Emergency medicine clinics of North America
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Sedation and analgesia are vital components of pediatric emergency care. When children present to the emergency department injured, it may be difficult to administer care secondary to the child's anxiety, pain, lack of cooperation, and pressure by the parents to alleviate the child's discomfort. There is much in the emergency physician armamentarium to address these circumstances and provide excellent care, safely.
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Emerg. Med. Clin. North Am. · Aug 2013
ReviewPediatric ultrasound: applications in the emergency department.
Bedside ultrasound (US) was introduced to the emergency department more than 20 years ago. Since this time, many new applications have evolved to aid the emergency physician in diagnostic, procedural, and therapeutic interventions and the scope of bedside ultrasound continues to grow. ⋯ Consequently, US has been adopted by many pediatric emergency providers. This article reviews the use of bedside ultrasound in pediatric emergency medicine.
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Emerg. Med. Clin. North Am. · Aug 2013
ReviewChildhood asthma: a guide for pediatric emergency medicine providers.
Pediatric asthma is a disease that is managed across outpatient physicians, hospitalists, critical care physicians, and emergency department (ED) physicians. Scoring systems may facilitate a rapid assessment of the child with asthma in the ED. ⋯ ED providers must also know the indications for noninvasive ventilation and intubation. Most patients can be treated and discharged from the ED after acute exacerbation, and should be given a plan for going home that provides educational material and emergency scenarios to help prevent future acute incidents.
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Pediatric trauma evaluation mimics adult stabilization in that it is best accomplished with a focused and systematic approach. Attention to developmental differences, anatomic and physiologic nuances, and patterns of injury equip emergency physicians to stabilize and manage pediatric injury.
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The diagnosis and management of pediatric cardiac emergencies can be challenging and complicated. Early presentations are usually the result of ductal-dependent lesions and appear with cyanosis and shock. Later presentations are the result of volume overload or pump failure and present with signs of congestive heart failure. Acquired diseases also present as congestive heart failure or arrhythmias.