Tag: pediatric emergency medicine

1. An analysis of emergency department (ED) visits across the United States between 2007 and 2017 showed a 60% overall increase in ED visits among children 5-17 years old with mental health diagnoses, including significant increases in these visits at nonchildren’s EDs and rural EDs. 2. Children’s ED visits for...
1. Between 2005 and 2015, there was a small decrease in the rate of opioid prescriptions in emergency department (ED) visits to adolescents and young adults, and no change in the opioid prescribing rate in outpatient clinic visits. 2. Around half of ED visits for dental disorders, clavicle fractures, and...
1. The Rochester criteria and the modified Philadelphia criteria were found to have the same sensitivity (greater than 80%) in identifying infants 29-60 days of age at high-risk of having an invasive bacterial infection (IBI). 2. The Rochester criteria had lower sensitivity among infants ≤28 days of age compared with...
1. Emergency department (ED) revisit rates among pediatric patients were shown to be underestimated by almost 20% when only revisits that occurred at the same hospital as the original visit were considered. 2. Patients initially seen at institutions with the lowest annual pediatric volumes were more likely to have revisits...
1. No significant difference was seen in visual analog scale (VAS) pain ratings morphine + ibuprofen, morphine + placebo, and ibuprofen + placebo among children with musculoskeletal injuries (MSK-I) at 60 minutes from baseline. 2. About one third of patients from each group reported a mild pain rating from baseline...
1. Emergency department visits related to off-road vehicle (ORV) accidents significantly decreased in children ages 17 and younger after the passage of stricter legislation regarding ORV use in the state of Massachusetts. 2. Inpatient hospitalizations related to ORV use for patients also significantly decreased for children ages 17 and...
1. Of children with baseline high emergency department (ED) use, defined as ≥4 ED visits in one year, only 16% experienced sustained high ED use (≥8 ED visits) over the following 2 years. 2. Children with initial baseline high ED use and sustained high ED use tended to be adolescents,...
1. First-time parents receiving home visits from nurses and trained educators regarding infant health were less likely to take their child to an emergency department (ED) during their first year of life. 2. Benefits of this First Born Program (FBP) were even evident in lower-risk groups, such as households with...
1. From 1990 to 2014, the annual rate for soccer-related injuries increased by 111.4% in children 7 to 17 years of age. 2. The most common injuries were sprains/strains, fractures, soft tissue injuries, and concussions, while the most common location of injuries included the upper extremity, ankles, and head/neck. Evidence Rating...
1. Given the unique medical, psychological, and developmental needs of children, the American Academy of Pediatrics (AAP) has issued a policy statement with pediatric-specific recommendations for disaster preparedness. 2. The AAP suggests collaboration amongst multidisciplinary providers in preparing for a disaster, as well as ready availability of pediatric-specific equipment, medications,...