Emergency
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Pediatric Procedural Sedation
Every acute care clinician needs to know and be familiar with the process of procedural sedation, medication selections, options, and contraindication for different procedures. The authors comprehensively review procedural sedation, emphasizing evidence-based choices.
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Managing Pediatric Bone Infections
Pediatric osteoarticular infections may be subtle in their presentation, and clinicians must have a high degree of suspicion to make a timely diagnosis and institute appropriate therapy. The authors provide the essential information clinicians require to understand the presentation, diagnostic evaluation, and management of bone and joint infections in this population.
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Preventing, Identifying, and Managing Pediatric Malaria
Malaria has infested every continent except Antarctica and is ranked as the third-leading cause of death for children 1 month to 5 years of age globally. Acute care providers need to be able to identify and manage a child with malaria.
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Many Ethical Questions if Psychiatric Patient Is Boarded in the ED
Psychiatric patients are routinely boarded in emergency departments for hours or even days, raising significant safety issues. There is growing concern about the ethical implications of this controversial practice.
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A Review of Throat Infections: Must-Not-Miss Diseases
In the previous issue, the author reviewed common causes of sore throat as well as diagnostic and therapeutic approaches. In this issue, he tackles ill-appearing children and how to approach those at risk for an airway disaster. This article is a must-read for all practicing emergency medicine clinicians to safely diagnose and manage these high-risk children.
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A Review of Throat Infections: Low-Acuity Disease
Sore throats are common pediatric chief complaints, with etiologies ranging from thrush to epiglottitis. All clinicians must be familiar with the diversity of causes from benign to life-threatening in order to decrease morbidity and mortality with a timely diagnosis.
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Evaluation of Syncope in the Pediatric Emergency Department
Syncope is a frightening event for a child’s family. Fortunately, the majority of etiologies are benign. However, there are rare, potentially life-threatening causes of cardiac diseases that cannot be missed. The authors review and present a balanced approach to a child with syncope.
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Recognizing, Managing, and Reporting Pediatric Sexual Abuse and Assault
Child sexual abuse is a common concern for patients presenting to the emergency department. The approach depends not only on the age and development of the child, but also the allegations, time since the contact occurred, and the child's symptoms. It is imperative that all clinicians are familiar with the optimal approach and evaluation of a child with alleged sexual abuse.
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Hypothermia and Frostbite
Hypothermia is a medical emergency that requires immediate attention and correction. For patients with environmental exposures, especially freezing ambient temperatures, cold water, snow, and ice, frostbite injuries are of significant concern.
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Managing Pott’s Puffy Tumor and Sinogenic or Otogenic Intracranial Empyema
Following the COVID-19 pandemic, the incidence of sinogenic and otogenic intracranial empyemas increased. The author reviews the presentation, imaging, and treatment for this potentially life-threatening infection, with a reminder to keep this on your differential when evaluating your youngest patients.