Acute gastroenteritis in children is not a benign condition. Worldwide, millions of young children continue to die from this treatable condition every year. Fortunately, in developed countries like the United States, deaths are uncommon, but a substantial proportion of pediatric acute care visits and hospitalizations are directly related to the dehydration caused by this condition.
On the next chart you pick up, the triage nurse has written, "Back pain, needs med refill." What is your honest reaction? Mine, too. But after evaluating the patient, sometimes I am embarrassed that my initial reaction was negative.
Knee and ankle injuries are very common in pediatrics. Sports and recreational activities are frequent sources of injury, hence are sources of typical emergency department (ED) visits. Although sprains and contusions frequently occur, it is critical that the unique aspects of the pediatric skeleton and its associated vulnerability are considered. Imaging and treatment are focused on identification of fractures and associated injuries; correct immobilization and appropriate follow-up, based on the injury, are necessary to maximize the outcome for each injury.
