Pediatric Emergency Medicine
RSSArticles
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Pediatric Pain Management in the Emergency Department
Pain management in the pediatric population has long been a focus of healthcare providers; nevertheless, gaps in providing adequate and timely pain management remain an area of concern in EDs. This article will provide guidance for the recognition and successful management of pediatric pain in the ED setting. The authors first present definitions of pain and discuss the assessment of pain in a child, as well as common barriers to appropriate pediatric pain management in the ED. Then, the article will focus on the different aspects of pain and techniques of managing discomfort, including: anxiolysis, non-pharmacological strategies, topical medications, oral analgesics, parenteral medications, discharge medications, and misconceptions and facts about opioid analgesics. Pain control in conjunction with procedural sedation is beyond the scope of this article.
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Pediatric Procedural Sedation
Procedural sedation is a critical skill to facilitate the performance of necessary diagnostic and therapeutic procedures in children. The clinician must have knowledge of the preparatory steps, indications, pharmacologic agents, monitoring, and recovery phase to safely and effectively perform this necessary adjunct to many common procedures. The authors review steps, current recommendations, and options to utilize procedural sedation skillfully in children. In addition, they present guidelines for managing adverse events that may be associated with the administration of procedural sedation.
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An Approach to Household Toxicological Emergencies in the Pediatric Patient
Patients with toxic ingestions most often will present to the emergency department as either a well-appearing patient with a known ingestion or as an ill-appearing patient with an unknown or suspected ingestion. This article will present the approach to both of these circumstances, discussing treatment and monitoring of specific overdoses as well as the initial approach to an ill child with a suspected overdose. The focus will be on common and accidental ingestions of toxins by pediatric patients.
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Noninvasive Ventilation and Acute Respiratory Failure
MONOGRAPH: Noninvasive ventilation indications, contraindications, and the growing body of literature supporting its use in a variety of clinical scenarios.
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Foreign Bodies of the Head and Neck
MONOGRAPH: Diagnosing and managing ear, nose, and throat foreign bodies with discussion separated by location.
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Current ED Management of Abscesses in Children
MONOGRAPH: Timely, appropriate management is critical to achieve the best possible outcome. The authors review the current best practice options.
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Diagnosis and Management of Pediatric Concussions in the ED
MONOGRAPH: Here are crucial steps to treat this common presentation in children.
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Severe Asthma Exacerbation in Pediatric Patients
MONOGRAPH: A small subset of children present in extremis requiring second- and third-line medications and airway management. Here is how to treat them.
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Pediatric Hematologic Emergencies
MONOGRAPH: In-depth disorders of the hemogram: red blood cells, platelets, and white blood cells.
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Pediatric Stroke
MONOGRAPH: Pediatric stroke presents a diagnostic challenge to the emergency physician. Here is what to look for and how to best proceed.