Pediatrics
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Proton Pump Inhibitors: Too Much of a Good Thing?
Proton pump inhibitor use in infants is associated with a 34% increase in the risk of subsequent infection-related hospitalization. These medications should be used only when the benefits clearly outweigh the risks.
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Pediatric Hematology/Oncology Trainees Want Ethics Expertise
Ethics education would not replace the option or need to obtain a formal ethics consultation. However, such education could lead to fewer cases during which specialists believe they need such assistance.
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Pediatric Chest Trauma
Pediatric thoracic trauma is the second highest cause of pediatric trauma mortality. It is critical for emergency care providers to be aware of the anatomic and physiologic differences in children, which result in significantly different injury patterns than adults. The authors highlight the essential steps for diagnosis and management of pediatric thoracic injuries.
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Uncommon Diagnoses that Cannot Be Missed: An Update
There are a variety of uncommon pediatric conditions that, if not detected, may result in devastating consequences. The authors review and update the current standard of care for a variety of conditions, including necrotizing fasciitis, DRESS syndrome, Kawasaki disease, MIS-C, Lemierre's, and RPA.
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Nirsevimab-alip Injection (Beyfortus)
Nirsevimab can be prescribed to prevent respiratory syncytial virus (RSV) lower respiratory tract disease in neonates and infants born during or entering their first RSV season.
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Progress on Pediatric Readiness in EDs Continues
The pandemic slowed progress and not all emergency departments fully adhere to national guidelines, but continuous improvement is evident.
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Computed Tomography Scans in Pediatric Trauma
Computed tomography has become an invaluable tool for the evaluation of a pediatric trauma patient. However, there are risks associated with use of this technology, and balancing the risks and benefits is critical. The authors present a balanced approach to the appropriate use of this imaging modality in children who sustain trauma.
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The Effects of Video Feedback on Parenting Children with Behavioral Problems
This randomized trial of an in-home parenting intervention consisting of review of video interactions and feedback promoting positive parenting was associated with fewer behavioral problems in high-risk children (ages 1 to 3 years) compared with usual care.
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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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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.