Pediatric Emergency Medicine
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The Tactics and Tools to Manage Pediatric Heart Failure
Fortunately, pediatric heart failure is a rare occurrence, but early diagnosis, aggressive management, and timely transfer to a facility capable of advanced cardiac support are essential to optimize the outcome of each child. The authors review the early recognition of a child in heart failure and also discuss an approach to troubleshooting and recognizing complications associated with a ventricular assist device.
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Pediatric Asthma Management in the Emergency Department
Asthma is the most common chronic disease of childhood. Children with asthma frequently present in the acute care setting with disease ranging from mild to severe. Accurately assessing children with asthma and providing escalating care as needed improves outcome. The authors provide a current review of asthma and evidence-based care.
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Poor Outcomes More Likely if ED Is Ill Prepared for Children
Critically ill children die at a lower rate if they present to an emergency department with a higher pediatric readiness score, according to the authors a recent analysis.
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6 Common Fact Patterns in Pediatric-Related ED Lawsuits
Certain fact patterns arise repeatedly in malpractice cases involving pediatric patients presenting to the emergency department. Medical/legal experts identify and explain these patterns.
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Analysis Reveals Malpractice Risks When Providing Pediatric Care in ED
Learn some practices that can help general emergency departments defend against malpractice litigation — or prevent it in the first place.
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More Pediatric Patients Visiting ED for Mental Health-Related Reasons
Universal screening for suicidal ideation is an important step toward improving care quality for young patients with mental health disorders. More research is needed to determine how to optimally equip all emergency departments to manage pediatric cases.
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Improving the ED Care Experience for Young Patients with Sensory Sensitivities
A growing number of pediatric emergency departments have made environmental changes, and staff members are learning how to better engage and communicate with patients diagnosed with autism or other sensory sensitivities.
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Infections and Prophylaxis in Pediatric Trauma Patients
The emergency medicine physician serves a critical role for trauma and surgical patients. Early recognition of infections and understanding the indications for prophylaxis are critical for management of pediatric trauma patients. The authors explore the most common etiologic agents by body system and prophylactic and therapeutic strategies.
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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.