Pediatric Emergency Medicine
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Researchers Use Advanced Technology to Detect MIS-C
Scientists want to improve diagnostic techniques for multisystem inflammatory syndrome in children, which became a confounding problem during the COVID-19 pandemic.
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Remote Facilities Can Avoid Unnecessary Pediatric Transfers by Leveraging Telemedicine
When critically ill children present to EDs in rural or community hospitals that lack access to specialty pediatric care, the solution often is to transfer them to a regional pediatric facility, which could be hours away from a patient’s home. This creates travel burdens and added expense for families and payors. But new research suggests that at least some of these interfacility transfers can be safely avoided by incorporating telemedicine consultations with pediatric specialists.
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Homeless Pediatric Patients Use EDs Frequently
Homeless children frequently use EDs, defined as four or more visits in a calendar year, compared to housed children. These patients require hospitalization more often than housed children when they visited the ED, including to ICUs. This underscore the critical influence of housing as a social determinant of health.
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Diagnosing and Treating Pediatric Urinary Tract Infections
Urinary tract infections can be challenging to suspect and diagnose in young patients. Unfortunately, devastating consequences, such as pyelonephritis and bacteremia, are a real risk. It is critical for clinicians to have a high degree of suspicion, obtain optimal urine samples, and be aware of the best practices for treatment in this unique population.
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ED Makes Discharge Safer for Pediatric Patients
Preventable, serious safety events related to discharge from the ED motivated clinicians at Boston Children’s Hospital to implement a standardized process. Staff follow and review all events locally within the department of emergency medicine, which can include some return visits. The emphasis is on family engagement and multidisciplinary communication.
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Pediatric Mental Health Crisis Is ECRI’s Top Safety Concern for 2023
The ED assessment should include appropriate triage: screening for harm of self or others, a thorough assessment, and consideration of social determinants of health.
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New Solutions to Help Young Patients Who Present with Behavioral Health Crises
Behavioral health mobile teams, comprised of psychiatrists, psychologists, experts in autism and developmental disabilities, nurses, social workers, and case managers, can support medical teams caring for patients in crisis.
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There Could Be Trouble if Providers Board Children with Psychiatric Complaints
If parents disagree with a hold, convey that staff are keeping the child safe, explain the steps they are taking to find an accepting hospital, and detail how the ED cannot discharge a patient who is on an involuntary hold. When families are informed and given space to vent, the situation can de-escalate.
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American Academy of Pediatrics Offers Solutions to Ease ED Crowding
Group says “coordinated effort across the healthcare delivery system” needed to ensure continuity of care.
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Out of Options: When Parents Abandon Pediatric Psychiatric Patients at Hospital
Parents often are faced with an impossible choice. They must decide whether to bring home a child who poses a threat to self and others, or risk a child abandonment charge. The criteria for acute psychiatric hospitalization are so high that children might be discharged only to be rehospitalized within weeks or days — and retraumatized in the process.