Browse Pediatric Emergency Medicine Reports Articles…

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.

Recognizing, Managing, and Reporting Pediatric Sexual Abuse and Assault

Child sexual abuse is a common concern for patients presenting to the emergency department. The approach depends not only on the age and development of the child, but also the allegations, time since the contact occurred, and the child's symptoms. It is imperative that all clinicians are familiar with the optimal approach and evaluation of a child with alleged sexual abuse.

Managing Pott’s Puffy Tumor and Sinogenic or Otogenic Intracranial Empyema

Following the COVID-19 pandemic, the incidence of sinogenic and otogenic intracranial empyemas increased. The author reviews the presentation, imaging, and treatment for this potentially life-threatening infection, with a reminder to keep this on your differential when evaluating your youngest patients.

Identifying and Managing Rocky Mountain Spotted Fever

Rocky Mountain spotted fever is an infectious disease that may be rapidly fatal if not rapidly recognized based on clinical findings and early institution of appropriate antibiotic therapy. The epidemiologic shift of this disease makes it important for all healthcare providers to be familiar with the current status, clinical presentation, and therapy for Rocky Mountain spotted fever.

Teen Pregnancies in the ED Part 2: Handling Complications

Teenage pregnancies have a higher incidence of adverse medical outcomes and obstetrical complications that are critical for providers to recognize and manage in a timely manner. The author provides a succinct, comprehensive review of the critical aspects of trauma in pregnancy; preeclampsia; hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome; venous thromboembolism; as well as precipitous delivery and postpartum hemorrhage.

Teen Pregnancies in the ED Part 1: First Trimester

This article is the first of a two-part series that focuses on an important emergency medicine topic — teenage pregnancy. In this first part, the author focuses on the unique features that affect diagnosis and management of pregnancy in adolescence. Part two will focus on obstetrical emergencies in pregnant teenagers.

Preparing for Pediatric Asthma Exacerbations in the ED

Asthma is a common disease in pediatrics, with exacerbations occurring frequently. Every clinician who cares for children must be familiar with recognition and timely management to optimize each child's outcome.

Pediatric Burn Care: Strategies for Identification and Treatment

Pediatric burn injuries, especially minor, are an essential part of caring for children. Classification of the depth of injury, recognition of nonaccidental trauma, and appropriate care are all critical aspects of management. The authors comprehensively review pediatric burn care.

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.

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.