some of the most common pediatric dermatologic emergencies and the ED approach to identification, diagnosis, and immediate evidence-based management of these conditions. -
The Pediatric Airway and Rapid Sequence Intubation
The skill to assess and manage the pediatric airway is essential. Correlating anatomic considerations with the need for escalating airway management is critical to optimize each child's outcome.
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Diagnosis and Management of Infants With Critical Congenital Heart Disease in the Emergency Department
Critical congenital heart disease (CCHD) is a significant cause of morbidity and mortality in children. When children with undiagnosed congenital heart disease (CHD) present acutely, the challenge of diagnosis and the importance of timely management can be daunting for any physician in an emergency setting. The children with the highest morbidity and mortality from critical congenital heart disease are infants younger than 1 year of age.
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Measles and Mumps: Old Diseases, New Outbreaks
Measles and mumps are back ... and not in a good way. Until now, many clinicians had only heard of these almost-eradicated diseases. Unfortunately, the reality is clinicians may see children with these diseases. It is critical to identify them early, recognize potential high-risk exposures, and manage the disease and its complications effectively. Involvement of public health resources and early appropriate isolation are necessary to limit the spread of these two infections. The author provides a timely review of all critical aspects of both of these diseases.
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Uncommon Diagnoses That Cannot Be Missed
Pediatric patients present to the emergency department (ED) with a variety of issues ranging from benign upper respiratory infections to life-threatening anaphylaxis. Many emergent conditions may mimic the common and nonthreatening ailments of normal childhood. Emergency physicians must be able to recognize and treat uncommon but emergent illnesses quickly and accurately. In addition, providers must be aware of those illnesses that look serious but warrant only supportive care. This article will focus on the assessment, evaluation, differential, and treatment of uncommon but can’t-miss diagnoses that clinicians should consider in the emergency setting.
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Approach to Pediatric Abdominal Pain in the ED: Part II
Abdominal pain is challenging in pediatrics. This two-part series deals with must-not-miss diagnosis and common etiologies of abdominal pain. In this second part, the authors focus on toddlers and older children. -
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