journal

Pediatric Emergency Medicine Practice

journal
https://read.qxmd.com/read/31909926/points-pearls-emergency-department-management-of-rash-and-fever-in-the-pediatric-patient
#1
COMMENT
Kathryn H. Pade
No abstract text is available yet for this article.
January 2, 2020: Pediatric Emergency Medicine Practice
https://read.qxmd.com/read/31855328/emergency-department-management-of-rash-and-fever-in-the-pediatric-patient
#2
Rhonda L. Philopena, Erin M Hanley, Kayla Dueland-Kuhn
Rash and fever are some of the most common chief complaints presenting to the emergency department. The evaluation of rashes in the febrile pediatric patient includes a broad differential diagnosis and use of the history and physical examination to identify red flags, such as hemodynamic instability, erythroderma, desquamation, petechiae/purpura, mucous membrane involvement, and severe pain, that should increase suspicion for worrisome disease. This issue reviews characteristics of common rashes as well as rarer, potentially life-threatening rashes, to guide management and treatment and improve patient outcomes...
January 2020: Pediatric Emergency Medicine Practice
https://read.qxmd.com/read/31790173/calculated-decisions-kocher-criteria-for-septic-arthritis
#3
Calvin Hwang
The Kocher criteria for septic arthritis are used to distinguish between septic arthritis and transient synovitis in a child with an in amed hip.
December 2, 2019: Pediatric Emergency Medicine Practice
https://read.qxmd.com/read/31790172/points-pearls-emergency-department-management-of-pediatric-septic-arthritis-and-osteomyelitis
#4
COMMENT
Jesse Humm, Jeranil Nunez
No abstract text is available yet for this article.
December 2, 2019: Pediatric Emergency Medicine Practice
https://read.qxmd.com/read/31765551/emergency-department-management-of-pediatric-septic-arthritis-and-osteomyelitis
#5
Prakriti Gill, Jennifer E Sanders
Septic arthritis and osteomyelitis in pediatric patients represent true emergencies, and can quickly threaten life and limb. A high index of suspicion should be maintained, as these conditions often present with a subacute course of illness and vague signs and symptoms. Septic arthritis and osteomyelitis can occur concurrently, so suspicion for one should also prompt investigation for the other. The diagnostic evaluation should include blood work as well as samples from the infected joint or bone for culture...
December 2019: Pediatric Emergency Medicine Practice
https://read.qxmd.com/read/31675199/calculated-decisions-pediatric-national-institutes-of-health-stroke-scale-pednihss
#6
Derrick Tam
The PedNIHSS quantifies stroke severity using a child-specific version of the National Institutes of Health Stroke Score.
November 1, 2019: Pediatric Emergency Medicine Practice
https://read.qxmd.com/read/31675197/points-pearls-pediatric-stroke-diagnosis-and-management-in-the-emergency-department
#7
COMMENT
Kathryn H. Pade
No abstract text is available yet for this article.
November 1, 2019: Pediatric Emergency Medicine Practice
https://read.qxmd.com/read/31647863/pediatric-stroke-diagnosis-and-management-in-the-emergency-department
#8
Amy Buckowski, Emily Rose
Although pediatric stroke is rare, it is a leading cause of morbidity and mortality in children. The diagnosis of stroke is often delayed in children, which can contribute to death and disability. Management of pediatric stroke is challenging because there are few data to support the efficacy of interventions, and management is based on society guidelines and expert opinion, as well as extrapolation from adult stroke management. This issue reviews the most common causes of pediatric stroke, provides guidance for distinguishing stroke from stroke mimics, discusses the indications for laboratory studies and imaging modalities, and offers evidence-based recommendations for treatment...
November 2019: Pediatric Emergency Medicine Practice
https://read.qxmd.com/read/31577405/points-pearls-acute-bronchiolitis-assessment-and-management-in-the-emergency-department
#9
COMMENT
Cassandra Koid Jia Shin, Jeranil Nunez
No abstract text is available yet for this article.
October 2, 2019: Pediatric Emergency Medicine Practice
https://read.qxmd.com/read/31557431/acute-bronchiolitis-assessment-and-management-in-the-emergency-department
#10
Madeline M Joseph, Amy Edwards
Acute bronchiolitis is the most common lower respiratory tract infection in young children that leads to emergency department visits and hospitalizations. Bronchiolitis is a clinical diagnosis, and diagnostic laboratory and radiographic tests play a limited role in most cases. While studies have demonstrated a lack of efficacy for bronchodilators and corticosteroids, more recent studies suggest a potential role for combination therapies and high-flow nasal cannula therapy. Frequent evaluation of patient clinical status including respiratory rate, work of breathing, oxygen saturation, and the ability to take oral fluids are important in determining safe disposition...
October 2019: Pediatric Emergency Medicine Practice
https://read.qxmd.com/read/31687793/calculated-decisions-pediatric-appendicitis-risk-calculator-parc
#11
Derek Tam, Hector Vazquez
The pediatric appendicitis risk calculator quantifies appendicitis risk in pediatric patients with abdominal pain, possibly better than the pediatric appendicitis score.
September 2, 2019: Pediatric Emergency Medicine Practice
https://read.qxmd.com/read/31687792/calculated-decisions-pediatric-appendicitis-score-pas
#12
Jamie Lovell
The pediatric appendicitis score predicts the likelihood of a diagnosis of appendicitis in pediatric patients with abdominal pain.
September 2, 2019: Pediatric Emergency Medicine Practice
https://read.qxmd.com/read/31487125/points-pearls-acute-appendicitis-in-pediatric-patients-an-evidence-based-review
#13
COMMENT
Kathryn Pade
No abstract text is available yet for this article.
September 2, 2019: Pediatric Emergency Medicine Practice
https://read.qxmd.com/read/31461613/acute-appendicitis-in-pediatric-patients-an-evidence-based-review
#14
Callie Becker, Anupam Kharbanda
Appendicitis is the most common condition in children requiring emergency abdominal surgery. Delayed or missed diagnosis in young children is common and is associated with increased rates of perforation. Although several scoring systems have been developed, there is still no consensus on clinical, laboratory, and imaging criteria for diagnosing appendicitis. This issue reviews key age-based historical and physical examination findings, as well as clinical scoring systems, that can help guide the workup of appendicitis in children...
September 2019: Pediatric Emergency Medicine Practice
https://read.qxmd.com/read/31386316/points-pearls-pediatric-pain-management-in-the-emergency-department
#15
COMMENT
Diego F Craik, Jeranil Nunez
No abstract text is available yet for this article.
August 1, 2019: Pediatric Emergency Medicine Practice
https://read.qxmd.com/read/31339255/pediatric-pain-management-in-the-emergency-department
#16
Neil Uspal, Kelly D Black, Stephen John Cico
Adequate analgesia is critical in the management of pediatric patients in the emergency department. Suboptimal treatment of pain can have deleterious effects in the short term, and it can also affect a patient's development and reaction to future painful experiences. Tools exist to quantify a patient's pain level regardless of age or developmental stage. Both pharmacologic and nonpharmacologic methods can be effective in the management of pediatric pain. Emergency clinicians must remain vigilant in the recognition, treatment, and reassessment of pediatric pain, as patients' developmental level may limit their ability to independently express their pain experience without prompting or tools...
August 2019: Pediatric Emergency Medicine Practice
https://read.qxmd.com/read/31339258/diagnostic-point-of-care-ultrasound-assessment-techniques-for-the-pediatric-trauma-patient
#17
Joshua Guttman, Bret P. Nelson
Emergency ultrasound is performed at the point of care to quickly answer focused clinical questions. Over the last 25 years, the use of this technique has expanded rapidly. The use of emergency ultrasound in the pediatric setting is increasing because it does not expose the patient to ionizing radiation, as compared to computed tomography. Utilizing diagnostic point-of-care ultrasound for pediatric trauma patients in the emergency department can facilitate diagnosis at the bedside rather than sending the patient out of the department for another study...
July 15, 2019: Pediatric Emergency Medicine Practice
https://read.qxmd.com/read/31283134/points-pearls-evaluation-and-management-of-the-febrile-young-infant-in-the-emergency-department
#18
COMMENT
Kathryn H. Pade
No abstract text is available yet for this article.
July 2, 2019: Pediatric Emergency Medicine Practice
https://read.qxmd.com/read/31294951/calculated-decisions-pecarn-rule-for-low-risk-febrile-infants
#19
Derek Tam, Hector Vazquez, Christopher Tainter
The PECARN rule for low-risk febrile infants predicts the risk for urinary tract infection, bacteremia, or bacterial meningitis in febrile infants aged ≤ 60 days.
July 1, 2019: Pediatric Emergency Medicine Practice
https://read.qxmd.com/read/31294950/calculated-decisions-step-by-step-approach-to-febrile-infants
#20
Emily Heikamp
The Step-by-Step approach to febrile infants identifies febrile infants aged ≤ 90 days who are at low risk for invasive bacterial infections.
July 1, 2019: Pediatric Emergency Medicine Practice
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