Pediatric Emergency Medicine
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More Support Needed for Pediatric Emergency Care Coordinators
Considering professional organizations view the pediatric emergency care coordinator role as essential to pediatric readiness in U.S. EDs, there is concern about health system commitment to the role, based on the results of a survey of the physicians and nurses serving in those positions.
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Despite Some Progress, Pediatric Readiness Continues to Lag in Many EDs
EDs showed improvement on five of the six domains evaluated in the survey-based assessment, completed by the National Pediatric Readiness Project. However, there was a significant decline from the 2013 assessment regarding administration and coordination, a heavily weighted domain.
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Improving Mental and Behavioral Health Among Young Patients
Three national organizations offer recommendations for managing children, adolescents, and young adults in medical facilities and in their communities.
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Uncommon Diagnoses that Cannot Be Missed: An Update
There are a variety of uncommon pediatric conditions that, if not detected, may result in devastating consequences. The authors review and update the current standard of care for a variety of conditions, including necrotizing fasciitis, DRESS syndrome, Kawasaki disease, MIS-C, Lemierre's, and RPA.
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Did Emergency Provider Discuss Sensitive Topics with Adolescent?
Protecting confidentiality is the primary consideration for emergency care providers discussing sensitive topics with adolescent patients, including documentation in the medical record, discharge papers, lab results, and billing. Confidential conversations can be protected in the medical record several ways, including using confidential notes that are not visible to all.
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Consensus Panel Offers Guidance for Pediatric Mental Health Boarding
EDs nationwide continue to see pediatric mental health patients boarded in the department for long periods while awaiting inpatient bed placement. A group of 23 experts from 17 health systems sought to identify what EDs are facing, to learn how departments are handling the problem, and to offer recommendations to standardize practices.
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Diagnosis and Management of Abscesses
Abscesses are a common complication of skin and soft tissue infections that frequently are encountered in the emergency department. The authors discuss current considerations in the diagnosis and management of abscesses, including recurrent abscesses and the role of ultrasound and antibiotics.
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Progress on Pediatric Readiness in EDs Continues
The pandemic slowed progress and not all emergency departments fully adhere to national guidelines, but continuous improvement is evident.
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Fewer Delays in Sepsis Treatment via Provider in Triage Model
However, more research is needed to identify which key elements of this process can be reliably replicated using cost-effective resources to balance liabilities and risks.
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Computed Tomography Scans in Pediatric Trauma
Computed tomography has become an invaluable tool for the evaluation of a pediatric trauma patient. However, there are risks associated with use of this technology, and balancing the risks and benefits is critical. The authors present a balanced approach to the appropriate use of this imaging modality in children who sustain trauma.