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Articles Tagged With: pediatric

  • Diagnosing and Managing Pediatric Foreign Body Ingestions: Part I

    Pediatric foreign body ingestion comes with a dichotomous presentation to the ED — the child in extremis with a clear need for immediate intervention vs. the well-appearing child with unknown ingestion. This creates a challenge for the emergency medicine provider to use a combination of history, physical examination, different imaging modalities, and overall clinical picture to verify ingestion over aspiration and, furthermore, to determine whether there is any need for immediate intervention. The decision-making tree surrounding foreign body ingestion changes based on time course, type of object, location in the gastrointestinal tract, and size. Therefore, a regimented and practical approach to foreign body ingestions is warranted.

  • Parents Still Unwilling to Speak Up About Safety Issues

    For decades, risk managers have tried to improve safety by encouraging patients and family members to speak up when they are concerned about care or suspect something might be wrong. Some progress has been made, but recent data suggest one group remains reluctant to speak up: the parents of pediatric patients.
  • Unexpected Pediatric Benefits of the COVID-19 Pandemic

    Despite the global tragedy of the COVID-19 pandemic, clinical experience suggests that there also have been some favorable indirect effects of pandemic-induced lockdowns on pediatric health. Specifically, there are lower rates of unscheduled primary care visits, emergency department visits, and hospitalizations for medical problems – without an increase in incompletely managed serious diseases.

  • Pediatric Drowning

    Pediatric drowning events are associated with consequences varying from transient pulmonary symptoms to devastating neurologic disability. All acute care providers need to be prepared to diagnose and effectively manage a child with this type of injury.

  • Pediatric Musculoskeletal Point-of-Care Ultrasound: Everything but the Bones

    Ultrasound is an incredible tool that keeps becoming more valuable. In this article, the authors show how point-of-care ultrasound of the musculoskeletal system can help clinicians identify a diversity of diseases, including soft tissue infections, abscesses, and foreign bodies! In a later issue, the authors explore the use of ultrasound to identify bone and joint issues.

  • Randomized Diagnostic Trial of First-Line Genome Sequencing in Pediatric White Matter Disorders

    The results of this study indicate that first-line genome sequencing in pediatric patients with suspected genetic white matter disease is more diagnostically efficient, defined as higher diagnostic efficacy and shorter time to diagnosis, than current standard of care approaches.

  • COVID-19 and Children

    In China, children of all ages have been infected with SARS-CoV-2 and seem to follow a relatively mild clinical course.

  • New Working Group to Produce Guidance for Pediatric Gene Therapy

    The NYU Grossman School of Medicine’s working group on Pediatric Gene Therapy and Medical Ethics formed in the fall of 2019 to address and propose recommendations to issues involving gene-based therapies in pediatric populations, including research activities.

  • Emergency Medicine Leaders Push for Pediatric Readiness Improvements in Prehospital Setting

    Multiple professional organizations have released a policy statement that heralds the initial step in an ambitious effort aimed at promoting pediatric readiness in the prehospital environment. The move follows in the footsteps of the successful National Pediatric Readiness Project, which continues to push for improvements in the preparedness level of EDs across the country to care for children.

  • National Orgs Release Pediatric Readiness Recommendations

    Guidelines address emergency medical care for children outside the hospital.