Pediatric emergency care
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Pediatric emergency care · Nov 2022
ReviewDirect Oral Anticoagulant Reversal in the Pediatric Emergency Department.
Direct oral anticoagulants have been used in the adult population for years and are being used more frequently in pediatrics. Direct oral anticoagulants are chosen preferentially because they do not require close outpatient monitoring, have an equal or better safety profile, and are easy for patients to take. ⋯ Given their differing mechanisms, they require alternate medications for proper reversal when concerned about overdose of life-threatening bleeds. This review will outline the most commonly used direct oral anticoagulants in pediatric populations and the supporting (mainly adult) data available for proper reversal of these medications in times of need.
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Pediatric emergency care · Nov 2022
Factors Associated With Referral of Children With a Femur Fracture to a Social Worker by an Orthopedist for Suspected Child Abuse.
This article explores factors associated with referral of children with a femur fracture to a social worker by an orthopedist for suspected child abuse. ⋯ Younger male children presenting with a spiral femur fracture have a higher likelihood to be referred to a social worker because of suspected child abuse by treating orthopedic specialists with lengthier professional experience. The findings point to the need to improve the capacity of orthopedic residents to report child abuse.
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Pediatric emergency care · Nov 2022
Evaluation of a Novel Point-of-Care Ultrasound Curriculum for First-Year Pediatric Residents.
The aim of the study is to evaluate a novel point-of-care ultrasound (POCUS) educational curriculum for pediatric residents. ⋯ Postgraduate year 1 pediatric residents learned the basics of POCUS through 3 brief educational sessions. The increase in posttest scores demonstrated improved POCUS knowledge, and the high OSCE score demonstrated their ability to acquire ultrasound images. Point-of-care ultrasound guidelines are needed for pediatric residency programs.
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Pediatric emergency care · Oct 2022
Modified DIVA Score: An Improved Clinical Predictive Tool for Detecting Difficult Access in Children.
This study aims to validate the DIVA (Difficult Intravenous Access) score in our population and to identify any additional patient characteristics that may be associated with difficult access in children. ⋯ The m-DIVA score, which incorporates prior history, increases the screening test's sensitivity in identifying "difficult access" patients and should be further investigated as clinical tool.