Spider and Arthropod Bites
HIGH-YIELD FACTS Print Section Listen Black widow spider bites result in painful muscle spasms, secondary to neurotoxicity, that are responsive to antivenin. Brown recluse spider bites result in hematotoxicity and…
Interfacility Transport
HIGH-YIELD FACTS Print Section Listen Outcomes for critically ill and injured children improve when skilled pediatric specialist transport teams provide treatment. The needs of the patient being transported should drive…
Disaster Preparedness
HIGH-YIELD FACTS Print Section Listen Anatomic, physiological, developmental, and behavioral differences between children and adults influence the management of children during a mass casualty event (MCE). During an MCE, emergency…
Death of a Child in the Emergency Department
HIGH-YIELD FACTS Print Section Listen The death of a child in an emergency department (ED) has profound effects on the surviving family members as well as the physicians and other…
Lightning and Electrical Injuries
HIGH-YIELD FACTS Print Section Listen Even low-voltage electrical injuries can be fatal and often show no external burns. Higher-energy electrical injury can cause massive muscle damage and release of myoglobin….
Psychiatric Emergencies
HIGH-YIELD FACTS Print Section Listen In all cases of psychiatric emergencies, organic disease must be ruled out. The majority of adolescents are relieved to discuss psychiatric issues and actively seek…
Pediatric Burns
HIGH-YIELD FACTS Print Section Listen Burns are the fifth leading cause of unintentional injury–related death in children. Children younger than 4 years typically suffer scald-related burns, whereas older children typically…
Dysbaric Injuries
HIGH-YIELD FACTS Print Section Listen An air embolism is the most serious dysbaric injury and requires aggressive care, which includes 100% oxygen, intravenous fluids, and hyperbaric treatment. Patients with suspected…
Methemoglobinemia
HIGH-YIELD FACTS Print Section Listen Suspect methemoglobinemia in patients with cyanosis unresponsive to 100% oxygen. The antidote for methemoglobinemia is methylene blue. In patients with methemoglobinemia, conventional pulse oximetry produces…
