Point-of-Care Ultrasound-Guided Aspiration of the Hip Joint by an Emergency Medicine Physician: A Pediatric Retrospective Case Series
Conclusions
This case series shows that POCUS-guided hip aspiration is both safe and feasible in diagnosing septic hip in the pediatric emergency department. The procedure enables rapid diagnosis and early initiation of antibiotic treatment, thus reducing the risk for complications related to delayed initiation of therapy. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - March 1, 2022 Category: Emergency Medicine Tags: Ultrasound Case Reviews Source Type: research
The Use of Point-of-Care Ultrasound for the Diagnosis of Müllerian Abnormality in the Pediatric Emergency Department
We present a case of an 18-year-old female patient with a history of primary amenorrhea presenting to a pediatric emergency department with complaint of new-onset vaginal bleeding. Upon the patient's presentation, she received a point-of-care ultrasound (POCUS), which promptly identified the lack of a uterus and led to the diagnosis of a müllerian duct anomaly. This is the first published report of müllerian agenesis identified in the pediatric emergency department using a transabdominal approach to pelvic POCUS. We recommend POCUS as a quick, noninvasive diagnostic approach for pediatric patients presenting with undiffe...
Source: Pediatric Emergency Care - March 1, 2022 Category: Emergency Medicine Tags: Ultrasound Case Reviews Source Type: research
Recognizing and Managing Staphylococcal Scalded Skin Syndrome in the Emergency Department
Staphylococcal scalded skin syndrome is a superficial blistering disorder caused by exfoliative toxin-releasing strains of Staphylococcus aureus. Bacterial toxins are released hematogenously, and after a prodromal fever and exquisite tenderness of skin, patients present with tender erythroderma and flaccid bullae with subsequent superficial generalized exfoliation. The head-to-toe directed exfoliation lasts up to 10 to 14 days without scarring after proper treatment. Children younger than 6 years are predominantly affected because of their lack of toxin-neutralizing antibodies and the immature renal system's inability to e...
Source: Pediatric Emergency Care - March 1, 2022 Category: Emergency Medicine Tags: Review Article Source Type: research
A Review of the Diagnosis and Management of Acute Flaccid Myelitis in the Emergency Department
No abstract available (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - March 1, 2022 Category: Emergency Medicine Tags: CME Review Article Source Type: research
A Review of the Diagnosis and Management of Acute Flaccid Myelitis in the Emergency Department
Since 2014, biennial rises in acute flaccid myelitis (AFM) have brought attention to this rare but debilitating condition. Children with AFM typically present with acute onset, flaccid weakness accompanied by longitudinally extensive gray matter injury demonstrated on magnetic resonance imaging. A clearer understanding of the epidemiology and suspected pathogenesis of AFM may result in increased recognition. The purpose of this review article is to guide emergency physicians in recognizing key clinical features, initiating diagnostic evaluation and providing appropriate interventions for children with suspected AFM. (Sourc...
Source: Pediatric Emergency Care - March 1, 2022 Category: Emergency Medicine Tags: CME Review Article Source Type: research
Utilization of Monitored Beds for Children Admitted With Unintentional Poisonings
Conclusions
The majority of children admitted for UPs were placed in MBs. Regardless of inpatient placement, no adverse events were observed, suggesting opportunities for optimized resource utilization. Future research may focus on direct costs, inpatient interventions, or prospective outcomes to validate these findings. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - March 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Clinical Characteristics and Outcomes of Acute Childhood Encephalopathy in a Tertiary Pediatric Intensive Care Unit
Conclusions
Primary metabolic encephalopathy was prevalent in younger children, whereas drug-induced toxic encephalopathy was common among older oncology patients. Survivors have significant neurologic morbidity. Failure to regain baseline GCS was a poor prognostic factor for neurological outcomes. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - March 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Characteristics of Pediatric Frequent Users of Emergency Departments in Alberta and Ontario
Conclusions
Complex factors underlie pediatric health care utilization decisions. Findings identified conditions to target in interventions to improve health care access and utilization. Future work should engage children and families to design interventions. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - March 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Pediatric Carbon Monoxide Poisoning: Effects of Hyperbaric Oxygen Therapy on Thiol/Disulfide Balance
Conclusions
Although thiol-disulfide balance is maintained in patients treated with HBOT, antioxidant levels decrease significantly compared with NBOT. Despite efficiency of HBOT in CO intoxication, oxidative stress and reperfusion injury due to hyperoxygenation should be considered in the treatment of HBOT. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - March 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Pediatric Emergency Medicine Fellowship Education on Adolescent Sexual Health Care
Conclusions
We found variability in adolescent sexual health training during PEM fellowship, although fellows and PDs agree that there should be a standardized curriculum. We recommend that the American Board of Pediatrics form a committee to decrease variability in the training of PEM fellows on adolescent sexual health. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - March 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Late Complication of Congenital Diaphragmatic Hernia Repair: Recurrent Small Bowel Obstruction
We report a 17-year-old adolescent boy with recurrent small bowel obstruction after CDH repair at 2 days of age. Emergency physicians should be aware of late complications after neonatal CDH repair. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - February 1, 2022 Category: Emergency Medicine Tags: Original Research Article Source Type: research
Point-of-Care Ultrasound of a Shoulder Effusion in a Child With Septic Arthritis: A Case Report
Point-of-care musculoskeletal ultrasound can facilitate diagnosis of joint effusions and help guide management of suspected septic joints. This case report describes a previously healthy pediatric patient with acute onset shoulder pain and fever who was found to have leukocytosis and bacteremia. Point-of-care ultrasound (POCUS) demonstrated a unilateral shoulder joint effusion. After POCUS was performed, purulent fluid was aspirated from the joint, and she was diagnosed with a septic shoulder. We review the ultrasound technique, sonographic findings, and literature regarding POCUS for shoulder effusions. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - February 1, 2022 Category: Emergency Medicine Tags: Ultrasound - Case Review Source Type: research
Point-of-Care Ultrasound to Evaluate the Acute Abdomen: A Case of Bowel Perforation After Unknown Single Magnet Ingestion
We report the case of a 3-year-old boy who presented to the pediatric emergency department in undifferentiated shock with an acute abdomen. Point-of-care ultrasound revealed viscous perforation with a large amount of free fluid. Intraoperatively, a single magnet was discovered as the likely cause of bowel perforation and the resulting state of shock. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - February 1, 2022 Category: Emergency Medicine Tags: Ultrasound - Case Review Source Type: research
Point-of-Care Ultrasound for the Evaluation of Neck Masses in the Pediatric Emergency Department: A Case Series
We present a series of 4 pediatric patients with neck lesions in whom point-of-care ultrasound identified the type of lesion, guided decision-making on the need for computed tomography imaging, and led to definitive management. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - February 1, 2022 Category: Emergency Medicine Tags: Ultrasound - Case Review Source Type: research
The P2Network—Advancing Pediatric Emergency Care With Point-of-Care Ultrasound
Over the last 2 decades, the use of point-of-care ultrasound (POCUS) in pediatric emergency medicine (PEM) has grown exponentially. In 2014, a group of PEM POCUS leaders met and formed the P2Network. The P2Network provides a platform to build collaborative relationships and share expertise among members from various countries and practice settings. It works with educators and researchers within and outside of the field to advance POCUS practice in PEM. As an organization, the P2Network promotes the evidence-based application of POCUS to facilitate and improve care in the PEM setting and addresses issues related to integrat...
Source: Pediatric Emergency Care - February 1, 2022 Category: Emergency Medicine Tags: Special Feature Source Type: research
