Avoiding Common Errors in Pediatric Emergency Medicine

Name: Avoiding Common Errors in Pediatric Emergency Medicine
Brand: Wolters Kluwer Health
Price: 106.99 EUR
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Unknown(Autor*in)

Dale Woolridge(Herausgeber*in)

Wolters Kluwer Health (Verlag)

1. Auflage

Erschienen am 20. August 2020

384 Seiten

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Inhalt

Intro
Half Title
Associate Editors
Title
Copyright
Dedication
Contributors
Preface
Contents
The Crashing Patient
1: Overlooking the Basics and Focusing on Medications That Do Not Matter During Pediatric Codes
2: Placing Provider Comfort Over Family Presence
3: Overlooking Opportunity to Help the Family by Saving Crucial Evidence
4: Epinephrine 1:10 000 vs 1:1000: Are You Prepared to Make Sense of This?
Imaging
5: Do Not Scan Head Trauma Based on Your "Gut"-Use Evidence-Based Guidelines!
6: Negative Scan-Positive Belly: Do Not Rely Solely on the CT Scan When Evaluating Children With Blunt Force Abdominal Trauma
7: Appreciate Practice Differences in the Approach to Pediatric Nontraumatic Abdominal Pain
8: Neuroimaging of Nontrauma Patients
9: To CT or Not to CT: Develop Good Imaging Strategy
10: Know the Options: Imaging Modalities for Pediatric Neck Masses
11: Advanced Imaging-MRI in Children
12: Pediatric Lung POCUS: An Underutilized Tool for Pediatric Pneumonia
13: Do Not Apply the Adult FAST Criteria to Pediatric Trauma Patients
14: Cardiac POCUS: Be Able to Distinguish Pericardial Effusions From Their Mimics
15: Scan First, Irradiate Second: The Error in Jumping to Computed Tomography
16: Skin and Soft Tissue Infections: Fifty Shades of Grayscale
Environmental/Toxicology
17: Errors to Avoid: Overlooking Potential for Lung Injury in Children Who Appear Well
18: Not Aggressively Treating the Hypothermic Drowning Victim
19: Drowning Prevention-Missing the Opportunity to Teach: Prevention When the Near-Miss Events Happen
20: When Small Bites Matter: The Deadly Potential of a Pill
21: Activated Charcoal: Avoiding Worthless Usage of a Valuable Therapy
22: Underestimating the Damage a Simple Laundry Detergent Pod Can Cause
23: Not Having a Plan to Safely and Effectively Cool Critically Ill Patients With Heat Stroke
24: Cold Illness: Be Prepared to Use All the Tricks for Aggressive Rewarming
25: Rabies, It Is More Than Bats: Know Your High-Risk Cases
26: Antivenom in Children Is Not Based on the Child's Weight
Ear Nose Throat
27: Otitis Externa: A Dive Into Swimmer's Ear
28: Acute Otitis Media and Complications
29: Don't Miss Hearing Loss-A Subtle Sign of Serious Pathology
30: Leaking the Information: Be Prepared to Manage Otorrhea
31: Punching Up the Management of External Ear Trauma
32: Do Not Miss Middle and Inner Ear Trauma: Not All Ear Drainage Is Infectious
33: Intranasal Foreign Bodies: Optimizing Chances of Successful Removal
34: Blow by Blow on Nasal Trauma in Children
35: Epistaxis: The Nose Knows How to Stop the Leak
36: Orbital Fractures: Be Careful to Avoid Getting Trapped
37: Not Using Absorbable Sutures for Children With Facial Lacerations
38: Overlooking the Benefits of Regional Anesthesia in Children
39: Using Color of Rhinorrhea As a Justification for Giving Antibiotics
40: Basing Treatment of Strep Pharyngitis Solely on Centor Criteria
41: Neck Pain and Fever Does Not Always Mean Meningitis. Think of RPA. Retropharyngeal Abscess
42: Oropharyngeal Puncture? Do Not Forget That There Is a Big Blood Vessel to Worry About
43: Not Believing the Parent Who Believes the Child Choked on Something
44: Do Not Treat Detergent Pods Like Any Other Type of Ingestion
45: Not Appreciating "Recurrent Croup" to Be a Clinical Sign of Anatomic Airway Anomalies
46: Not Having a Strategy in Place to Manage the Patient With a Posttonsillectomy Hemorrhage
47: Attempting to Close Every Intraoral Laceration
48: Thinking Ludwig Angina Only Happens in Adults
49: Overlooking Simple Strategies to Manage Pain Related to a Dry Socket
50: Dismissing Sialadenitis as a Simple Infection and Throwing Antibiotics at It
51: Do Not Forget About the Secondary Teeth While Managing a Primary Tooth Injury
52: Focusing on Only the Teeth When There Is Dental Trauma
53: Not Thoroughly Evaluating Facial Fractures
54: Put Down the Scalpel-A Thoughtful Approach to Neck Masses
55: Blunt Neck Trauma
56: Penetrating Neck Trauma
57: Torticollis: Maybe a Twist but Hopefully Never a Shout
58: Atlantoaxial Rotatory Subluxation (AARS): When Children Truly Look Like Little Birds
59: Managing Pediatric Eye Injuries: You Will Shoot Your Eye Out, Kid!
60: Be Prepared to Manage Eye Lacerations
61: Be Prepared to Care for the Other Pediatric Red Eye: Hyphema
62: Pediatric Vision Loss
63: Be Prepared to Manage Eye Burns-Chemical, UV, Thermal
64: Do Not Confuse Orbital Cellulitis With Preseptal Cellulitis
65: "Eye Spy" Abnormal Pupils: Be Aware That an Abnormal Pupillary Exam Is Often a Sign of Underlying Problems
66: Nasolacrimal Duct Disorders: More Than Just Tears
67: Conjunctivitis: A Sight for Sore Eyes
Airway
68: Not Considering an Infant's Airway as a "Difficult Airway" from the Beginning
69: Not Knowing the Differences Between the Pediatric and Adult Airways Can Lead to Failure to Intubate the Pediatric Airway
70: Get Rid of Your Discomfort With Percutaneous Transtracheal Ventilation
71: Treating All Noisy Breathing as the Same
72: Don't Rush to Intubate an Infant After PGE1 Administration
73: Thinking Lack of Wheezing Is a Good Finding With Severe Asthma
74: Giving Albuterol to All Kids With Bronchiolitis
75: Treating Patients With Cystic Fibrosis and Pneumonia With Typical Treatments for Community-Acquired Pneumonia
76: Not Recognizing Risk Factors for PE in Children
77: Overlooking the Concurrent Injuries in Children With Rib Fractures
Cardiology/Dysrhythmia
78: Do Not Miss Undiagnosed Congenital Heart Disease: In Babies With Heart Disease, Color Matters!
79: Poor Feeding, Cough, and Fussiness? Common Complaints Deserve a Comprehensive Workup for Pericarditis in the Postoperative Congenital Heart Disease Patient
80: A Faint Chance of Danger-Do Not Assume Pediatric Syncope Is Just Orthostasis Without Ruling Out These Diagnoses
81: Chest Pain: Do Not Let a Normal Examination Falsely Reassure You
82: Tachycardia: Don't Assume Tachycardia Is Just "Stranger Danger"
83: Secondary Signs of Endocarditis: Know Them by Heart
84: Viruses Can Be Real Heart Breakers-Do Not Let the Myocarditis Patient Blend in With All the Respiratory Viral Illnesses
85: Remember That Very Little of Pediatric Hypertension Is Cardiac
86: Getting to the Heart of the Matter: Do Not Miss These Features of Pathologic Murmurs
87: Do Not Crash and Burn by Missing Kawasaki Disease
88: Pediatric Electrocardiogram Differences: Know Which Findings Are Normal in Children and Which Ones Spell Trouble
89: Do Not Be Shocked! Know the Meaning of the First Three Letters of a Pacemaker's Code
Abdomen
90: Be Aware of the Varied Presentation of Pediatric Appendicitis
91: Pyloric Stenosis: Diagnosis the Stenosis Before It Becomes "Classic"
92: The Inception of an Intussusception: Look for the Bowel Within a Bowel Even if Symptoms Are Not "Classic"
93: GI bleed: Do Not Be fooled by bleeding imposters
94: The Hard Truth of Constipation-Do Not Miss the Potentially Serious Causes
95: Pediatric Diarrhea-Hydration Is the Most Important Factor in Treatment
96: Dehydration and Electrolyte Problems: Do Not Start IV Fluids in Children Without a Trial of PO Fluids and Antiemetics
97: Why Is My Baby's Poop White?: Do Not Forget to Check the Direct Bilirubin Level for Jaundiced Infants
98: Lets Be Blunt-Do Not Underestimate the Importance of Serial Abdominal Examinations in Pediatric Blunt Abdominal Trauma
99: Oh Heavens.. HUS and Escherichia coli 0157:H7-Do Not Rush to Give Antibiotics to Children With Bloody Diarrhea
100: Twist of Fate: Do Not Ignore Bilious Emesis in a Baby
101: Let Your Light Shine!: Do Not Confuse a Hydrocele for a Hernia
102: Time Is Stoma: G-Tube Dislodgement Is a Time-Sensitive Emergency
103: "Not Aggressively Treating Patients With Nephrotic Syndrome Presenting With Fever"
Genitourinary and Renal
104: Renal: Nephritis: "Not Having a Strategy to Evaluate Hematuria in a Child"
105: Overlooking Spontaneous Bacterial Peritonitis in Patients With Nephrotic Syndrome
106: "Urine" Trouble Now-Evidence to Approach Pediatric UTI
107: Funny Dermatologic Findings
108: Vaginitis in the Prepubertal Girl-A Not So Challenging Discharge Diagnosis
109: GU Torsion (Male and Female)
110: Not Just Adults: Abnormal Uterine Bleeding and Teenage Menstrual Issues
111: Straddle Injuries Management: Be Able to Distinguish Accident From Abuse
112: A Sticky Situation: Know How to Manage Labial Adhesions
113: Always Look Under the Diaper: Congenital Abnormalities of the Genitourinary Tract
114: Always Check Under the Hood: Do Not Confuse Phimosis and Paraphimosis
Dermatology
115: Neonatal Rashes: Know the Bad From the Not So Bad
116: Be Prepared to Manage the Common Pediatric Rashes
117: Be Prepared to Manage Common Pediatric Infectious Rashes
118: The Fits and Starts of Atopic Dermatitis: Strategies to Adjusting Treatment
119: Be Prepared to Recognize and Manage the "Bad" Rashes
120: Do Not Be Tricked Into Missing a Diagnosis of Henoch-Schönlein Purpura
121: Be Prepared to Accurately Diagnose and Support Your Patients With Erythema Multiforme
Endocrine
122: DKA: Being Overly Concerned About IV Fluids
123: Allowing Hypoglycemia to Surprise You in the Pediatric Patient Presenting With Gastroenteritis
124: Do Not Forget the Stress-Dose Steroid in Hypopituitarism!
125: Not Using Hydrocortisone for Treating Congenital Adrenal Hyperplasia (CAH)
126: Overlooking the Clinical Scenarios That Place a Child at Risk for SIADH
127: Forgetting Thyrotoxicosis in Patients With Vague Complaints
128: Not Considering Rickets as a Cause of New-Onset Seizures in Young Children
Neurology
129: Not So Simple, or Is It? Prepare to Care for Febrile Seizures in Children
130: Status Epilepticus: The Most Common Neurologic Emergency in Children
131: A Lower Threshold to Seize: Understand First-Time Seizure in Pediatric Patients
132: Pediatric Headache
133: Pediatric Stroke Is Routinely Missed on Initial Presentation: Do Not Be Routine!
134: "Flaming Hot Pediatric Brains"-Anti-NMDA and Other Forms of Encephalitis
135: Pediatric Vertigo: Differentiating Life-Threatening From Benign Etiologies
136: Be Able to Scrutinize the Causes of Pediatric Ataxia
137: Muscular Dystrophy
138: Skull Fractures: When Do We Really Need to Know They Are There?
139: When a River Does Not Run Through It-Prepare to Manage Pediatric Hydrocephalus
140: Be Prepared to Troubleshoot and Manage Shunts
141: Be Prepared to Manage Pediatric Neurologic Technology
Orthopedics
142: Fingertip Injuries: Keep It SIMPLE, Do Not Forget to Check the Tendons, and Use Glue
143: Supracondylar Fractures
144: It Is Not Just a Sprain: Do Not Miss Cases of Slipped Capital Femoral Epiphysis and Idiopathic Osteonecrosis (Legg-Calve-Perth Disease)
145: Big Problems in Little Bones: Do Not Miss Physeal Fractures
146: Be Prepared for an Easy ED Fix: Subluxed Radial Head- The Nursemaid's Elbow
147: Ankle Fracture-Triplane and Juvenile Tillaux Fracture
148: Pediatric Cervical Spine Trauma: The Biggest Pain in the Neck Would Be to Miss One
149: SCIWORA: Do You SCIWORA What I SCIWORA?
150: Overuse Syndromes: When a Good Thing Has Gone Too Far
151: What to Know About Lumbago
Infectious Disease
152: Everything At Once-Obtain Cultures Quickly But Do Not Delay Antibiotics for Fever in the First 28 Days
153: Risky Business: Know How to Approach the "What Ifs" in Neonatal Fever Risk Stratification
154: Fever 2 Months Old and Beyond
155: Hot to the Touch: Differentiate Between Fever Without a Source and Fever of Unknown Origin
156: It Is a Small World After All: Know the Differential for Fever, Diarrhea, and Rash in the Traveling Child
157: Diagnose Outpatient Pediatric Pneumonia Clinically and Avoid the X-Ray
158: I Thought It Was Just a Cold: Do Not Forget to Consider Sepsis
159: Meningitis-Do Not Delay the Lumbar Puncture in Patients With High Suspicion for Bacterial Meningitis
160: Pertussis Infection in Infants and Children: Do Not Miss the Early Signs
161: Bronchiolitis: Value Aggressive Airway Clearance Over Nebulizers, X-Rays, and Steroids in Bronchiolitis
162: Bad to the Bones-Do Not Let a Child Limp Out of the ED Without Considering Septic Joint
163: Hematology/Oncology
Tumor Lysis Syndrome
164: Do Not Get Caught Unaware: Recognizing NEW-ONSET CANCER
165: Sickle Cell Disease Is Not Just Anemia: Be Prepared for Complications Affecting All Organ Systems
166: Hemolytic Anemia: Think Before You Transfuse
167: Feeling Blue Despite O2?: Consider Methemoglobinemia
168: Pediatric Neutropenia: Worth a Pause, but Not Always Panic
169: Fever and Neutropenia: Be Prepared When That Oncology Patient Arrives
170: Hemophilia-Do Not Undertreat the Bad Bleeds
171: How Much Is Too Much: Spotting Abnormal Bleeding Disorders
Genetics/Metabolism
172: Recognition and Management of Inborn Errors of Metabolism- The Needle in the Haystack
173: Have No Fear
an Inborn Error of Metabolism Is Here! Managing Patients With Known Inborn Errors of Metabolism
174: Be Aware of Abnormal Newborn Screens
Neonatology
175: Umbilical Care: Do Not Confuse the Normal Granulation With the Purulence of Omphalitis
176: I Am So Hungry! Know the Right Questions to Ask About Feeding Difficulty in the Neonate
177: Is It Supposed to Look That Way?: Know What Is Normal Postcircumcision So You Can Reassure Parents
178: Skin and Bones, or Normal Growth: Identifying Failure to Thrive
Allergy/Immunology
179: Anaphylaxis: It May Come as a Shock, but It Does Not Have to End in Tragedy.
180: Primary Immunodeficiency: Know What to Expect When Cell Lines Go Awry
Community/Legal
181: Do Not Forget to Look for the Five W's of Cutaneous Injuries
182: Do Not Miss Abusive Head Trauma!
183: Broken Bones in Broken Homes: When to Get a Skeletal Survey
184: Sentinel Moments, Sentinel Injuries: Know How to Recognize the Signs of Abuse
185: Cannot Miss: Adolescent Sexual Assault
186: It Is Normal to Be Normal: Understand Unique Aspects of the Prepubescent Sexual Assault Examination
187: Treat the Patient, Not the Poison
188: The Minefield of Minor Consent: Be Sure That You Are Following Your State's Legal Statutes
Applied Practice
189: Evidence-Based Medicine: Have the Tools to Test Wisely
190: My Baby Turned Blue: Changing the Terminology From ALTE to BRUE
191: The Technological-Dependent Child
192: Well-Child Care in the Emergency Department Setting: Looking for "Goldilocks Moments" by Doing Just the Right Amount
Behavioral Health
193: Psych Outbursts, Pediatric Behavioral Management: Exhaust All Nonpharmacologic Measures Before Chemically or Physically Restraining a Child
194: Navigating the Complexity of Autism Spectrum Disorder in the Pediatric ED-Work With Caregivers to Individualize Care
Pharmacy
195: Avoiding Common Errors in Pediatric Emergency Medicine: Sedation Adjuncts-Do Not Underestimate the Power of Distraction and Analgesia for Pediatric Procedures
196: Wait, Are Pediatricians Secretly Mathematicians?: Do Not Forget That All Dosing in Children Is Weight-Based
197: May the Dose Be With You. Focus on Communication to Avoid the 10-fold Dosing Error
198: Just a Taste: Be Aware of Bad Tasting Medicines That Kids May Refuse to Take
Index

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