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Pediatric procedural sedation and analgesia (PSA) is commonly used in emergency departments to decrease the pain and anxiety associated with procedures and to assure an environment conducive to the safe performance of necessary interventions.
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The young child who presents with vomiting with our without abdominal pain is often a challenge in an acute care setting.
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It is very common for adolescent females to present with menstrual irregularities and differentiating normal variations from life-threatening problems is critical to the emergency department physician.
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The evaluation of the ill traveler must include a detailed travel history in addition to the traditional past medical, surgical, and family history. It is paramount to include the extent of travel preparation and review immunizations and compliance with prophylactic medications.
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Apnea is a frightening event for the parent and a challenging diagnostic evaluation for the emergency department (ED) physician.
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The emergency department physician is continually challenged to identify children who may have sustained an injury secondary to abuse. Reaching a balance between protecting a child from possible harm and putting a family through the ordeal of an unwarranted investigation is challenging. This article reviews the common patterns of injury that should raise concern for abuse.
