Focusing on emergencies became our platform to address the far more important goals of situational awareness, team integration, and effective communication. As we build increasingly matrixed systems of care that surround our littlest of patients, having addressed these goals inspires us with confidence that we can do so with the child’s safety at top of mind.
A new study found that the well-documented racial/ethnic disparities in asthma diagnosis and morbidity are diminished after accounting for material hardship.
Fewer than half of commercially insured children who have been hospitalized for asthma receive an inhaled corticosteroid (ICS), even though many of them make outpatient visits within 30 days of hospital discharge.
A healthy newborn girl returns for a follow-up visit at age 7 days, and she is exhibiting multiple disseminated red macules and papules of varying sizes. While in the nursery, several red blanching macules had been noted on her trunk at age 2 days.
Studies highlight a need for pediatrician offices to be ready to handle emergencies, available data also demonstrate that many practices, including those that have already needed to treat a critically ill child, are not adequately prepared because they lack the relevant protocols, training, and tools.
A reader writes in to discuss the management conditions specifically related to stress.
Securing a child’s airway in an emergency setting can be challenging, and success here is dictated by a mosaic of factors such as clinician experience, appropriate instrumentation, and, importantly, the many anatomical and physiological considerations that differ significantly from the adult population.
Functional constipation in children is no news to pediatricians. What may be news is that recommendations on how to diagnose and treat this common malady keep evolving as more evidence becomes available.
Like typical children, children with intellectual disabilities or autism will toilet train at different rates and with different strategies. For some families, this can be a frustrating and depressing time. Discussing the use of positive rewards and avoiding punishment will help these parents slowly make progress. Here is a detailed program to help patients achieve continence.
This article describes how a mobile application, a “web widget,” and an office triage support tool can expedite and improve your existing office triage capabilities.
A male infant is born and delivery is remarkable for yellow amniotic fluid and a jaundiced infant. Following delivery he is given intensive phototherapy and then develops erythema, which later becomes ecchymosis. What's the diagnosis?
Researchers aren’t certain why adolescent depression rates are on the rise, but they do know that treatment rates are not growing along with increased prevalence, according to a new report.
Action on substance misuse is too important to leave to politicians.
Children in the foster care system are exposed early in life to adverse experiences by living within dysfunctional families and specific facts have not changed. What has changed is the recognition of the need for the healthcare system to change its care for these vulnerable children to prevent the adverse effects that traumatic stress imposes on their physical and emotional development and well-being.
Bacteremia is now a rare event in previously healthy children aged 3 to 36 months because of the introduction of routine immunization with the pneumococcal conjugate vaccine (PCV).
Among concerns with administering these multiple and frequent immunizations in young children are the potential pain and adverse effects associated with injections. Along with inducing pain in some children, the early negative experience of needle-related procedures can interfere with adherence to immunization schedules and create long-lasting effects of anxiety and stress around needle-related procedures that remain into adulthood.
For Contemporary Pediatrics, Dr Bobby Lazzara discusses a study published in the journal Pediatric Emergency Care that examined whether practices were prepared for emergencies requiring airway management.
A recent study found that taking a watchful waiting approach when managing acute otitis media in qualifying children proves to be the more cost-effective strategy to follow.
A recent study found that pathogen exposure, upper respiratory tract infection (URI), and nasal obstruction all were associated with chronic otitis media with effusion (COME) in preschool-aged children, underscoring the need for improved methods in pathogen transmission prevention in this patient population.
Although penicillin allergy is the most commonly reported medication allergy in children, the true incidence of this allergy in children is low with data suggesting that the large numbers of adverse drug reactions reported by parents as signs of an allergic reaction, such as rash or diarrhea associated with antibiotics, may not be consistent with a true allergic reaction.
Pediatricians can help children fleeing to the United States with medical and social needs, as well as acting as their advocate.
As the number of infants and children developing peanut allergy continues to grow, so does the need for pediatricians and other primary care providers to understand current recommendations on how best to prevent this allergy.
Sales associates at health food stores, which primarily sell dietary supplements, often recommend creatine products and, sometimes, testosterone boosters to young teenaged boys, according to a study involving 244 stores in 49 states.
Exposure to the US Food and Drug Administration (FDA) youth-specific national antismoking media campaign-The Real Cost-was associated with preventing young persons from beginning to smoke.
In patients with sickle cell disease, therapy with crizanlizumab, an antibody against the adhesion molecule P-selectin, resulted in a significantly lower rate of sickle cell-related pain crises than placebo, a trial in 198 patients aged from 16 to 65 years showed.
A study in 217 premature infants with HPS showed that premature infants are likely to present with HPS at an older age than are term infants with this condition.
A 16-year-old girl presents to an emergency department (ED) accompanied by her boyfriend to report a 24-hour history of right lower quadrant pain. The pain is associated with midline lower back pain and light vaginal bleeding (1 to 2 tampons per day). She has experienced some nausea but no vomiting.
A preoperative evaluation is requested for a 15-year-old boy who is a renal transplant patient maintained on oral mycophenolate mofetil and tacrolimus. His parents are worried that an itchy rash on his hands and feet, which has been progressing over the last 4 months, will result in postponement of his surgery.
Approximately 500,000 children spend time in foster care annually, and the majority of children in foster care have complicated and unmet healthcare needs.
The pediatrician may be one of the only sources of advocacy, support, stability, and advice for the child in foster care. In that role, he or she must understand the needs and experiences of a foster child compared with other patients in the practice so that the unmet needs of this vulnerable population can be addressed.
