Pediatric emergency care
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Pediatric emergency care · Jun 2021
An Analysis of Computed Tomography-Related Radiation Exposure in Pediatric Trauma Patients.
To compare radiation doses used for pediatric computed tomography (CT) scans at community-based referring facilities (RF) to those at a designated pediatric trauma center (PTC) to assess the consistency of radiation exposure. ⋯ Our data suggest that CT scans performed at RFs expose pediatric patients to significantly higher doses of radiation when compared with a PTC. These data support further study to identify factors associated with increased radiation and educational outreach to RFs.
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Pediatric emergency care · Jun 2021
True Versus False Bacteremia in Infants and Children Less Than 3 Years of Age.
The objective of this study was to examine patient history as well as clinical and laboratory features associated with true bacteremia versus false bacteremia in previously healthy febrile children ages 0 to 36 months in the era of polyvalent conjugate pneumococcal immunization. ⋯ We found that previously healthy children with true bacteremia are more likely to grow bacteria faster on blood culture and lack exposure to sick contacts than children with false bacteremia.
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Pediatric emergency care · Jun 2021
Maintenance of Certification Pediatrics: Pediatric Emergency Medicine: The New Part 3 Maintenance of Certification Assessment Option.
Starting in 2022, the American Board of Pediatrics will launch the Maintenance of Certification Assessment for Pediatrics: Pediatric Emergency Medicine (MOCA-Peds: PEM) longitudinal assessment, which will provide an at-home alternative to the point-in-time examination. This longitudinal assessment will help engage PEM physicians participating in continuing certification in a more flexible and continuous lifelong, self-directed learning process while still providing a summative assessment of their knowledge. This commentary provides background information on MOCA-Peds and an introduction to MOCA-Peds: PEM and how it gives the PEM physician another option to participate in continuing certification.
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Pediatric emergency care · Jun 2021
Letter Case ReportsPediatric Intussusception During the SARS-CoV-2 Pandemic.
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Pediatric emergency care · Jun 2021
Observational StudyPediatric Conditions Requiring Interfacility Transport From Emergency Departments: A Statewide Study of Regionalization.
Pediatric care is increasingly regionalized, increasing rates of interfacility transport (IFT). However, it is unknown what conditions most frequently require IFT. This study's objective was to identify high-frequency pediatric conditions requiring IFT. ⋯ Specific pediatric conditions commonly require IFT and had high IFT rates in this statewide study. In addition, the largest age group undergoing IFT was young children (0 to 4 years of age). This study provides specific detail regarding conditions and ages impacted by IFT, and emergency medical services should consider incorporating these findings into transport destination algorithms. In addition, public health stakeholders should address implications of the concentration of care for these common pediatric conditions and younger age groups.