The Kids Are Alright: Pediatric Trauma Pearls.

Abstract:

:Pediatric patients with trauma pose unique challenges, both practical and cognitive, to front-line care providers. The combination of anatomic, physiologic, and metabolic factors leads to unique injury patterns with different approaches and responses to treatment compared with adults. A similar traumatic mechanism can lead to slightly different internal injuries with unique management and treatment strategies between the two groups. This article is intended for community, nonpediatric trauma centers, and emergency physicians who are frequently required to assess, resuscitate, and stabilize injured children before they can be safely transferred to a pediatric trauma center for ongoing definitive care and rehabilitation.

authors

Mikrogianakis A,Grant V

doi

10.1016/j.emc.2017.08.015

subject

Has Abstract

pub_date

2018-02-01 00:00:00

pages

237-257

issue

1

eissn

0733-8627

issn

1558-0539

pii

S0733-8627(17)30084-6

journal_volume

36

pub_type

杂志文章,评审
  • Laboratory values in the elderly. Are they different?

    abstract::Diseases do not always show the usual or "classic" signs and symptoms in the elderly. Physiologic changes over the years of a long life seem to be responsible for impairment of regulation or function of many organ systems. Since function often is measured in clinical medicine by laboratory testing, physicians frequent...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Kelso T

    更新日期:1990-05-01 00:00:00

  • Urinary tract infection and pyelonephritis.

    abstract::UTIs are common, potentially severe infections that the emergency physician must manage efficiently and effectively. In most cases, this entity is well recognized, and the clinician will be confident of the correct course. However, in certain populations, complications are common, and the best therapy has yet to be pr...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0733-8627(05)70208-x

    authors: Miller O 2nd,Hemphill RR

    更新日期:2001-08-01 00:00:00

  • The emerging role of bedside ultrasonography in trauma care.

    abstract::Ultrasonography has emerged as a primary imaging modality in the evaluation of the trauma victim. Both emergency physicians and surgeons have been proven capable of performing this rapid, noninvasive evaluation of the chest and abdomen. This article describes the trauma ultrasound examination and illustrates how bedsi...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0733-8627(05)70354-0

    authors: Melanson SW,Heller M

    更新日期:1998-02-01 00:00:00

  • Consent and refusal of treatment.

    abstract::Clearly, a multitude of potential consent problems can exist for the emergency physician. It is difficult at times to balance the concepts of patient autonomy with the desire to provide optimal medical care. Experienced emergency physicians should be able to individualize the type of consent needed in a particular sit...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Siegel DM

    更新日期:1993-11-01 00:00:00

  • Management of gynecologic oncology emergencies.

    abstract::Gynecologic malignancies are the third most common cancer among women in the United States. Because of often subtle early findings, the diagnosis may not be made before the widespread dissemination of the disease. The Emergency Department physician will commonly encounter a woman with vaginal bleeding, pelvic pain, or...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Harwood-Nuss AL,Benrubi GI,Nuss RC

    更新日期:1987-08-01 00:00:00

  • Pulmonary emergencies in the elderly.

    abstract::The aging process results in changes in pulmonary physiology that make the elderly population more susceptible to pulmonary disease. These physiologic changes also alter the clinical presentation of such diseases, making the diagnosis and treatment of pulmonary disorders particularly challenging for the clinician. It ...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.emc.2006.01.002

    authors: Imperato J,Sanchez LD

    更新日期:2006-05-01 00:00:00

  • Evaluation of behavioral and cognitive changes: the mental status examination.

    abstract::Patients who present to the Emergency Department with a behavioral or cognitive disorder should be treated in an organized fashion. The most important element of their care is determining the etiology of their abnormality, whether organic or functional. The history and physical examination, along with laboratory and a...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Bauer J,Roberts MR,Reisdorff EJ

    更新日期:1991-02-01 00:00:00

  • Sodium.

    abstract::Although the clinical manifestations of an abnormal serum sodium concentration are uncommon, imbalances in sodium and water occur frequently. The major indications for the determination of the serum sodium are those situations in which the signs and symptoms of hyponatremia or hypernatremia are likely. In other situat...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Janz T

    更新日期:1986-02-01 00:00:00

  • LSD.

    abstract::LSD is still readily available in the United States as a street drug of abuse. Emergency physicians may be called on to diagnose acute LSD intoxication in cases in which the history is unavailable. The typical LSD intoxication syndrome causes marked illusions of color and sound, along with a feeling of "cosmic awarene...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Kulig K

    更新日期:1990-08-01 00:00:00

  • Common dental emergencies. Evaluation and management for emergency physicians.

    abstract::Dental pain and disfigurements cause patients to seek care from the Emergency Department of hospitals. It is important for physicians to understand dental disease and trauma in order to diagnose, treat, and refer patients with dental emergencies efficiently. Many common dental problems have been discussed in clinical ...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Klokkevold P

    更新日期:1989-02-01 00:00:00

  • Abdominal trauma.

    abstract::Abdominal injuries are an important cause of morbidity and mortality. In the face of more obvious traumatic lesions, life-threatening intra-abdominal injuries may be initially overlooked. Plain abdominal and chest radiographs may prove diagnostic for specific injuries. However, normal or equivocal studies should not e...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Evers K,DeGaeta LR

    更新日期:1985-08-01 00:00:00

  • The porphyrias.

    abstract::The porphyrias are a group of disorders involving enzymatic defects in heme synthesis. The porphyrias classically manifest neuro-visceral or photocutaneous symptoms based on which enzyme in the heme metabolic pathway is deficient. Although rare, the porphyrias would most likely be encountered in the emergency departme...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.emc.2005.03.014

    authors: Dombeck TA,Satonik RC

    更新日期:2005-08-01 00:00:00

  • Targeted Temperature Management and Postcardiac arrest Care.

    abstract::Despite recent advances, care of the post-cardiac arrest patient remains a challenge. In this article, the authors discuss an approach to the initial care of post-cardiac arrest patients with particular focus on targeted temperature management (TTM). The article starts with history, physiologic rationale, and the majo...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.emc.2019.03.002

    authors: Walker AC,Johnson NJ

    更新日期:2019-08-01 00:00:00

  • Soft Tissue Disorders of the Mouth.

    abstract::Soft tissue disorders of the mouth encompass a wide expanse of pathophysiology. This article focuses on the identification, etiology, management, and complications of common infectious processes (candidiasis, dental caries, and herpes labialis), inflammatory lesions (sialolithiasis, oral lichen planus, and aphthous ul...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.emc.2018.09.006

    authors: Diebold S,Overbeck M

    更新日期:2019-02-01 00:00:00

  • Carotid and vertebral artery dissections.

    abstract::Dissections of the carotid and vertebral arteries are a common cause of stroke in young adults. The diagnosis may be missed because the typical signs and symptoms are often delayed in onset, or easily confused with other more commonly encountered entities. Dissections of the carotid and vertebral arteries may occur sp...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0733-8627(05)70325-4

    authors: Stahmer SA,Raps EC,Mines DI

    更新日期:1997-08-01 00:00:00

  • The diagnosis and management of seizures and status epilepticus in the prehospital setting.

    abstract::Seizure is one of the most common complaints encountered in the prehospital setting. In this review the authors discuss the prehospital management of seizures and review the evidence for specific treatment approaches. Specific attention is devoted to prehospital care of the pediatric seizure patient. Topics of interes...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.emc.2010.08.003

    authors: Michael GE,O'Connor RE

    更新日期:2011-02-01 00:00:00

  • Acute iron poisoning.

    abstract::Acute iron poisoning continues to be one of the most common and deadly poisonings seen by emergency physicians. There are many potential pitfalls in the assessment, diagnosis, and treatment of iron-poisoned patients. This article reviews the pathophysiology of acute iron poisoning and describes a comprehensive managem...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Mills KC,Curry SC

    更新日期:1994-05-01 00:00:00

  • Geriatric trauma.

    abstract::Elderly trauma patients present unique challenges and face more significant obstacles to recovery than younger patients. Despite overall higher mortality, longer length of stay, increased resource use, and higher rates of discharge to rehabilitation, most elderly trauma patients return to independent or preinjury func...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.emc.2007.06.005

    authors: Callaway DW,Wolfe R

    更新日期:2007-08-01 00:00:00

  • Emergency management of dog and cat bite wounds.

    abstract::Most dog and cat bite injuries are minor wounds that require only local wound care as well a patient evaluation for tetanus and rabies postexposure immunoprophylaxis. For larger wounds, primary or delayed primary closure can be performed safely where indicated. When antimicrobial agents are necessary, inexpensive peni...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Dire DJ

    更新日期:1992-11-01 00:00:00

  • Emergency department evaluation and treatment of knee and leg injuries.

    abstract::The knee is one of the most commonly injured joints in the human body, and, largely because of athletic injuries, they are increasing in frequency in the United States. This article provides a brief overview of knee anatomy, examines radiographic imaging techniques and arthrocentesis of the knee, and discusses injurie...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0733-8627(05)70108-5

    authors: Roberts DM,Stallard TC

    更新日期:2000-02-01 00:00:00

  • Pneumonias.

    abstract::Pneumonia is a common disease seen in Emergency Department patients and is caused by a wide range of pathogens. The clinical and laboratory data that help to provide a specific etiologic diagnosis of the pneumonia are reviewed. In addition, current recommendations for the treatment and hospitalization of patients with...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Carden DL,Smith JK

    更新日期:1989-05-01 00:00:00

  • Sedation and Analgesia for Mechanically Ventilated Patients in the Emergency Department.

    abstract::Mechanically ventilated patients can experience significant pain and anxiety associated with their care. These symptoms should be aggressively treated, but can be challenging to manage without a systematic approach. This article reviews recent literature, current guidelines, and best practices in managing pain, agitat...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.emc.2019.04.004

    authors: Noel C,Mallemat H

    更新日期:2019-08-01 00:00:00

  • Observations on the current status of poison control centers in the United States.

    abstract::The history, effectiveness, and services of regional poison control centers are reviewed. In addition, the American Association of Poison Control Centers criteria for designation as a regional poison control center are presented. ...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章

    doi:

    authors: Manoguerra AS,Temple AR

    更新日期:1984-02-01 00:00:00

  • Travel medicine problems encountered in emergency departments.

    abstract::This article reviews some common illnesses and conditions that prompt traveling patients to seek medical care in the emergency department in the United States. It also presents an emergency department approach to the initial diagnosis and treatment of travelers who are experiencing adverse side effects from pretravel ...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0733-8627(05)70295-9

    authors: Jong EC,McMullen R

    更新日期:1997-02-01 00:00:00

  • Challenges and advances in intubation: rapid sequence intubation.

    abstract::Rapid sequence intubation is the process involving administration of a sedative (eg, induction agent) followed almost immediately by a neuromuscular blocking agent to facilitate endotracheal intubation The purpose of emergency RSI is to make emergent intubation easier and safer, thereby increasing the success rate of ...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.emc.2008.10.002

    authors: Mace SE

    更新日期:2008-11-01 00:00:00

  • Pneumonia in the emergency department.

    abstract::Pneumonia remains one of the most common reasons for admission of emergency department (ED) patients to the hospital. Pneumonia also remains one of the most common causes of death in our patients. As with many emergent conditions, the ED management of these patients initiated by ED physicians contributes greatly to th...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.emc.2008.02.005

    authors: Plouffe JF,Martin DR

    更新日期:2008-05-01 00:00:00

  • Acute scrotal pain.

    abstract::The diagnosis of acute scrotal pain can be difficult. The most common causes include torsion of a testicular appendage, epididymitis, and testicular torsion, which account for 85% to 90% of all cases. These entities may be clinically indistinguishable because characteristic symptoms and signs for each overlap, whereas...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0733-8627(05)70033-x

    authors: Burgher SW

    更新日期:1998-11-01 00:00:00

  • Electrical interventions in cardiopulmonary resuscitation: cardioversion.

    abstract::Although there are complications associated with cardioversion, they are relatively infrequent and usually of small magnitude compared with the primary disease. Cardioversion is an invaluable part of the emergency physician's armamentarium. ...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章

    doi:

    authors: Pancoast P,Hamilton GC

    更新日期:1983-12-01 00:00:00

  • Urinary Retention.

    abstract::Urinary retention is a common problem encountered in the emergency department. Acute urinary retention (AUR) presents as a sudden inability to voluntarily void, and is typically associated with lower abdominal pain. Its etiology can be varied and multifactorial. Treatment of AUR aims to relieve the obstruction and mit...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.emc.2019.07.005

    authors: Billet M,Windsor TA

    更新日期:2019-11-01 00:00:00

  • Antiepileptic drugs: the old and the new.

    abstract::During the past decade several new antiepileptic drugs (AEDs) have become available, including new formulations of some of the older medications. Understanding the pharmacokinetics of the new AEDs is important because they are primarily used for adjunctive therapy and interactions with other medications can result in ...

    journal_title:Emergency medicine clinics of North America

    pub_type: 杂志文章

    doi:10.1016/j.emc.2010.09.004

    authors: Hung OL,Shih RD

    更新日期:2011-02-01 00:00:00