Pediatric emergency care
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Pediatric emergency care · Apr 2017
Acute Illness Protocol for Fatty Acid Oxidation and Carnitine Disorders.
Inborn errors of metabolism (IEMs) are genetic disorders that disrupt enzyme activity, cellular transport, or energy production. They are individually rare but collectively have an incidence of 1:1000. ⋯ Appropriate early care can be lifesaving. This protocol is not designed to replace the expert consultation of a biochemical geneticist but rather to improve early care and increase the level of comfort of the acute care physician with initial management of fatty acid oxidation and carnitine disorders until specialty consultation is obtained.
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Pediatric emergency care · Apr 2017
Reaching Adolescents for Prevention: The Role of Pediatric Emergency Department Health Promotion Advocates.
Almost 200,000 adolescents visit US emergency departments (EDs) yearly for conditions involving underage drinking but receive no follow-up referral. Other health risk behaviors resulting in sexually transmitted infections, car crashes, and assault-related injury are common among adolescents. A pediatric ED (PED) visit presents an opportunity to discuss and promote prevention. We report here on implementation of a new PED navigator/extender role, the Health Promotion Advocate (HPA). ⋯ Health Promotion Advocates working as PED team members can extend PED services beyond the scope of the presenting complaint.