Pediatrics
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FDA, CDC Back COVID-19 Vaccine for Adolescents
The Pfizer/BioNTech solution will be available for Americans age 12 to 15 years. -
New Data on Pediatric Clinical Ethics Consults
Pediatric cases involve, at a minimum, three stakeholders: The patient, the parents, and the healthcare team. This decision-making triad can lead to a multitude of ethical quandaries.
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AAP Revises Guidelines to Improve Treatment of Children with Disabilities
Group says pediatricians can be advocates for this population, which is more likely to be subjected to abuse and neglect.
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No Evidence of Bias on Pediatric Ethics Rounds
Researchers compared sociodemographic factors between patients admitted to an academic children’s hospital during ethics rounds in the PICU, PCTU, and NICU in 2017 and 2018 who were identified as having ethics issues and all other patients admitted to those same units during the same period. The researchers expected racial and/or socioeconomic differences between the groups, with socially vulnerable patients disproportionately identified as having ethical issues on rounds. But they did not find this to be the case.
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Revised Policy on Organ Transplants for Children with Disabilities Targets Discrimination
Children with disabilities can be organ donors, contributing to the supply. Excluding these patients as organ recipients would not be fair. A new policy statement does not consider intellectual and developmental disabilities (IDD) completely irrelevant, but the authors do not consider IDD to be dispositive for listing decisions either.
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Fever in the Returning Pediatric Traveler
Although, currently, there are travel restrictions in many countries, this will pass. Acute care physicians need to have an awareness of diseases that are prevalent in other countries to accurately diagnose, manage, and treat patients traveling to and from other parts of the world. The authors present an incredibly valuable synopsis of fever and differential of fever in returning pediatric travelers
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Study of Epidural Analgesia Stirs Controversy
Several groups stand in strong opposition to a group of researchers’ recent conclusion about possible connection to autism risk.
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Food-Insecure Infants at Higher Risk for Obesity
Poor nutrition and overfeeding are possible reasons for the association.
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PEACE Rounds Promote Better Communication in Neonatal ICU
Conflicts can happen between nurses and physicians, families and physicians, and social workers and families. Weekly Patient Experience and Communication Excellence (PEACE) rounds, implemented in 2016 in the pediatric intensive care unit at Riley Hospital for Children at Indiana University Health, has ameliorated healthcare providers’ moral distress and shortened length of stay for some patients.
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Pediatric Asthma Management in the Emergency Department
Asthma is the most common chronic disease of childhood. Children with asthma frequently present in the acute care setting with disease ranging from mild to severe. Accurately assessing children with asthma and providing escalating care as needed improves outcome. The authors provide a current review of asthma and evidence-based care.