Paediatric Emergencies – Pubmed Results

CONCLUSION: Anemia was highly prevalent among children admitted to a tertiary pediatric emergency unit in Ghana and was frequently associated with severe disease requiring blood transfusion. Strengthened strategies focusing on early identification of hemoglobinopathies, prompt malaria control, and improved nutritional assessment and counseling are urgently needed within emergency and inpatient pediatric care.

Introduction: Pediatric asthma is the inflammatory condition with the highest burden of chronic disease in children. Awareness of the undesirable effects of modern lifestyles, including sedentary behavior and eating habits associated with Western diets, has led to novel approaches in clinical practice. Current concerns focus on the possibility of non-pharmacological intervention to achieve better disease control and normal lung function in these children. Method: In this narrative review, we...

Introduction: Asthma is one of the most common chronic diseases in childhood and represents a major global public health concern due to its high prevalence, healthcare burden, and impact on quality of life. Pediatric asthma is characterized by clinical and biological heterogeneity, reflected in variable airflow limitations and distinct inflammatory endotypes. Conventional diagnostic tools do not fully capture the metabolic mechanisms underlying lung function impairment and disease variability....

Antibiotic therapy represents one of the strongest ecological perturbations of the human gut microbiota, inducing rapid and often prolonged alterations in community structure, metabolic activity, and functional resilience. While the use of probiotics to mitigate antibiotic-associated dysbiosis is widely adopted in clinical practice, probiotic selection is still largely empirical and insufficiently grounded in biological compatibility with specific antibiotic pressures. In this conceptual review,...

No abstract

Abdominopelvic CT scans are widely used in pediatric emergency departments (PEDs) but are frequently overused, often resulting in a high proportion of normal findings. To evaluate the diagnostic utility of abdominopelvic CT in acute pediatric emergencies and to identify patterns of use and potential overuse, particularly in relation to presenting symptoms and clinical context. This retrospective study of 399 children (56.6% male, mean age 6.54 ± 4.0 years) at a tertiary center in Tehran, Iran...

Medical emergencies in the pediatric office setting are infrequent but high-stakes scenarios. Advanced preparation will ensure that children who experience emergencies in the pediatric office receive optimal care and improved clinical outcomes. Optimizing pediatric office readiness for emergencies requires consideration of the unique aspects of each office practice, the types of patients and emergencies that might be seen, the resources available on site, and the resources of the larger...

Although not common, pediatric emergencies present in the medical office setting, and offices that care for children and adolescents can prepare for these emergencies. Offices vary depending on their location and office setting, patient population, and distance to an emergency department or hospital. Consequently, these factors should be taken into account in the planning process. This statement updates the recommendations from the 2007 American Academy of Pediatrics (AAP) practice guideline...

CONCLUSION: Telemedicine is underutilized for emergency care among Yemen's digitally connected population, mainly due to infrastructure, digital literacy, and trust barriers. Addressing these gaps through improved connectivity, provider training, local guidelines, and policy development is essential to advance emergency telemedicine in fragile health systems.

Background/Objectives: Breastfeeding represents a critical developmental window during which maternal biology, environmental exposures, and nutrition converge to influence infant gastrointestinal health and long-term developmental trajectories. From a One Health perspective, breastfeeding can be conceptualized not as a static nutritional act, but as a dynamic and modifiable biological system in which maternal factors shape early-life microbiota assembly and immune programming. This narrative...

CONCLUSION: Enhancing the early recognition of pediatric metabolic and neuro-critical emergencies in the ED requires a multifaceted approach. Systematic implementation of evidence-based protocols, greater availability and use of point-of-care diagnostics, and improved interdisciplinary collaboration are essential to reduce diagnostic delays, prevent morbidity, and improve patient outcomes.

Background/Objectives: Pediatric shock is a final common pathway of cardiovascular failure across diverse emergencies, yet data from mixed emergency cohorts outside intensive care units remain limited. This study aimed to describe the distribution, etiologic subtypes, and clinical correlates of shock in children presenting within a diagnosis-based emergency cohort. Methods: A retrospective single-centre study was conducted in children aged 0-16 years presenting with selected acute pediatric...

CONCLUSION: Video-assisted dispatch in pediatric emergency calls was associated with more frequent assignment of the lowest urgency level and reduced use of physician-staffed vehicles without evidence of compromised patient safety.

No abstract

CONCLUSION: Translating scientific evidence into practical tools is essential to support infants who cannot be breastfed. The One Health Decalogue presented in this review provides a comprehensive, interdisciplinary, and translational framework for healthcare professionals, families, and public health policies, fostering informed nutritional choices and holistic strategies to optimize infant health beyond breastfeeding.

CONCLUSION: Routine ICU admission, prolonged NPO, universal antibiotics, and multi-modality imaging are not standard after esophageal button battery removal. We propose a risk-stratified framework for imaging, ICU use, and feeding that reserves advanced imaging, ICU level care, and delayed feedings for patients at highest risk for complications based on their presentation and injury severity.

CONCLUSION: This tool represents a pioneering initiative specifically tailored for community pharmacists in managing pediatric emergencies. The next steps include dissemination, evaluation, and regular updates of the tool, based on user and expert feedback. Community pharmacists are essential players in providing pediatric advice, and this tool should strengthen their capacity to effectively manage a variety of pediatric situations, thus meeting the needs of patients and parents.

CONCLUSIONS: These results highlight the critical systemic vulnerabilities underlying PMA dosing errors in EMS, supporting that errors result from systemic issues rather than solely from individual actions. By addressing these systemic weaknesses with comprehensive strategies, progress can be made in effectively resolving the ongoing issue of PMA dosing errors in EMS.

CONCLUSION: HFMEA improves the safety of transport for critically ill pediatric patients in emergency settings, thereby enhancing nursing quality.

CONCLUSIONS: Recommendations for practice include enhancing communication strategies, improving pre-arrival preparation, optimising the physical environment, and implementing dedicated family support roles.

CONCLUSIONS: The results show that more than half of children and adolescents present to emergency departments with one of the ten most common chief complaints. Notably, nontraumatological presentations in emergency departments (EDs) highlight that pediatric care also takes place in facilities primarily serving adults. In the future, staff and infrastructure should be appropriately equipped to efficiently ensure the quality of pediatric emergency care on a broad scale. An important approach in...