Pediatric emergency care
-
Pediatric emergency care · Jul 2015
Review Case ReportsAn Uncommon Complication of Sinusitis in a Young Adolescent.
A young adolescent patient presented to the emergency department with forehead and eyelid swelling after a week of nasal discharge that was suspicious for Pott's puffy tumor. Point-of-care ultrasound facilitated rapid diagnosis and initiation of treatment for a concerning and rare complication of sinusitis, confirmed by computed tomography scan.
-
Pediatric emergency care · Jul 2015
ReviewPoint-of-Care Ultrasonography by Pediatric Emergency Medicine Physicians.
April 2015 marks the publication of the first national guideline regarding point-of-care ultrasound by pediatric emergency medicine physicians. The joint statement by the American Academy of Pediatrics, Society for Academic Emergency Medicine, American College of Emergency Physicians, and World Interactive Network Focused on Critical Ultrasound provides a framework on which pediatric emergency physicians can develop the necessary skills to use point-of-care ultrasound effectively and responsibly.
-
Pediatric emergency care · Jul 2015
ReviewThe Use of Automated External Defibrillators in Infants: A Report From the American Red Cross Scientific Advisory Council.
Automated external defibrillators (AEDs) have been used successfully in many populations to improve survival for out-of-hospital cardiac arrest. While ventricular fibrillation and pulseless ventricular tachycardia are more prevalent in adults, these arrhythmias do occur in infants. The Scientific Advisory Council of the American Red Cross reviewed the literature on the use of AEDs in infants in order to make recommendations on use in the population. ⋯ In the absence of prompt defibrillation for ventricular fibrillation or pulseless ventricular tachycardia, survival is unlikely. Automated external defibrillators should be used in infants with suspected cardiac arrest, if a manual defibrillator with a trained rescuer is not immediately available. Automated external defibrillators that attenuate the energy dose (eg, via application of pediatric pads) are recommended for infants. If an AED with pediatric pads is not available, the AED with adult pads should be used.
-
Pediatric emergency care · Jul 2015
Child Mental Health Services in the Emergency Department: Disparities in Access.
Recent research suggests that increasing numbers of caregivers are bringing their children to the emergency department (ED) for mental health services and that a large proportion of these children have Medicaid as their insurance. The objective of this study was to examine the characteristics of children with Medicaid who present with psychiatric conditions in Florida hospital EDs. ⋯ The ED is an entry point into the child mental health system of care for children with Medicaid.