Supporting a Learning System in Pediatric Emergency Pathways: Using Organizational Comparisons, Serious Incidents, and Near-Miss Events to Improve the Diagnosis and Treatment of Testicular Torsion
Conclusions
There is a need for education in ED about atypical presentation of testicular torsion and examination of scrotum in cases of lower abdominal pain. It is also vital that specialist teams are cognizant of the standard operating procedures relevant to scrotal pain and testicular within the organization and the wider clinical network. Finally, there should be a drive for annual collation of data in urology and ED units with regards to testicular torsion as patient safety incidents may be underreported. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - July 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
The Association Between Initial Serum Bicarbonate Levels and the Management of Dehydrated Children in the Emergency Department: A Retrospective Review
Conclusions
Initial serum bicarbonate level of dehydrated children does not appear to be associated with the severity of dehydration, vomiting, diarrhea and the patients' management in the ED or the hospital. Initial serum bicarbonate is associated with the decision to administer fluid boluses and potential bounce back. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - July 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Self-Reported Usage of Safety Equipment Provided Through a Community Partnership Approach to Injury Prevention in the Pediatric Emergency Department
Conclusions
Families often report unsafe home storage of medications and firearms, which together account for a large amount of morbidity and mortality in pediatrics. Drowning risk for young children is ubiquitous in the home setting, and low rates of use of home safety devices indicates need for further education and outreach on making the home environment safe. Despite relying on self-reported behaviors and the risk of reporting bias skewing the data, the behaviors reported in the preintervention survey were still very unsafe, suggesting that children may have a much higher risk of injury in the actual home environme...
Source: Pediatric Emergency Care - July 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Preclinical Pediatric Care by Emergency Physicians: A Comparison of Trauma and Nontrauma Patients in a Population-Based Study in Austria
Conclusions
The pediatric population lacks assessments and monitoring in preclinical care, especially the youngest children and nontrauma patients, although emergency severity scores are similar. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - July 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Risk Factors of Serious Bacterial Infection in Previously Healthy Children Older Than 90 Days Old With Fever and Neutropenia
Conclusions
None of the clinical or analytical variables assessed were associated with the RSBI. However, according to a post hoc analysis, in patients with greater than 5000 leukocytes/μL, a neutrophil percentage less than 20% could be an independent risk factor for SBI. A thorough physical examination and basic diagnostic tests (urinalysis and chest x-ray) may help to establish a diagnosis of SBI in the vast majority of cases. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - July 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Breastfeeding Among Pediatric Emergency Physicians: Rates, Barriers, and Support
Conclusions
Breastfeeding PEM physicians have high 6-month breastfeeding rates, and many express milk at work. Although colleagues report being supportive, barriers of perceived lack of sufficient time to pump and appropriate pumping locations remain. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - July 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
The Outcome of Cerumen Removal in the Pediatric Emergency Department
Conclusion
Cerumen removal changes the management of children in the PED who present with a possible diagnosis of an ear infection. Cerumen removal could avoid unnecessary laboratory and imaging studies, which could save time, costs, and suffering. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - July 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Pediatric Softball Injuries Presenting to Emergency Departments
Conclusion
Being hit by the ball was the most common mechanism of injury, especially in the head/neck region, and shoulder/elbow injuries increase with athlete age. Coaches and leagues may consider mandating helmets for infielders and pitch counts for pitchers, especially among adolescent athletes. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - July 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Severity of Illness Scoring for Pediatric Interfacility Transport: A North American Survey
Conclusions
Severity of illness scoring is not consistently performed by pediatric interfacility transport programs in North America. Among the programs that use a scoring tool, there is variability in its application. There is no universally accepted or performed severity of illness scoring tool for pediatric interfacility transport.
Future research to validate and standardize a pediatric transport severity of illness scoring tool for North America is necessary. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - July 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Variation in Prehospital Protocols for Pediatric Respiratory Distress Management in the United States
Conclusions
All included states had specific recommendations for the management of pediatric respiratory distress. There was consistency in recommendations for albuterol use for wheezing and epinephrine use for anaphylaxis. However, there was wide variability in other uses for epinephrine, steroid administration, continuous positive airway pressure use, and specific treatments for croup and epiglottitis. The findings of this study provide a base for important future evidence-based protocol developments and changes in prehospital pediatric respiratory distress treatment. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - July 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Skin and Soft Tissue Infection Treatment and Prevention Practices by Pediatric Emergency Medicine Providers
Objective
The aim of the study was to evaluate skin and soft tissue infection (SSTI) treatment and prevention practices among pediatric emergency medicine (PEM) clinicians in the context of current clinical practice guidelines and contemporary evidence.
Methods
This was a cross-sectional survey of PEM clinicians belonging to the American Academy of Pediatrics Section on Emergency Medicine Survey listserv. Four varying hypothetical clinical scenarios of children with SSTI were posed to respondents; subsequent items assessed SSTI treatment and prevention practices. Provider demographics were collected.
Results ...
Source: Pediatric Emergency Care - July 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Pediatric Fracture Epidemiology and US Emergency Department Resource Utilization
Conclusions
The national incidence rate of pediatric fractures decreased slightly. Emergency department resource utilization increased over time. With high national volume, understanding pediatric fracture epidemiology and resource utilization is important to the health care system. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - July 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Live Meetings?
No abstract available (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - July 1, 2022 Category: Emergency Medicine Tags: Editorial Source Type: research
Emergency Department Initiated Mental Health Interventions for Young People: A Systematic Review
Conclusions
This systematic review demonstrated that ED-initiated mental health interventions result in improved service outcomes, but further innovation and robust evaluation are required. Future research should determine whether these interventions lead to better clinical outcomes for young people and staff to inform the development of best practice recommendations for ED-initiated mental health care for young people presenting to the ED. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - July 1, 2022 Category: Emergency Medicine Tags: Review Article Source Type: research
Predictors of Empiric Antibiotic Use in the Emergency Department in Children Without Urinary Tract Infections: Erratum
No abstract available (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - July 1, 2022 Category: Emergency Medicine Tags: Erratum Source Type: research
