Psychiatric Emergencies Sanjay Mehta Introduction Children often present to the emergency department in crisis Suicidality, behavioral crisis/aggression, acute psychosis, or anxiety Crisis: acute emotional upset (normal response to abnormal life…
Child Maltreatment Anna D. Jarvis Introduction Child maltreatment is a complex syndrome that includes deliberate injury, inappropriate sexual contact, neglect, failure to provide the necessities of life, and/or emotional maltreatment…
Procedural Sedation Savithiri Ratnapalan Suzan Schneeweiss Introduction Ensure patient safety and welfare Minimize physical discomfort or pain during the procedure Minimize negative psychosocial responses to treatment Enhance cooperation Return patient…
Pain Management Suzan Schneeweiss Introduction Treatment of pain should be priority for all clinicians; pain as fifth vital sign Children often endure unacceptable levels of pain during hospitalization Children generally…
Intraosseous Access Anna D. Jarvis Introduction Used to rapidly secure vascular access in critically ill children with circulatory collapse or difficult IV access Can be used in all ages (consider…
Common Emergency Procedures Angelo Mikrogianakis Christina Ricks Procedures Orthopedic splints Laceration repair: suturing and glueing Lumbar puncture Chest tube insertion Orthopedic Splints Materials Stockingette, webril, plaster, kling wrap, flannel, water…
Bite Wounds Jonathan Pirie Introduction Human and animal bite wounds are common: ˜1% of all emergency department (ED) visits Most bite wounds are minor, but may cause significant morbidity Management…
Wound Management Graham Jay Introduction Mechanism of injury predicts healing and outcome Shear injuries have a better outcome Poorer outcomes found in blunt injuries over a large area Factors affecting…
Foreign Bodies Amina Lalani Introduction If early attempts at foreign body removal are unsuccessful, consider referral and/or procedural sedation Nose Usually history of putting object into nose Persistent, unilateral, foul-smelling,…
Electrical Injuries Michal Maimon Introduction Electrical burns account for 2-3% of pediatric burns assessed in the emergency department Low-voltage injuries account for 60-70% of electrical injuries, usually < 6 yrs…
