Note To Reviewers
No abstract available (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - December 1, 2022 Category: Emergency Medicine Tags: Note To Reviewers Source Type: research
Nuts and Beans Aspiration in Children—Positive Respiratory Virus Does Not Rule Out Foreign Body Aspiration
No abstract available (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - December 1, 2022 Category: Emergency Medicine Tags: Letters to the Editors Source Type: research
Iron Tablet Inhalation: Not a Foreign Body Like the Others
No abstract available (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - December 1, 2022 Category: Emergency Medicine Tags: Letters to the Editors Source Type: research
Congenital Diaphragmatic Hernia, Pulmonary Adenomatoid Malformation, Sequestration, and Lobar Emphysema in Pediatric Emergency Care
No abstract available (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - December 1, 2022 Category: Emergency Medicine Tags: Letters to the Editors Source Type: research
The Cost of a Learner in the Pediatric Emergency Department: A Comparison Across Two Pediatric Emergency Departments
Conclusions
Residents see sicker patients and tend to order more ancillary tests, which ultimately leads to increased relative value unit generation. We hypothesize that the difference in metrics seen could be explained by the training background of residents, as well as efficiencies of the department as a whole. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - December 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Ultrasound-Guided Supraclavicular Brachial Plexus Blocks Performed by Pediatric Emergency Medicine Physicians for Painful Orthopedic Procedures in a Pediatric Emergency Department—A Case Series
Conclusions
We conclude that in select pediatric cases ultrasound-guided brachial plexus blocks can be a safe, swift, and efficient means of pain management and procedural analgesia. This approach obviates the need for sedation, thus shortening the time lag between presentation and the reduction procedure, as well as overall length of stay.
Ultrasound-guided brachial plexus blocks are a common pain-reducing technique in the operating room and are also performed in the emergency department, primarily in adults. Performing brachial plexus blocks in the pediatric emergency department by pediatric emergency medicine phy...
Source: Pediatric Emergency Care - December 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Selective Skeletal Surveys for Infants With Skull Fractures: Examining the Rates of Return to Medical Care for Concern of Physical Abuse
This study aimed to describe which infants with a skull fracture (1) receive a child abuse pediatrician (CAP) consultation, (2) receive a skeletal survey, and (3) re-present to medical care before age 3 years with concerns for physical abuse.
Methods
We conducted a retrospective chart review of infants younger than 12 months who presented to the emergency department between January 1, 2005, and December 30, 2015, with a skull fracture. Medical records were reviewed for the skull fracture presentation and for all future medical evaluations at the same institution with concerns for physical abuse until 3 years of age....
Source: Pediatric Emergency Care - December 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Seasonality of Pediatric Mental Health Emergency Department Visits, School, and COVID-19
Objectives
The aim of this study was to explore how the academic calendar, and by extension school-year stressors, contributes to the seasonality of pediatric mental health emergency department (ED) visits.
Methods
The authors reviewed all pediatric mental health ED visits at a large urban medical center from 2014 to 2019. Patients who were younger than 18 years at time of presentation, were Durham residents, and had a primary payer of Medicaid were included in the sample population, and the dates of ED visits of the sample population were compared against dates of academic semesters and summer/winter breaks of ...
Source: Pediatric Emergency Care - December 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
The Impact of Bedside Cardiac Point-of-Care Ultrasound on the Utilization of Cardiology Subspecialty Resources in a Pediatric Emergency Department
Conclusions
The introduction of cPOCUS did not increase cardiology subspecialty utilization in subjects presenting to the pediatric ED with chest pain or syncope. Cardiac point-of-care ultrasound may be useful in evaluating global biventricular systolic function and effusion in this population. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - December 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Point-of-Care Ultrasound and the Discovery of Pulmonary Arterial Hypertension in a Teenager
This article emphasizes the utility of performing focused cardiac ultrasound in pediatric patients early in their presentation. We briefly review focused cardiac ultrasound technique and highlight relevant literature. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - December 1, 2022 Category: Emergency Medicine Tags: Ultrasound Case Review Source Type: research
Adolescent Confidentiality and Consent in an Emergency Setting
No abstract available (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - December 1, 2022 Category: Emergency Medicine Tags: CME Review Article Source Type: research
Adolescent Confidentiality and Consent in an Emergency Setting
Conclusions
Patient confidentiality and informed consent are complex and complicated topics when dealing with the pediatric patient. Although some laws may vary state to state, there are specific details regarding adolescent confidentiality and informed consent that every provider should be aware of. The adolescent population is more likely to seek emergency care if the visit is confidential and the patient feels a sense of trust. Although it is important for providers to respect patient confidentiality when treating adolescents, it is also important for providers to encourage adolescents to confide in their parents re...
Source: Pediatric Emergency Care - December 1, 2022 Category: Emergency Medicine Tags: CME Review Article Source Type: research
Redirecting Nonurgent Patients From the Pediatric Emergency Department to Their Pediatrician Office for a Same-Day Visit—A Quality Improvement Initiative
Conclusions
This initiative redirected nonurgent patients efficiently from a PED setting to their primary care office. The process is beneficial to patients and families and supports the patient-centered medical home. The balancing measure of no harm done to patients who accepted redirect reinforced the reliability of PED triage. The benefits achieved through the project highlight the value of the primary care–patient relationship and the continued need to improve access for patients and families. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - December 1, 2022 Category: Emergency Medicine Tags: Original Research-QI Source Type: research
Adequacy of Emergency Department Documentation of Child Restraint Use After a Motor Vehicle Crash
Conclusions
Adequate details to determine proper age-appropriate restraint use are documented in only half of ED visits for MVC. Very few are given CPS instructions on discharge, even when incorrect use has been identified. Identification of incorrect restraint use in the ED is an opportunity for a teachable moment that is being underused. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - December 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Risk Factors for Longer Pediatric Intensive Care Unit Length of Stay Among Children Who Required Escalation of Care Within 24 Hours of Admission
This study was designed to identify subgroups of patients within this cohort (EOC to PICU within 24 hours of hospital admission) who have worse outcomes (actual PICU LOS [aLOS]> predicted PICU LOS [pLOS]).
Methods
This was a retrospective single-center cohort study. Patients who required EOC to PICU from January 2015 to December 2019 within 24 hours of admission were included. Postoperative patients, missing cause of EOC, and mortality were excluded. Predicted LOS was calculated based on Pediatric Risk of Mortality scores. Patients with aLOS> pLOS (group A) were compared with patients with aLOS ≤ pLOS (group B). M...
Source: Pediatric Emergency Care - December 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
