Pediatrics
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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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Update on Pediatric Facial Trauma
Pediatric facial trauma is common, and clinicians require an understanding not only of common injury patterns, but also of recommended diagnostic strategies and evidence-based management approaches.
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Current Recommendations for Childhood Respiratory Vaccines
Amidst prevalent vaccine hesitancy, changing governmental advisory groups, and altered recommendations, COVID immunization still is recommended for all children aged 6 through 23 months and for older children with medical risk factors.
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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.