Pediatric emergency care
-
Pediatric emergency care · Mar 2019
Managing Skin and Soft Tissue Infections in the Emergency Department Observation Unit.
Skin and soft tissue infections (SSTIs) are a common reason for presentation to the emergency department (ED) and account for 3% of ED visits. Patients with a diagnosis of cellulitis requiring intravenous (IV) antibiotics have traditionally been admitted to the hospital. In our institution, these patients are placed in the ED Observation Unit (EDOU) for IV antibiotics. ⋯ The EDOU is a reasonable alternative to inpatient admission in the management of patients with uncomplicated SSTI requiring IV antibiotics.
-
Pediatric emergency care · Mar 2019
Review Case ReportsA Mild Laryngeal Cleft Causes Severe Symptoms.
Diagnosis and treatment of laryngeal clefts (LCs) particularly type I pose a challenge. Although rare, type I LCs are becoming increasingly identified in recent years, and this is perhaps due to both an increased awareness and better diagnostic modalities. We report a young infant presenting with feeding difficulty and respiratory distress related to LC. The pertinent literature is also reviewed.
-
Pediatric emergency care · Mar 2019
Review Case ReportsPoint-of-Care Ultrasound to Identify the Source of Dyspnea in a Patient With Systemic Lupus Erythematosus.
Point-of-care ultrasound can be used to help identify the source of dyspnea in patients presenting to the emergency department. We present a case of an adolescent girl with a history of systemic lupus erythematosus presenting to the emergency department with chest pain and dyspnea and found to have both pleural and pericardial effusions on point-of-care ultrasound.
-
Pediatric emergency care · Mar 2019
Review Case ReportsTransient Erythroblastopenia of Childhood: A Review for the Pediatric Emergency Medicine Physician.
Transient erythroblastopenia of childhood is a form of pure red cell aplasia that is self-limited and occurs in children 4 years old and younger. It is characterized by an absence or a significantly reduced quantity of erythroblasts in the bone marrow without underlying congenital red blood cell abnormalities. ⋯ Management is mainly supportive, although some children may require blood transfusions for symptomatic anemia. Most patients demonstrate a return of hematopoiesis within two weeks of diagnosis and normalization of blood counts within two months.
-
Pediatric emergency care · Mar 2019
An Innovative Model to Predict Pediatric Emergency Department Return Visits.
Return visit (RV) to the emergency department (ED) is considered a benchmarking clinical indicator for health care quality. The purpose of this study was to develop a predictive model for early readmission risk in pediatric EDs comparing the performances of 2 learning machine algorithms. ⋯ These models provide a promising predictive tool for supporting the ED staff in preventing unnecessary RVs.