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Pediatric Emergency Medicine Reports



  • Identifying Pediatric Cervical Spine Injuries

    Cervical trauma in pediatrics is fortunately uncommon, but associated with significant morbidity. Early recognition and timely management are essential to optimize the child's outcome. Balanced against this is the need to minimize unnecessary radiation in young children. The authors comprehensively review identifying pediatric cervical spine injuries.

  • A Review of Venomous Snakebites and Scorpion Stings

    Although not a common problem, the knowledge and ability to manage venomous snakebites and scorpion stings is an essential component of the emergency medicine physician’s armamentarium.

  • Managing Lower Extremity Sports Injuries

    Musculoskeletal injuries are common in pediatric patients. It is important to recognize the difference between pediatric and adult injury patterns to optimize management. The authors focus on the diagnostic evaluation and treatment of acute pediatric sports-related lower extremity injuries in the emergency department.

  • How to Handle Rabies

    Rabies is a rare, but devastating, disease. It is crucial for acute care providers to identify exposures and institute timely and appropriate treatment.

  • Identifying and Managing MIS-C

    Pediatric SARS-CoV-2 infections are mild compared to adult infections. However, MIS-C, which typically develops four to six weeks after the initial infection, may be severe and characterized by mul­tiorgan dysfunction resulting from hyperinflammation. This article includes critical information regarding MISC-C recognition and management.

  • Diagnosing and Managing Pediatric Foreign Body Ingestions: Part II

    The process of diagnosing and managing foreign bodies has changed over the last few years. In Part II, the authors discuss not only the process for managing the majority of foreign bodies, but also unique ingestions that require special care.

  • 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.

  • A Critical Review of Potentially Deadly Pediatric Ingestions

    It is imperative for the emergency provider to be aware of common agents that can cause life-threatening toxicity or death should accidental ingestions occur. This article focuses on substances that are potentially catastrophic if ingestions occur and how to manage them accordingly.

  • Pediatric Tuberculosis

    Mycobacterium tuberculosis (MTB) is a significant chal­lenge to children's health. Barriers exist at multiple levels of the care system for MTB. Early recognition and involvement of MTB specialists is critical to facilitate the best outcome for pediatric patients. The authors provide a thorough review of the current standards for care of these challenging patients.

  • Pediatric Mental Health in the Emergency Department

    The increasing volume of children with mental health conditions across all acute care settings high­lights the need for ED providers to be familiar with the most common mental health presentations in the pediatric population to effectively engage with and provide proper care for and disposition to this at-risk population.