Pediatric Emergency Medicine Reports
RSSArticles
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Approach to Pediatric Abdominal Pain in the ED: Part I
Abdominal pain is a common pediatric chief complaint with a diversity of etiologies. Many are benign, but some have the potential for devastating consequences if a timely diagnosis is not made. Understanding and practicing a comprehensive approach facilitates consideration of more serious pathology while allowing for a focused diagnostic plan. This two-part series guides the clinician to a practical clinical approach to pediatric abdominal pain.
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Sleep Tight, and Don’t Let the Ectoparasites Bite: Part 2
Providers in the pediatric emergency department frequently encounter ectoparasitic infestations. Infestations require early recognition and knowledge of effective treatment strategies. Last month, the author reviewed scabies, chiggers, and lice. This month, the bedbugs and ticks will come biting!
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Sleep Tight, and Don’t Let the Ectoparasites Bite: Part 1
Providers in the pediatric emergency department frequently encounter ectoparasitic infestations. Lice and scabies require early recognition and knowledge of effective treatment strategies. This month, the author reviews scabies, chiggers, and lice. Next month, the bed bugs and ticks will come biting!
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Acute Treatment of Pediatric Migraine
Migraines occur in young children, but may be challenging to diagnose. Migraines can have a great impact on pediatric patients’ quality of life with school absence and limitations on extracurricular activities. Treatment of pediatric migraines or possible migraines is difficult secondary to the lack of evidence for effective therapies in pediatric patients. Treatment includes traditional therapy with dopamine receptor antagonists (DRAs), nonsteroidal anti-inflammatory drugs (NSAIDs), triptans, and combination therapies. Newer therapies include magnesium, valproic acid (VPA), and peripheral nerve blocks. The authors review the clinical presentation of migraines in children, guidelines for diagnosis, and therapeutic options.
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Update on Urinary Tract Infections in Children: What’s New in 2019?
Urinary tract infections (UTIs) are a potential cause of fever in the pediatric patient. Early testing and a timely diagnosis are critical to avert complications and potential scarring of the kidneys. Complication rates in children younger than 90 days of age include bacteremia, meningitis, and urosepsis. The authors present a concise review of the current status of the diagnosis and management of pediatric UTIs.
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Pediatric Cardiothoracic Point-of-Care Ultrasound: Part II
Ultrasound has emerged as a critical tool for use at the bedside to guide both diagnosis and treatment strategies. In this article, the authors discuss cardiac arrest, congenital abnormalities, pneumothorax, pleural effusion, and pneumonia.
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Pediatric Cardiothoracic Point-of-Care Ultrasound: Part I
Ultrasound has emerged as a critical tool for use at the bedside to guide not only diagnosis but treatment strategies as well. The first part of this article focuses on the uses and limitations of cardiac ultrasound in the acute setting. Part II will include discussion of cardiac arrest, congenital abnormalities, pneumothorax, pleural effusion, and pneumonia.
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Pediatric Ocular Trauma: A Clinical Perspective
Eye trauma can be devastating to a child and challenging to the clinician. These authors review common traumatic eye injuries and provide tips for the clinical evaluation of our youngest patients.
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Pediatric Medication Safety
Our smallest patients are the most vulnerable to medication errors. An awareness of potential vulnerabilities when prescribing in this population is essential. The authors discuss when medication errors are particularly likely, common types of errors, and strategies to minimize the potential for errors.
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What Is Really BRUEing?
In May 2016, the American Academy of Pediatrics (AAP) published clinical practice guidelines titled Brief Resolved Unexplained Events (Formerly Apparent Life-Threatening Events) and Evaluation of Lower-Risk Infants, suggesting a new terminology, an evaluation based on the risk of recurrent events or serious underlying causes, and key action statements (management recommendations) for patients meeting the brief resolved unexplained events (BRUE) definition for lower-risk patients. The authors review and discuss the definitions and key management strategies recommended in these new guidelines.