Keywords: Retropharyngeal Abscess, Neck Pain, Torticollis, Fever (PubMed Search)
Craig, FW and Schunk, JE. Retropharyngeal Abscess in Children: Clinical Presentation, Utility of Imaging, and Current Management. Pediatrics. 2003;111;1394-1398
Keywords: Acute Otitis Media, Topical Lidocaine, Wait and See, Analagesia (PubMed Search)
Topical Lidocaine for Acute Otitis Media
Spiro, D. Tay, K. Wait-to-see prescription for the treatment of acute otitis media. JAMA 2006, 1235.
Bolt, P., Barnett, P., Babl, F., Sharwood, L. Topical lignocaine for pain relief in acute otitis media: results of a double-blind placebo-controlled randomised trial. Arch Dis Child. 2008; 93: 40-44.
Keywords: Burns, Parkland, Burn Percent, Burn Classification (PubMed Search)
Duffy BJ, McLaughlin PM, Eichelberger MR. Assessment, Triage, and Early Management of Burns in Children. Clinical Pediatric Emergency Medicine. 2006; 7:82-93.
Burn Service Manual, Children’s National Medical Center. Emergency, Trauma and Burn Services, Children’s National Medical Center, Washington, DC.
Keywords: Inuries, Falls, Poisoning, Drowning (PubMed Search)
Pediatric Accidental Non-Fatal Injuries
Karin A. Mack, Julie Gilchrist, Michael F. Ballesteros. Injuries Among Infants Treated in Emergency Departments in the United States, 2001—2004. Pediatrics; May 1 2008; 121 (5), 930-937.
Keywords: Acute Chest Syndrome, Sickle Cell Disease, Fever, Chest Pain (PubMed Search)
Acute Chest Syndrome
NHLBI. Acute chest syndrome and other pulmonary complications. Management of Sickle Cell Disease. June 2003; 25 – 29. http://www.nhlbi.nih.gov/health/prof/blood/sickle/index.htm.
Kathleen Ryan, RN, MPH, Anju Chawla, MD and Matthew Heeney, MD. Management of Acute Chest Syndrome in Sickle Cell Disease. New England Pediatric Sickle Cell Consortium. 2005.
Keywords: Neonatal Fever, HSV, Acyclovir (PubMed Search)
Whitley R, Davis EA, Suppapanya N. Incidence of neonatal herpes simplex virus infections in a managed-care population. Sex Transm Dis. 2007 Sep;34(9):704-8.
Benson PC, Swadron SP. Empiric acyclovir is infrequently initiated in the emergency department to patients ultimately diagnosed with encephalitis. Ann Emerg Med. 2006 Jan;47(1):100-5. Epub 2005 Nov 8.
Keywords: Analgesia, Oral Sucrose, topical lidocaine, Lumbar puncture (PubMed Search)
Tips for Common Painful Procedures:
EMSC Panel (Writing Committee) on Critical Issues in the Sedation of Pediatric Patients in the Emergency Clinical policy: Critical issues in the sedation of pediatric patients in the emergency department. Ann Emerg Med. 2008 Apr;51(4):378-99, 399.e1-57
Keywords: Hypertension, HUS, Coarctation, renal disease (PubMed Search)
Belsha, CW. Pediatric hypertension in the emergency department. Ann Emerg Med. 2008 Mar;51(3 Suppl):S21-3. Epub 2008 Jan 11.
Diarrhea and the Petting Zoo
Now that it is Spring Time, trips to the Zoo and to Pools will become more frequent… consider them as potential environmental exposure sites.
Petting Zoos, Farmers Markets and Fairs, and Swimming Pools (especially kiddie swimming pools) are known sources of enteropathogens that can cause diarrhea (sometimes bloody).
Consider these on your DDx of vomiting/diarrhea.
Ask about these possible exposure sites along with Travel History and Nontraditional Pets.
Keywords: Gonorrhea, Chlamydia, Syphilis, Sexual Abuse, Trichomonas (PubMed Search)
Keywords: Appendicitis, Delayed Surgical intervention, Perforation (PubMed Search)
Acute Appendicitis – Delayed Surgery option?
Keywords: Delayed Umbilical Cord Separation, Omphalitis, Leukocyte Adhesion Deficiency (PubMed Search)
Umbilical Cord Problems
Keywords: DKA, Cerebral Edema, Mannitol, Risk Factors (PubMed Search)
Cerebral Edema in Patients with DKA
Keywords: Ferbrile Seizures, Bacteremia, Fever (PubMed Search)
Keywords: Neonatal Conjunctivitis, Chlamydia, Gonorrhea, Red Eye (PubMed Search)
Neonate with Red Eye
Keywords: Laceration, Dermabond, cyanocrylate (PubMed Search)
Cyanocrylate Tissue Adhesive is an excellent product to use when repairing linear lacerations.
A few things to remember:
The wound needs to be irrigated as you would any other wound prior to closure.
Gravity works. Consider where the product may drip to before you apply it (Eyes, Ears, Nose, etc).
Use Surgi-Lube (or other petroleum product) to create a barrier to limit the flow of the cyanocrylate.
For long lacerations, you may use steri-strips to help approximate edges before applying the tissue adhesive.
What to do if the glue gets out of control and drips onto the eyelids... may also apply to Krazy-Glue:
Use copious irrigation and then Mineral Oil (not acetone or alcohol - which won't go well in the eyes).
Often there will be an associated corneal abrasion... treat it as other corneal abrasion.
Keywords: Back Pain, Leukemia, Lymphoma, Neuroblastoma (PubMed Search)
Pediatric Back Pain
Keywords: Ketamine, RSI, TBI (PubMed Search)
Ketamine and RSI for pts p TBI
Keywords: ITP, Leukemia, Steroids, IVIG, Anti-Rh(d), Bone Marrow Aspiration (PubMed Search)
Pediatric ITP – Bone Marrow Aspiration
Keywords: RSV, Apnea, Congenital Heart Disease, Chronic Lung Disease, Prematurity, Rapid testing (PubMed Search)
Bronchiolitis: Use of RSV rapid testing
Purcell K, Fergie J. Concominant serious bacterial infections in 2396 infans and children hospitalized with respiratory syncytial virus lower respiratory tract infections. Arch pediatr adolesce med. 2002; 156: 322-324.