Relevant bibliographies by topics / MEDICAL / Pediatric Emergencies

Academic literature on the topic 'MEDICAL / Pediatric Emergencies'

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Published: 27 July 2024
Last updated: 29 July 2024

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Journal articles on the topic "MEDICAL / Pediatric Emergencies"

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WEINBERG, JOSEPH A. "Pediatric Emergencies." Pediatrics 86, no. 5 (November 1, 1990): 809. http://dx.doi.org/10.1542/peds.86.5.809a.

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In Reply.— Dr DiBona expresses legitimate concern regarding the different classification systems used for pediatric and neonatal units. This concern was shared by the American Medical Association Commission in its deliberations. Discussions were held with the Perinatal Section regarding changing the classification for perinatal care. The pediatric emergencies document was drafted as part of a comprehensive classification of emergency capabilities encompassing multiple disciplines. There were already precedents in trauma, spinal cord injury, burns, and general emergency medicine for level I to the highest level of care.
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Negovetić Vranić, Dubravka, Josipa Jurković, Jesenka Jeličić, Antonija Balenović, Gordana Stipančić, and Ivana Čuković-Bagić. "Medical Emergencies in Pediatric Dentistry." Acta Stomatologica Croatica 50, no. 1 (March 15, 2016): 72–80. http://dx.doi.org/10.15644/asc50/1/10.

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Rocker, Joshua A., and Jeffrey Oestreicher. "Focused Medical Assessment of Pediatric Behavioral Emergencies." Child and Adolescent Psychiatric Clinics of North America 27, no. 3 (July 2018): 399–411. http://dx.doi.org/10.1016/j.chc.2018.02.003.

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GRAHAM, CHARLES J., JOHN STUEMKY, and TOM A. LERA. "Emergency medical services preparedness for pediatric emergencies." Pediatric Emergency Care 9, no. 6 (December 1993): 329–31. http://dx.doi.org/10.1097/00006565-199312000-00001.

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Zietlow, Scott P., Kathleen S. Berns, and Katherine M. Konzen. "Rotor wing transport for pediatric medical emergencies." Air Medical Journal 14, no. 3 (July 1995): 168. http://dx.doi.org/10.1016/1067-991x(95)90543-x.

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Mehra, Bharat, and Suresh Gupta. "Common Pediatric Medical Emergencies in Office Practice." Indian Journal of Pediatrics 85, no. 1 (August 12, 2017): 35–43. http://dx.doi.org/10.1007/s12098-017-2370-9.

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Niebauer, J. M., M. L. White, J. L. Zinkan, A. Q. Youngblood, and N. M. Tofil. "Hyperventilation in Pediatric Resuscitation: Performance in Simulated Pediatric Medical Emergencies." PEDIATRICS 128, no. 5 (October 3, 2011): e1195-e1200. http://dx.doi.org/10.1542/peds.2010-3696.

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Seidel, James S. "Emergency Medical Services and the Pediatric Patient: Are the Needs Being Met? II. Training and Equipping Emergency Medical Services Providers for Pediatric Emergencies." Pediatrics 78, no. 5 (November 1, 1986): 808–12. http://dx.doi.org/10.1542/peds.78.5.808.

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Emergency medical services have been organized to meet the needs of adult patients. A study was undertaken to determine the training in pediatrics offered to paramedics and emergency medical technicians throughout the United States and the equipment carried by prehospital care provider agencies. Most training (50%) takes place at colleges and universities and the remainder at hospitals and emergency medical services agencies. Many programs (40%) have less than ten hours of didactic training in pediatrics and 41% offer ten hours or less of clinical experience. Some programs offer no training in pediatric emergency medicine. The most common deficiencies in pediatric equipment included back-boards, pediatric drugs, resuscitation masks, and small intravenous catheters. More attention to training and equipping prehospital personnel for pediatric emergencies may help to improve outcomes of out-of-hospital resuscitations of infants and children.
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Ahmed, Bijle Mohammed Nadeem, Yussuf K. Chunawalla, Kavina Mansukhani, and Prasad K. Musale. "Pediatric Basic Resuscitation in Dental Office." World Journal of Dentistry 1, no. 2 (2010): 99–102. http://dx.doi.org/10.5005/jp-journals-10015-1020.

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ABSTRACT Medical emergencies are little understood by most of the dentists. Thus, there is a significant need for increased awareness by dental professionals in the area of emergency medicine. Medical emergencies can and do occur in pediatric patients. Therefore, pediatric dentists should develop skills to handle various pediatric emergencies that have the potential to develop life-threatening conditions. We must be aware of the various protocols for initial stabilization of pediatric victims at risk in dental setup. Every patient expects his/her dentist to be familiar with emergency interventions that include atleast basic life support requirements and, if necessary, advanced methods including administration of specific medication. This review article will brief us with basic protocols required to manage pediatric emergencies in case of life-threatening conditions.
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Kim, Jung Ha, and Smi Choi-Kwon. "Ground-Based Medical Services for In-Flight Emergencies." Aerospace Medicine and Human Performance 91, no. 4 (April 1, 2020): 348–51. http://dx.doi.org/10.3357/amhp.5431.2020.

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BACKGROUND: The aim of this study was to evaluate the use of ground-based medical services (GBMS) by the cabin crew of a major South Korean airline for in-flight medical incidents involving passengers.METHODS: We conducted a survey of cabin crew to identify the anticipated use of GBMS in 2017. We compared the anticipated use to actual use as reported in cabin crew records submitted to the GBMS team and cabin crew logs from May 2013 to April 2016.RESULTS: Among 766 team leaders and assistant leaders, 211 individuals answered the questionnaire. A total of 915 instances of GBMS use were reported during the study period. There were no significant differences between anticipated and actual use in terms of the reasons for needing GBMS, with medication prescription being the most common reason. However, there were significant differences in the specific symptoms that triggered contact with GBMS. Pediatric and digestive symptoms were under-predicted, while neuropsychiatric and cardiac symptoms were over-predicted.DISCUSSION: Cabin crew tended to require GBMS to assist with pediatric and digestive conditions more often than anticipated. Furthermore, digestive and pediatric symptoms often require prescription medications.Kim JH, Choi-Kwon S. Ground-based medical services for in-flight emergencies. Aerosp Med Hum Perform. 2020; 91(4):348–351.
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Dissertations / Theses on the topic "MEDICAL / Pediatric Emergencies"

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Vilà, de Muga Mònica. "Factores asociados a errores de medicación en un Servicio de Urgencias Pediátrico y estrategias de mejora." Doctoral thesis, Universitat de Barcelona, 2016. http://hdl.handle.net/10803/398951.

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INTRODUCCIÓN: Los incidentes de medicación son los más frecuentes relacionados con la asistencia. Los pacientes pediátricos y los Servicios de Urgencias son especialmente susceptibles. La mayoría de incidentes son prevenibles, por lo que hablamos de errores. Los errores de prescripción son los errores de medicación más frecuentes. Éstos pueden ser de dosis, indicación y vía de administración. Según la gravedad pueden ser leves, moderados o graves. El mayor nivel de urgencia, el menor nivel de experiencia del facultativo, la menor edad del paciente, los días festivos y el horario nocturno pueden favorecer la aparición de errores. Se proponen diferentes estrategias preventivas para reducir los errores de medicación. HIPÓTESIS: A. El registro y posterior revisión de los errores de medicación permitirán conocer su epidemiología y los factores que influyen en su producción. B. La aplicación de medidas preventivas a partir de esta revisión y la información derivada de la misma, permitirá una reducción en los errores. METODOLOGÍA Y RESULTADOS: Para verificar las hipótesis de trabajo se han realizado 5 estudios: * Dos estudios de revisión de incidentes de medicación: 1. Un estudio observacional retrospectivo donde se revisaron todas las prescripciones administradas en el Servicio de Urgencias Pediátrico (SUP) del 1 al 7 de noviembre de 2007. El porcentaje total de errores de medicación detectados oscila entre 8,6-15%. Los fármacos que dieron lugar a más errores fueron los de más uso en urgencias: broncodilatadores y antiinflamatorios. Los errores más frecuentes fueron los de dosis seguidos por los de indicación. La mayor parte de los errores fueron leves. Los factores favorecedores fueron las noches (0-8 horas)y los días festivos. 2. Una revisión de los errores de medicación y estrategias de prevención en los SUP. * Tres estudios antes y después de la aplicación de una estrategia preventiva de incidentes: 3. La implementación de un nuevo sistema informático (mayo 2009) no supuso ni aumento ni disminución del número total de errores. Se observó una disminución significativa de errores de indicación coincidiendo también con la aplicación de una campaña para la mejora en el tratamiento del dolor en urgencias. El conocimiento previo de los errores y la formación en el nuevo programa compensaron el efecto de la implantación del nuevo sistema, evitando incrementar errores. 4. La difusión de los errores más frecuentes y la colocación de carteles con recomendaciones para evitarlos y con las dosis de los fármacos más susceptibles (durante el 2010) permitieron una reducción de errores de dosis, por las noches y en los pacientes más urgentes. 5. La implantación de un nuevo modelo de declaración de incidentes (mayo 2012) logró un incremento de hasta 5 veces más en las declaraciones respecto al año anterior. Las causas contribuyentes más habituales fueron factores individuales del profesional, de formación y de condiciones de trabajo. A partir de los incidentes declarados surgieron múltiples medidas de mejora que se fueron implantando. CONCLUSIONES: * Los tipos de incidentes de medicación más frecuentes en los SUP son los de prescripción. La presión asistencial favorece su aparición, dificulta la comunicación y predispone a las distracciones. * La reducción de la duración de los turnos de trabajo, la utilización de sistemas informáticos adecuados y la participación de los pacientes en el acto asistencial son medidas que pueden aminorar su aparición. * El conocimiento de los posibles incidentes relacionados con la implantación de un nuevo sistema informático permite una formación previa de los profesionales que minimiza su aparición. * La difusión de los errores más frecuentes a través de carteles con recomendaciones y la realización de sesiones presenciales formativas son eficaces para reducir errores de medicación. * La implantación de un modelo de declaración de incidentes genera un aumento significativo del número de declaraciones fundamentalmente a expensas de notificaciones de errores de medicación. * La introducción de la Cultura de Seguridad tiene un impacto positivo e irrenunciable en la atención del paciente en un Servicio de Urgencias.
INTRODUCTION Medication incidents are the most frequent related to assistance. Prescription errors such as dosing, indication and administration route are the most common. According to its severity they are classified as mild, moderate and serious. Higher emergency level, lower experience of physician, younger is the patient, holidays and night shift can facilitate errors to occur. Preventive strategies are proposed. HYPOTHESIS * Registration and revision of medication errors would permit knowing their epidemiology and favoring factors. * The application of preventive measures originated of this revision would allow cutting down with errors. METODOLOGY AND RESULTS To verify work hypothesis 5 articles are developed: 1. A retrospective study, where prescriptions administered at the Pediatric Emergency Department (PED) are rechecked during first week November 2007. Percentage of medication errors was 15%. Most usual errors are dosing and indication. Most of them were mild. Favoring factors were nights (0am-8am) and holidays. 2. A revision of medication errors and preventive strategies at the PED. 3. The implementation of a new software (May 2009) does not increase errors. Indication errors are reduced at the same time with a campaign to improve pain treatment at PED. 4. The diffusion of most frequent errors and the placement of recommendation posters with measures to prevent them and others with the doses of most susceptible drugs (during 2010) lead to a decrease of dosing errors, night errors and in the most urgent patients. 5. The application of a new declaring incidents model (May 2012) achieves an increment of 5 times in declaration compared to previous year. Most habitual contributory causes are individual factors, training and work conditions. From the detected incidents multiple improvement measures are implemented. CONCLUSIONS * Prescriptions are the most frequent medication incidents in the PED. Assistance pressure facilitates their appearance, complicates communication and favors distractions. * Reducing work shifts, implementing adequate software and introducing patients into the care act can minimize errors. * The knowledge of risk factors and the use of preventive measures before the introduction of a new software allows cutting down with errors. * Diffusion of most frequent errors with recommendation posters and educational classroom sessions, it is an efficient way to reduce medication errors. * The implementation of a new incidents declaration model leads to a significant increment of declarations, especially of medication errors notifications. * The introduction of Patient Safety Culture has a positive and inalienable impact in patient assistance at PED.
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Martínez, Sánchez Lidia. "Mejora en la calidad de la asistencia del paciente pediátrico intoxicado mediante indicadores de calidad." Doctoral thesis, Universitat de Barcelona, 2015. http://hdl.handle.net/10803/396216.

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INTRODUCCIÓN Las intoxicaciones pediátricas son situaciones potencialmente graves y muy heterogéneas, que con frecuencia generan dudas en su manejo. Estudios previos han mostrado que el tratamiento de los pacientes intoxicados en los servicios de urgencias pediátricas (SUP) españoles es mejorable. En el año 2010, el grupo de trabajo de intoxicaciones de la Sociedad Española de Urgencias Pediátricas (SEUP) elaboró unos indicadores de calidad (IC) en intoxicaciones pediátricas. Existen estudios que muestran que la monitorización de la calidad asistencial mediante IC y la aplicación de intervenciones para mejorarla, conlleva un mejor resultado en los indicadores y, por tanto, un aumento de la calidad en los SUP. HIPÓTESIS A. Los IC en intoxicaciones pediátricas son útiles para evaluar la calidad de la asistencia dada a los pacientes pediátricos intoxicados y permiten detectar deficiencias asistenciales y diseñar estrategias de mejora. B. La aplicación de medidas correctoras incrementa la calidad de la asistencia que reciben los pacientes pediátricos intoxicados. METODOLOGÍA Y RESULTADOS Para verificar las hipótesis de trabajo se han realizado 4 estudios. Estudio 1: Estudio observacional y multicéntrico en el que se analizaron los IC básicos en intoxicaciones pediátricas en los SUP que participaban en el “Registro de Intoxicaciones Agudas Pediátricas en España” entre octubre de 2008 y diciembre de 2010. Mostró como principales deficiencias la ausencia de protocolos para algunas de las intoxicaciones más frecuentes y/o graves y la excesiva realización de lavado gástrico. Se diseñaron como estrategias de mejora la publicación de una nueva edición del Manual de Intoxicaciones de SEUP que incluyera los protocolos para todas las intoxicaciones pediátricas consideradas como las frecuentes o graves, así como la creación de una comisión de seguimiento de los casos de lavado gástrico reportados. Estudio 2: Estudio retrospectivo y observacional en el que se analizaron 20 IC en intoxicaciones pediátricas en el SUP de un hospital materno-infantil de tercer nivel entre enero de 2011 y junio de 2012. Las principales deficiencias detectadas fueron el retraso en la asistencia e inicio de la descontaminación digestiva, el registro insuficiente del conjunto mínimo de datos, la escasa cumplimentación del parte judicial y la ausencia de realización de electrocardiograma en algunas intoxicaciones por sustancias cardiotóxicas. Se desarrollaron como medidas de mejora la implementación de un protocolo de atención al paciente intoxicado, basado en el uso de una lista de comprobación, y la creación de campos específicos para el paciente intoxicado dentro de la anamnesis del episodio de urgencias en la historia clínica informatizada. Estudio 3: Estudio observacional y multicéntrico en el que se evaluaron los IC básicos en intoxicaciones pediátricas en los SUP participantes el “Registro de Intoxicaciones Agudas Pediátricas en España” entre julio de 2011 y diciembre de 2012, tras la puesta en marcha de las estrategias de mejora diseñadas en el estudio 1. Se objetivó una mejora significativa en la disponibilidad de protocolos. Estudio 4: Estudio retrospectivo y observacional en el que se analizaron 20 IC en intoxicaciones pediátricas durante el año 2014, tras la aplicación de medidas de mejora en el SUP donde tuvo lugar el estudio 2. Se objetivó una mejora significativa de los IC sobre cumplimentación de parte judicial, registro del Conjunto Mínimo de Datos y tendencia al aumento de administración de carbón activado en las primeras 2 horas. CONCLUSIONES - La utilización de los indicadores de calidad en intoxicaciones pediátricas permite evaluar la asistencia practicada en el Servicio de Urgencias. - La evaluación basada en estos indicadores permite detectar deficiencias, implementar medidas correctoras y su monitorización posterior. - La práctica del lavado gástrico en algunos Servicios de Urgencias Pediátricos españoles es excesiva. Las medidas correctoras aplicadas no han conseguido reducirla de manera significativa. - Las intervenciones diseñadas no han conseguido una mejora en la realización de ECG en intoxicados por productos cardiotóxicos. Tampoco han reducido el tiempo que transcurre desde que llega el paciente hasta que se inicia la atención o la descontaminación digestiva. - La implementación de estrategias de mejora en el cumplimiento de los indicadores ha dado lugar a un incremento en la disponibilidad de protocolos, comunicados judiciales y registro de datos en la historia clínica del paciente. También ha disminuido la administración inadecuada de carbón activado.
Hypothesis: 1- Quality indicators in pediatric toxicology are useful for analyze quality of care for acute poisoning in pediatric emergency departments and allow us to detect weaknesses in the care of these patients and to design improvement strategies. 2- The implementation of quality-indicator-based measures improves quality of care delivered to these patients. Methods: This thesis includes 4 studies. - The first study evaluated 6 basic indicators in the PED of members of to the working group on poisoning of the Spanish Society of Pediatric Emergency Medicine (GTI-SEUP). - The second study evaluated 20 indicators in a single PED among GTI-SEUP members. Based on the results of those studies, the following corrective measures were implemented: creation, into the GTI-SEUP, of a team for gastric lavage follow-up, preparation of a new GTI-SEUP manual on poisoning, implementation of a protocol for poisoning incidents, and creation of specific poisoning-related fields for computerized patient records in the PED where the second study was conducted. -The third and fourth studies revaluated the indicators and compared with benchmark targets and with results from previous studies. Results: * Study 1: The targeted standard was not met for 3 indicators: availability of protocols, initiating decontamination within 20 minutes, and use of gastric lavage. * Study 2: The standard was not reached in 6: administration of activated charcoal within 2 hours of poison ingestion; attention within the first 15 minutes of arriving in the PED; start of gastrointestinal decontamination within 20 minutes of arrival; performing of electrocardiogram on the patients poisoned with cardiotoxic substances; judicial communication of cases of poisoning that could conceal a crime, and collection of the minimal set of information of poisoned patients. * Study 3: Improvements were seen in the availability of protocols, as indicator exceeded the target in all the PED. * Study 4: Improvements were seen in compliance with incident reporting to the judge, registration of the minimum basic data set and a trend toward increased administration of activated carbon within 2 hours. Conclusions: The use of quality indicators in pediatric toxicology allows us to analyze quality of care for acute poisoning in PED, to detect weaknesses in the care of these patients and to design improvement strategies. The corrective measures led to improvements in some quality indicators.
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Rabette, Cynthia J. "Parental stressors in the pediatric intensive care unit relationship to the parental role : a research report submitted in partial fulfillment ... parent-child nursing /." 1989. http://catalog.hathitrust.org/api/volumes/oclc/68788467.html.

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Gregor, Mary Anastasia. "Recommended follow-up for acute pediatric conditions discharged from the emergency department impact on subsequent utilization and costs." 2004. http://books.google.com/books?id=L8BYAAAAMAAJ.

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Meissenheimer, Corina. "The impact of overcrowding on registered nurses in the paediatric emergency department at a tertiary hospital." Diss., 2014. http://hdl.handle.net/10500/13938.

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The purpose of this qualitative study was to explore and describe the extent to which registered nurses’ practice was affected by emergency department overcrowding. Participants were recruited from a tertiary hospital by using the purpose sampling method. Data collection was done using a semi-structured interview guide. Individual interviews were conducted with eight registered nurses working in the paediatric emergency department. Data analysis was conducted using thematic content analysis and Yin’s (2003:178) five-phase cycle. The study findings revealed that the lack of professional nurse leadership and the difficult existing relationship with the physicians were obstacles that had to be obviated if the paediatric ED were to function optimally and best practice were to be achieved. It was revealed that a problematic issue in the setting was that the most critical decisions on allocating where patients should be treated were made by physicians who have more authority than nurses. It was recommended that the ED need to be clearly defined in the policies as an outpatient, emergency care or as an episodic patient care area as “Admission” can mean admission to the ED or admission as an inpatient/boarded patient.
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McEwen, Laura April. "THE EMERGENCE OF AN AUTONOMY-ORIENTED ASSESSMENT CULTURE IN PEDIATRIC RESIDENCY EDUCATION: A CASE STUDY." Thesis, 2012. http://hdl.handle.net/1974/7706.

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This case study examines the emergence of an autonomy-oriented assessment culture in Pediatric residency education in the School of Medicine at Queen’s University. Through a case study approach this research explores how an assessment system to capture residents’ performance in the clinical environment was initiated, how that process supported a shift in assessment cultural, and how assessment innovation is eclipsing departmental boundaries. The case has instrumental value in illuminating how an autonomy-oriented assessment system and culture can be cultivated in residency education. The analytic frame for the case was constructed based on research literature that identified weaknesses in assessment practices in residency education more generally. The approach was theoretical, with the intent to explain how a shift in assessment culture is emerging in Pediatrics. A longitudinal approach was adopted to expose shifts in the culture. The narrative structure distills the journey into a manageable story. Three watershed events that exemplified change were systematically selected from data collected over a three-year period and constitute the findings of this research. The central contribution this research makes is that it is possible to shift the culture of assessment within a Pediatric residency program. That shift can be understood to unfold over a prolonged period through a process of mediating both social and regulatory requirements. Beginning to shift the assessment culture in Pediatrics was achieved by: recognizing the need for change in assessment practice, re-conceptualizing and realizing that change, and engaging and empowering the community to support a shift in assessment culture. Strong leadership, widening community engagement and the Rubric Descriptor Bank supported this process. Five theoretically informed principles guided the emergence of the autonomy-oriented assessment culture in Pediatrics including: (a) conceptualizing learning as a social, active process: (b) focusing attention on residents’ multidimensional growth; (c) moving away from a high-stakes orientation to assessment based on the false dichotomy between formative and summative assessment and embracing it as a tool for supporting and monitoring growth over time and across contexts; (d) actively supporting residents’ learning strategy and assessment skill development; and (e) fostering a growth orientation to learning, embracing the concept of graduated autonomy.
Thesis (Ph.D, Education) -- Queen's University, 2012-12-19 21:04:59.344
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Books on the topic "MEDICAL / Pediatric Emergencies"

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Dhatt, P. S. Pediatric medical emergencies. 2nd ed. New Delhi: Jaypee Bros. Medical Publishers, 1991.

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M, Baren Jill, ed. Pediatric emergency medicine. Philadelphia: Saunders/Elsevier, 2008.

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S, Seidel James, and Henderson Deborah P, eds. Prehospital care of pediatric emergencies. 2nd ed. Sudbury, MA: Jones and Bartlett, 1997.

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Pediatrics, American Academy of, and Pediatric Education for Prehospital Professionals., eds. Pediatric Education for Prehospital Professionals. Sudbury, MA: Jones and Bartlett, 2000.

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MD, Singer Jonathan, Ludwig Stephen 1945-, and American Academy of Pediatrics. Committee on Pediatric Emergency Medicine., eds. Emergency medical services for children: The role of the primary care provider. Elk Grove Village, IL: American Academy of Pediatrics, 1992.

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Bacon, Christopher. Paediatric emergencies: Diagnosis and management. 2nd ed. London: Heinemann Professional, 1988.

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Nicolai, Thomas. Pa diatrische Notfall- und Intensivmedizin: Ein praktischer Leitfaden. 3rd ed. Heidelberg: Springer, 2007.

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1947-, Strange Gary R., and American College of Emergency Physicians., eds. Pediatric emergency medicine: A comprehensive study guide : companion handbook. New York: McGraw-Hill, 1999.

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Jane, Durch, Lohr Kathleen N. 1941-, and Institute of Medicine (U.S.). Committee on Pediatric Emergency Medical Services., eds. Emergency medical services for children. Washington, D.C: National Academy Press, 1993.

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1960-, Erickson Timothy B., ed. Pediatric toxicology: Diagnosis and management of the poisoned child. New York: McGraw-Hill, Medical Pub. Division, 2005.

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Book chapters on the topic "MEDICAL / Pediatric Emergencies"

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Stephanos, Kathleen. "Pediatric Considerations." In In-Flight Medical Emergencies, 83–95. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-74234-2_9.

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Stephanos, Kathleen. "Pediatric Considerations." In In-Flight Medical Emergencies, 105–18. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-32466-6_11.

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Jacobs, Don Trent, and Bram Duffee. "Childbirth and Pediatric Emergencies." In Hypnotic Communication in Emergency Medical Settings, 106–12. London: Routledge, 2023. http://dx.doi.org/10.4324/9781003430261-19.

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Bujoreanu, Simona, Sara Golden Pell, and Monique Ribeiro. "Psychiatric Emergencies: Self-Harm, Suicidal, Homicidal Behavior, Addiction, and Substance use." In Clinical Handbook of Psychological Consultation in Pediatric Medical Settings, 413–24. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-35598-2_31.

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Al Ansari, Khalid, and R. J. Hoffman. "Asthma and Other Emergencies Treated Medically." In Prepare for the Pediatric Emergency Medicine Board Examination, 77–87. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-28372-8_5.

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Cooke, Matthew, and R. John Brewer. "Medical Emergencies." In Pediatric Dentistry, 142–58. Elsevier, 2019. http://dx.doi.org/10.1016/b978-0-323-60826-8.00010-9.

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Joseph, Madeline. "Medical Legal Aspects." In Pediatric Emergencies, 656–58. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780190073879.003.0054.

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Children and adolescents may present to the emergency department (ED) without a guardian for several reasons, such as emergencies occurring during school or lack of guardian availability so that relatives, family friends, or day care or school personnel must accompany children to the ED. Concern about providing evaluation and treatment without formal consent is one of the challenges that emergency physicians face when minor patients present to the ED without parents or guardians. The Emergency Medical Treatment and Labor Act mandates that all patients, including minors, presenting to the ED receive a medical screening examination to determine if an emergency medical condition exists. This chapter reviews who can provide consent for minors; cases in which minors can be treated without consent in the ED, including minors involved in the juvenile justice system; and adolescent emancipation.
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Sojar, Sakina, and Lauren Allister. "What’s This Pounding in My Head?" In Pediatric Medical Emergencies, 123–30. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780190946678.003.0013.

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Headaches are a common chief complaint within the pediatric emergency department. They can be a source of significant morbidity in the pediatric population causing severe pain, cognitive dysfunction, and missed school days. It is critical that the physician delineates between life-threatening versus non-life-threatening etiologies of headache and obtain imaging of the head when appropriate. Computed tomography and magnetic resonance imaging are the modalities of choice. Each imaging modality presents advantages and disadvantages. Common causes of headaches in the pediatric emergency department include migraine, tension headaches, and viral illness. Physicians must be aware of more serious etiologies (such as space occupying lesions) that may warrant further investigation.
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Battisti, Katherine. "Why Is My Child Shaking All Over?" In Pediatric Medical Emergencies, 131–40. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780190946678.003.0014.

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Seizures are a common reason for pediatric patients to present to the emergency department for evaluation. Differentiating between the different categories of seizures is essential when determining the approach to evaluation and management of these patients. These categories include simple and complex febrile seizures, first time non-febrile seizures, and known epilepsy. There are no universal guidelines so understanding these categories can help the emergency provider obtain appropriate laboratory evaluation, neuroimaging, and possibly electroencephalogram as indicated. Management of pediatric seizures and special considerations are discussed, taking into consideration key history and physical exam findings.
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Pulcini, Christian D., Annique Hogan, and Eron Friedlaender. "Emergency Care of Children with Medical Complexity." In Pediatric Emergencies, 603–10. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780190073879.003.0049.

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Advancements in pediatric care have led to a significant increase in the number of children living longer (or living into adulthood) with medical complexity. Children with medical complexity are generally defined as those with multiple significant chronic health problems involving multiple organ systems, which result in functional limitations, high health care needs or utilization, and often require need for, or use of, medical technology. Although children with medical complexity represent less than 1% of the pediatric population, they account for a large proportion of health care utilization among children, including acute care and emergency department settings. Many of these children receive a majority of their specialty and outpatient care at tertiary care children’s hospitals, but evidence indicates that 80–90% of encounters for emergency care are at community emergency departments. Furthermore, many of the complex, chronic conditions that characterize children with medical complexity are becoming more clinically relevant to all providers as this subgroup of children mature into adulthood. Therefore, it has and will become increasingly relevant for all emergency providers to be prepared to evaluate and manage what have been traditionally pediatric conditions, technologies, and complications among children in this population. This chapter uses a case-based approach to illustrate more common and challenging patient scenarios when evaluating and treating children with medical complexity in the emergency department.
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Conference papers on the topic "MEDICAL / Pediatric Emergencies"

1

Iacono, Ester, Alberto Cirulli, and Francesca Tosi. "Ergonomics and Design: development of a “next generation” NICU portable ventilator." In 14th International Conference on Applied Human Factors and Ergonomics (AHFE 2023). AHFE International, 2023. http://dx.doi.org/10.54941/ahfe1003412.

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Nowadays, research and innovation in the pediatric field represent both a challenge and a great development opportunity. The emergence of clinical problems and the convergence of scientific knowledge and multidisciplinary approaches allows us to offer innovative solutions to improve pediatric care. In particular, the new digital technologies represent an important factor of innovation in the field of health care and, above all, in delicate and complex contexts such as Neonatal Intensive Care Units (NICU), where due to the vulnerability of young patients it is necessary to use of ever more straightforward and more efficient care tools.However, in the pediatric field and, above all, in Neonatology, cases of errors in healthcare are increasingly frequent; it is estimated that a child is three times more exposed than an adult to potentially harmful situations of Medication Error because the level of assistance required is higher and the equipment required is more complex. In particular, one of the most common causes of access to the Neonatal Intensive Care Unit is the respiratory difficulty which requires specific mechanical ventilation treatment, which can involve human errors and risks related to its use with possible physiological complications.Sometimes, human error can be attributed to the excessive complexity of using the products/services or the need for more materials suitable for the personnel needs. In the neonatal field, there are frequent problems related to usability, ergonomic characteristics, software and hardware interfaces, the human factor, and the context and methods of use of medical devices that lead to errors.The general objective of this study, conducted at the Meyer Children's Hospital in Florence, was to improve not only the condition of the well-being of the young patient but also the working conditions of the medical and healthcare staff, promoting interaction, simplifying the actions and minimizing the possibility of error in use.This paper reports the main results of the research achieved thanks to the application of the evaluation methods of usability and safety of use typical of Human-Centered Design. These have made it possible to pay attention to the needs of users who interact with the medical system (patients, health professionals) and the different skills of the professionals involved in designing and providing services.Through field surveys and discussions with experts and healthcare professionals (user observation, semi-structured interviews, questionnaires, etc.) conducted at Meyer Children's Hospital in Florence, it was possible to collect data on current critical issues. In particular, the survey made it possible to understand how the user interacts with existing fans and how much these can lead to problems regarding the complexity of assembly, the difficulty of reading the physical and digital interface, the presence of numerous instruments during transport and the issues relating to the organization of the treatment phases.The analysis of the user and the evaluation of the criticality of the existing products/systems have therefore allowed the identification of possible scenarios and intervention solutions, defining the requirements of the new ventilation system. From the results obtained, it was possible to configure new solutions, which gave rise to the design of a new generation lung ventilator for NICU to improve ventilation assistance operations, reduce user errors and make the product versatile and easy to use both in the ward and during neonatal protected transport.
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