Current opinion in pediatrics
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This review summarizes new findings in the field of maltreatment, addressing epidemiology, physical abuse, abusive head trauma, sexual abuse, sequelae, and prevention. ⋯ The volume, quality, and breadth of research relating to child maltreatment continue to improve and expand our understanding of child abuse pediatrics. These authors summarize notable advances in our understanding of child maltreatment over the past year.
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Curr. Opin. Pediatr. · Jun 2014
ReviewNuking the radiation: minimizing radiation exposure in the evaluation of pediatric blunt trauma.
Our objective is to highlight recent literature investigating low-radiation diagnostic strategies in the evaluation of pediatric trauma. ⋯ More research is needed in development of pediatric-specific clinical decision rules and risk stratification and in testing low-radiation diagnostic modalities in the pediatric trauma population.
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Curr. Opin. Pediatr. · Jun 2014
ReviewAdvances in point-of-care ultrasound in pediatric emergency medicine.
Point-of-care ultrasound (POCUS) has become an integral part of emergency medicine practice. Research evaluating POCUS in the care of pediatric patients has improved the understanding of its potential role in clinical care. ⋯ Key applications in PEM have been investigated in the recent publications. Further exploration of the ability to integrate ultrasound into routine practice will require larger-scale studies and continued growth of education in the field. The use of ultrasound in clinical practice has the potential to improve safety and efficiency of care in the pediatric emergency department.
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Curr. Opin. Pediatr. · Jun 2014
ReviewThe state of affairs of neurologic monitoring by near-infrared spectroscopy in pediatric cardiac critical care.
The decreasing postoperative mortality in patients with congenital heart disease has enabled an increasing interest in preventing morbidity, especially from the central nervous system. Near-infrared spectroscopy, a noninvasive technology that provides an estimate of tissue oxygenation, has been introduced in the intensive care unit and has gained popularity over the last decade. This review aims to ascertain its ability to affect outcome. ⋯ In addition to additional corroborative trials from different centers, a critical question that remains to be answered is whether targeting cerebral near-infrared spectroscopy values, as part of goal-directed therapy protocols, can help to improve outcome overall.