Pediatrics
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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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Using Ultrasound in the Care of Pediatric Trauma Patients
Trauma is the leading cause of morbidity and mortality in pediatric patients in the United States, with the majority of cases resulting from blunt mechanisms such as motor vehicle accidents. Early diagnosis of life-threatening injuries is critical, and ultrasound has emerged as a valuable point-of-care tool that offers rapid, noninvasive, and radiation-free assessment at the bedside.
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Pediatric Tachycardia?
The electrocardiogram in the figure is from a previously healthy 15-year-old boy who reports palpitations and dizziness over the past two weeks. How would you interpret this tachycardia?
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Pediatric Abdominal Trauma
Abdominal trauma is a common occurrence, and acute care clinicians must be familiar with the evaluation and management of children with potential abdominal injuries. The authors provide a comprehensive diagnostic and therapeutic approach to this population with the goal of optimizing their outcome.
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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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Measles Outbreaks in the United States
Several measles outbreaks have been active in the United States, with more than 1,000 cases reported already in 2025. Most outbreaks begin as unvaccinated individuals in the United States come into contact with an infected individual who has recently arrived after international travel. Vaccination is effective, but current U.S. vaccine coverage rates are below the 95% rate considered necessary to provide herd immunity.
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Pediatric Procedural Sedation
Every acute care clinician needs to know and be familiar with the process of procedural sedation, medication selections, options, and contraindication for different procedures. The authors comprehensively review procedural sedation, emphasizing evidence-based choices.
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Pediatric Pain Control
The fast-paced environment of the emergency department, unfamiliar faces, and noisy surroundings can create challenges when taking care of a child in pain, especially a child who has experienced a traumatic event. Management of pain in pediatric patients requires special considerations because of the unique physiological and psychological needs of children.
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Usefulness of Pyuria to Diagnose UTI in Children
Of 4,188 children aged 1 to 36 months screened for urinary tract infection (UTI) in emergency departments, 407 (9.7%) had a culture-positive UTI. Pyuria (by various means of assessment) was not present in 20% of febrile children with a UTI, raising questions about the validity of using pyuria as a necessary component or as a tool for the diagnosis of UTI in young children.
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Pink Eye: Do Antibiotics Matter?
Acute infectious conjunctivitis, commonly referred to as pink eye, is common in children and is caused by bacteria more often than by viruses. Nonetheless, neither the clinical course of uncomplicated cases nor the spread of infection to peers is significantly altered by treatment with topical antibiotics or by exclusion of infected children from daycare and school settings.