Pediatric emergency care
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Pediatric emergency care · Aug 2022
ReviewPolyembolokoilamania in Child Sexual Abuse: Physical Examination Findings After Abusive Foreign Body Insertion and Literature Summary.
To characterize the physical examination findings in children and adolescents who disclosed insertion of an object into their bodies as part of their sexual abuse history and to identify how this population compares to similar cases described in the published literature. ⋯ This article further supports the literature reflecting the overall rarity of abnormal anogenital findings in the clinical assessment for sexual abuse.
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Pediatric emergency care · Aug 2022
Pediatric Office Emergency Preparedness: An Intensive In-Office Training Curriculum.
Preparation is vital to improve resuscitation outcomes for children presenting to the primary care office with emergent conditions. Previous literature has provided recommendations for medications, equipment, and skills necessary to provide appropriate care. Most studies thus far demonstrated offices are unprepared according to those recommendations. We sought to provide an intensive emergency training and preparation curriculum to local primary care pediatric offices to improve their emergency readiness. ⋯ Our intensive emergency training and preparation curriculum experience with local primary care pediatric offices highlighted discrepancies between the perceived level of office preparedness and actual experience during a simulated emergency. Office staff felt more prepared for an emergency after the training, and office medications and equipment were re-evaluated to provide a more efficient and effective resuscitation for their patients.
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Pediatric emergency care · Aug 2022
ReviewLiquid Nicotine, E-Cigarettes, and Vaping: Information for the Pediatric Emergency Medicine Provider.
E-cigarettes, or electronic cigarettes, are electronic nicotine delivery systems that are marketed as a healthier alternative to tobacco cigarettes. There has been an exponential increase in their use among youth since their introduction to the United States market in 2007. ⋯ Recent US Food and Drug Administration and other federal regulations of e-cigarettes have attempted to limit availability to youth. This article reviews trends in e-cigarette use among youth, the background and mechanism of action of e-cigarettes, liquid nicotine toxicity, management of liquid nicotine toxicity, and recent policy updates regarding e-cigarettes.
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Pediatric emergency care · Aug 2022
Point-of-Care Ultrasound-Guided Serratus Anterior Plane Block for Chest Tube Placement in a Spontaneous Pneumothorax.
Chest tube placement is a common procedure in the pediatric emergency department. There is general emergency medicine literature as well as pediatric cardiac surgery literature supporting the use of an ultrasound-guided serratus anterior plane block for regional anesthesia with no prior pediatric emergency medicine studies to our knowledge. This case describes a pediatric patient who required chest tube placement twice for a pneumothorax and describes his preference for the nerve block over the more commonly used procedural sedation.
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Pediatric emergency care · Aug 2022
Who Trains the Trainers?: Development of a Faculty Bootcamp for Pediatric Emergency Medicine Resuscitation Procedures.
Attending physicians in pediatric emergency medicine (PEM) must be able to perform lifesaving procedures, yet guidelines for maintaining procedural competency do not exist. We implemented a biannual 2-hour "bootcamp" designed to help PEM faculty maintain procedural competency. ⋯ The clinical setting alone may be insufficient in maintaining procedural competency in lifesaving skills in PEM. Giving faculty the opportunity to practice these skills is feasible and can be effective in increasing confidence. Future training sessions should aim toward practicing to a defined mastery level.