Pediatric Emergency Medicine
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Obtaining Pediatric Vascular Access
Vascular access is a cornerstone of effective pediatric emergency care and essential for resuscitation of critically ill or injured children. This review provides a comprehensive overview of pediatric vascular access strategies in the emergency department, emphasizing evidence-based methods and practical techniques to improve success rates and minimize complications.
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Managing Pediatric Diabetic Emergencies
Managing pediatric diabetic emergencies is challenging. Children, especially those younger than 2 years of age, may present with subtle symptoms. Diagnosis and management must be initiated intentionally and monitored carefully to optimize each child’s outcome. The authors provide an evidence-based approach to recognition, diagnosis, and management of diabetes in children.
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Fever in the Child Returning from Global Travel
Every year, a significant number of families travel internationally with children, who then have a high rate of febrile illness after returning home. While most travel-acquired infections are self-limited and mild, some diseases may rapidly become fatal, and early recognition and aggressive management can maximize the child’s outcome. This review presents a focused clinical approach to caring for a child returning from international travel with a fever.
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Heat-Related Illnesses in Pediatric Patients
This summer has been hot and, unfortunately, many pediatric patients have sustained heat-related conditions. Providers need to be ready to quickly recognize heat-related illnesses and institute prompt and life-saving care to give each patient the chance for the best outcome. The authors comprehensively review common and life-threatening, heat-related illnesses with an emphasis on evidence-based care.
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Pediatric Airway Management: The Basics
Pediatric airways present unique challenges to all acute providers. Knowing what to use and when to use it is critical, and being prepared for the most basic and difficult situations is essential. The authors present a comprehensive, escalating review on the approach to a child’s airway to optimize outcomes.
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Managing Pediatric Wounds
Wounds are a common and critical aspect of emergency medicine practice. Children pose unique challenges, which are comprehensively reviewed by the authors with strategies for optimal management.
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An Updated Review of Pediatric Facial Lacerations
Facial lacerations are common. Every acute care provider needs to be prepared to evaluate and manage facial and scalp lacerations and determine the best manner of repair and when referral is appropriate. The author provides an evidence-based, comprehensive and updated review of pediatric facial lacerations.
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Diagnosing, Differentiating, and Managing Status Epilepticus
Pediatric seizures are a common acute care visit. Recognizing seizures, including the more subtle presentations, is critical for instituting appropriate, timely treatment to improve patient care. An awareness of a stepwise approach to seizure management will assist providers and optimize outcomes.
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Study Shows Effect of Pediatric Readiness on Racial, Ethnic Disparities Regarding Mortality
Researchers estimated that if the three quartiles of hospitals that are least pediatric ready raised their readiness levels, there would be a threefold reduction in the mortality disparity of medically ill patients.
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Pediatric Hernias: Diagnosis and Management
Hernias are a common condition encountered by emergency providers and can be overlooked if the genitourinary system is not included in the evaluation of every child with vomiting or abdominal pain. Incarcerated hernias that are not identified in a timely fashion can have devastating consequences for a child. The authors provide an anatomical review, along with diagnostic and therapeutic approaches to pediatric hernias.