Articles Tagged With: pediatric
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Pediatric Pain Management in the Emergency Department
Pain management in the pediatric population has long been a focus of healthcare providers; nevertheless, gaps in providing adequate and timely pain management remain an area of concern in EDs. This article will provide guidance for the recognition and successful management of pediatric pain in the ED setting. The authors first present definitions of pain and discuss the assessment of pain in a child, as well as common barriers to appropriate pediatric pain management in the ED. Then, the article will focus on the different aspects of pain and techniques of managing discomfort, including: anxiolysis, non-pharmacological strategies, topical medications, oral analgesics, parenteral medications, discharge medications, and misconceptions and facts about opioid analgesics. Pain control in conjunction with procedural sedation is beyond the scope of this article.
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Pediatric Procedural Sedation
Procedural sedation is a critical skill to facilitate the performance of necessary diagnostic and therapeutic procedures in children. The clinician must have knowledge of the preparatory steps, indications, pharmacologic agents, monitoring, and recovery phase to safely and effectively perform this necessary adjunct to many common procedures. The authors review steps, current recommendations, and options to utilize procedural sedation skillfully in children. In addition, they present guidelines for managing adverse events that may be associated with the administration of procedural sedation.
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Common Pediatric Upper Extremity Overuse Injuries
Pediatric overuse injuries are becoming very common as the intensity of athletic competition extends to our younger population. Acute care providers must include these injuries in their differential as they listen to and examine young athletes. Identification and coordination of care with a sports medicine expert will optimize the long-term outcomes for these children.
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An Approach to Household Toxicological Emergencies in the Pediatric Patient
Patients with toxic ingestions most often will present to the emergency department as either a well-appearing patient with a known ingestion or as an ill-appearing patient with an unknown or suspected ingestion. This article will present the approach to both of these circumstances, discussing treatment and monitoring of specific overdoses as well as the initial approach to an ill child with a suspected overdose. The focus will be on common and accidental ingestions of toxins by pediatric patients.
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Want to Keep Pediatric Patients Happy? Let Them Draw on the Sheets
While children usually are told not to color on anything but paper, one Montana hospital has found that allowing children to draw on their hospital sheets before surgery reduces their anxiety.
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Pediatric Surgical Risk Calculator Released
For many of the most common U.S. pediatric operations, the new Pediatric Surgical Risk Calculator provides an individualized estimate of the chance of a young patient experiencing postoperative complications, according to research findings appearing online in the Journal of the American College of Surgeons. The calculator is from the American College of Surgeons National Surgical Quality Improvement Program.
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Advances in Pediatric Abdominal Trauma: What’s New in Assessment and Management
This article will cover major points the provider needs to know to appropriately manage a child with potential abdominal trauma, including the acute resuscitation and specific organ injury management.
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Pediatric Groups Update Sedation Clinical Guidelines
The American Academy of Pediatrics, with the American Academy of Pediatric Dentistry, has issued updated clinical guidelines for delivering safe sedation to pediatric patients before, during, and after diagnostic and therapeutic procedures.
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New Center Focuses on Improving Emergency Care for Children
The Emergency Medical Services for Children Innovation and Improvement Center will ensure every child has access to pediatric emergency care or urgent care.
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Pediatric Visceral Trauma
Trauma patients are often very difficult to assess, particularly young children.This article reviews trauma in children. It reminds us that children are not little adults. Their injury pattern and their response to injury are unique.