Pediatric Emergency Medicine
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Crowding Linked to Higher Risk of Children Leaving Without Assessment
Researchers argue leave without being seen rates should no longer be considered an isolated problem, but rather a costly consequence of ED crowding resulting from poor patient flow through the hospital and across the system.
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Youth Spend Days in EDs Waiting for Psychiatric Inpatient Care
Negative care outcomes, treatment delays, risk of injury (to patients, family, or staff), and poor satisfaction are undesirable outcomes resulting from boarding.
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Integrate Youth Violence Prevention into Busy ED Workflow
There is an opportunity to intervene with young patients when they present to the ED for treatment of violence-related injuries. However, much less is known about how facilities can effectively seize this opportunity, considering the often-frantic pace of a busy department.
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More U.S. Trauma Centers Offering Screening, Intervention Programs
Integrated mental health approach includes addressing PTSD, alcohol, opioids, firearms, and suicidal ideation.
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Survey Shows How Leaders Can Improve Obstetric Emergency Training, Education
Opportunities exist to enhance knowledge on health conditions that affect pregnant and postpartum patients.
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Quality Improvement Initiative Leads to Significant Opioid Prescribing Reductions
Providers helped pediatric patients manage pain well after appendectomy.
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Diagnosing and Managing Pediatric Foreign Body Ingestions: Part II
The process of diagnosing and managing foreign bodies has changed over the last few years. In Part II, the authors discuss not only the process for managing the majority of foreign bodies, but also unique ingestions that require special care.
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Family Violence Implicated in Injury-Related ED Visits
ED-based efforts to screen and intervene can be critical to preventing future violence. This is important not only for family and peer violence, but also for contributory factors — mainly, access to alcohol, drugs, and weapons. In addition to obtaining thorough patient and family interviews, using standardized instruments to screen for these factors can help identify youth at risk, and link them to appropriate interventions and care.
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Military Medical Treatment Facilities Could Fill Some Gaps in Maternal Care
Women living in rural and underserved areas could benefit.
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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.