Emergency Medicine, University of Virginia School of Medicine, Charlottesville, VA, USA.
Emergency Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Am J Emerg Med. 2024 Jun;80:77-86. doi: 10.1016/j.ajem.2024.03.010. Epub 2024 Mar 15.
Most children receive emergency care by general emergency physicians and not in designated children's hospitals. There are unique considerations in the care of children that differ from the care of adults. Many management principles can be extrapolated from adult studies, but the unique pathophysiology of pediatric disease requires specialized attention and management updates. This article highlights ten impactful articles from the year 2023 whose findings can improve the care of children in the Emergency Department (ED). These studies address pediatric resuscitation, traumatic arrest, septic shock, airway management, nailbed injuries, bronchiolitis, infant fever, cervical spine injuries, and cancer risk from radiation (Table 1). The findings in these articles have the potential to impact the evaluation and management of children (Table 2).
大多数儿童接受的是普通急诊医师的急救治疗，而不是在指定的儿童医院。儿童的治疗有其独特的考虑因素，与成人的治疗不同。许多管理原则可以从成人研究中推断出来，但儿科疾病的独特病理生理学需要特别注意和管理更新。本文重点介绍了 2023 年的十篇有影响力的文章，这些研究结果可以改善急诊科（ED）儿童的护理。这些研究涉及儿科复苏、创伤性骤停、脓毒性休克、气道管理、甲床损伤、细支气管炎、婴儿发热、颈椎损伤以及辐射致癌风险（表 1）。这些文章的研究结果有可能影响儿童的评估和治疗（表 2）。
