Pediatric emergency medicine practice
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Pediatr Emerg Med Pract · Oct 2020
ReviewSupraglottic airway devices for pediatric airway management in the emergency department.
Endotracheal intubation can be difficult in the emergent situation, and it is important to have an appropriate backup strategy. Supraglottic airway devices have provided an alternative method for pediatric airway management that is relatively easy to learn, with a high success rate. This issue reviews the use of supraglottic airway devices in pediatric patients including common devices, indications and techniques for placement, and complications associated with their use. The use of supraglottic airway devices in the patient with a difficult airway is also discussed.
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Pediatr Emerg Med Pract · Aug 2020
ReviewHigh-flow nasal cannula and noninvasive ventilation in pediatric emergency medicine.
The use of high-flow nasal cannula and noninvasive ventilation has become increasingly common in emergency medicine as a first-line treatment of pediatric patients with respiratory distress secondary to asthma and bronchiolitis. When implemented in clinical practice, close monitoring of vital signs and ventilation parameters is warranted to identify possible signs of respiratory failure. This issue provides evidence-based recommendations for the appropriate use of noninvasive ventilation modalities in pediatric patients including high-flow nasal cannula, continuous positive airway pressure, and bilevel positive airway pressure in the setting of acute respiratory distress. Contraindications and complications associated with these modalities are also discussed.
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Pediatr Emerg Med Pract · Jun 2020
COVID-19: the effects on the practice of pediatric emergency medicine.
An informal survey of 65 pediatric emergency department leaders in North America-from 30 U. S. states and 4 Canadian provinces-revealed changes in operations, infrastructure, staffing, and clinical care that were undertaken as a result of the COVID-19 pandemic. ⋯ Survey respondents also reported effects of the pandemic on academic training programs and provider wellness. This report uses the survey responses to provide a snapshot of the adaptability of pediatric emergency medicine departments and clinicians during a public health emergency.
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Pediatr Emerg Med Pract · May 2020
ReviewNovel 2019 coronavirus SARS-CoV-2 (COVID-19): an overview for emergency clinicians.
The novel coronavirus, SARS-CoV-2, and its infection, COVID-19, has quickly become a worldwide threat to health, travel, and commerce. It is essential for emergency clinicians to learn as much as possible about this pandemic to manage the unprecedented burdens on healthcare providers and hospital systems. This review analyzes information from worldwide research and experience on the epidemiology, prevention, and treatment of COVID-19, and offers links to the most reliable and trustworthy resources to help equip healthcare professionals in managing this public health challenge. As the pandemic sweeps the United States, lessons learned from early centers of infection, notably New York and Northern Italy, can help localities to prepare.
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Pediatr Emerg Med Pract · Jan 2020
Review Case ReportsEmergency department management of rash and fever in the pediatric patient
Rash and fever are some of the most common chief complaints presenting to the emergency department. The evaluation of rashes in the febrile pediatric patient includes a broad differential diagnosis and use of the history and physical examination to identify red flags, such as hemodynamic instability, erythroderma, desquamation, petechiae/purpura, mucous membrane involvement, and severe pain, that should increase suspicion for worrisome disease. This issue reviews characteristics of common rashes as well as rarer, potentially life-threatening rashes, to guide management and treatment and improve patient outcomes.