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Current problems in pediatrics最新文献

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Child abuse—Controversies and imposters 虐待儿童——争议和冒名顶替者
Current problems in pediatrics
Pub Date : 1999-10-01 DOI: 10.1016/S0045-9380(99)80058-9
MD Robert W. Block
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引用次数: 23
Emergency medical services for children: A general pediatrician's perspective 儿童紧急医疗服务:普通儿科医生的观点
Current problems in pediatrics
Pub Date : 1999-09-01 DOI: 10.1016/S0045-9380(99)80049-8
MD Derek S. Wheeler (staff pediatrician)

The EMSC movement is still in its infancy, and there is much that remains to be done. The primary care pediatrician plays a major role in the EMSC system and should continue to advocate for efficient, high-quality pediatric emergency care. In summary, there are several ways that the office-based pediatrician can and should become involved with EMSC:

  • 1.

    Pediatricians should emphasize safety and injury prevention at each health maintenance visit throughout a child's life.

  • 2.

    Pediatricians should encourage all parents to become certified in BLS/CPR. Ideally, training in CPR should be provided during prenatal and childbirth classes.

  • 3.

    Pediatricians should advocate for injury prevention and safety campaigns in their communities. They can also become involved with efforts to develop legislation dealing with issues in injury prevention and safety.

  • 4.

    Pediatricians should ensure that all children receive the appropriate immunizations.

  • 5.

    Pediatricians need to maintain office emergency preparedness. All office personnel should maintain certification in BLS as a minimum and ideally, PALS. Equipment used for pediatric resuscitation should be available and functional. Monthly mock codes should be scheduled to ensure that all personnel clearly know their roles and responsibilities in the event of an emergency.

  • 6.

    Pediatricians should maintain their skills in emergency pediatrics. In addition, they should maintain certification in PALS. Continuing medical education (CME) workshops and conferences in emergency pediatrics are available throughout the year. Also, pediatricians can maintain their airway management skills by practicing endotracheal intubation in the operating room setting.

  • 7.

    Pediatricians must become familiar with the pre-hospital care providers, EDs, and transport services in their communities. Association with a pediatric intensive care unit at a tertiary care center would also be beneficial.

  • 8.

    Pediatricians must be available for consultation to local EDs. They must realize that, in many instances, they may represent the physician who is most experienced with caring for the critically ill or injured child.

  • 9.

    Pediatricians can serve as medical advisors to the EMS systems in their communities.

  • 10.

    Pediatricians should stay well informed on issues pertaining to EMSC.

EMSC运动仍处于起步阶段，还有很多工作要做。初级保健儿科医生在EMSC系统中发挥着重要作用，应继续倡导高效、高质量的儿科急诊护理。总之，有几种方法，以办公室为基础的儿科医生可以和应该参与EMSC:1。儿科医生在儿童一生中的每次健康维护访问中都应强调安全和伤害预防。儿科医生应该鼓励所有家长获得BLS/CPR认证。理想情况下，应该在产前和分娩课程中提供心肺复苏术培训。儿科医生应该在他们的社区倡导伤害预防和安全运动。他们还可以参与制定有关伤害预防和安全问题的立法。儿科医生应确保所有儿童接受适当的免疫接种。儿科医生需要保持办公室应急准备。所有办公室人员都应持有劳工统计局的证书，最好是PALS。用于儿科复苏的设备应该是可用的和功能性的。5 .应安排每月模拟守则，以确保所有人员清楚地知道在紧急情况下他们的作用和责任。儿科医生应该保持他们在儿科急诊方面的技能。此外，他们应该在PALS中保持认证。全年都有儿科急诊继续医学教育(CME)讲习班和会议。此外，儿科医生可以通过在手术室中进行气管插管练习来保持他们的气道管理技能。儿科医生必须熟悉所在社区的院前护理提供者、急诊科和运输服务。与三级护理中心的儿科重症监护病房的联系也将是有益的。儿科医生必须为当地急诊科提供咨询。他们必须认识到，在许多情况下，他们可能代表在照顾危重病人或受伤儿童方面最有经验的医生。儿科医生可以在他们所在社区的EMS系统中担任医疗顾问。儿科医生应该充分了解与EMSC有关的问题。
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引用次数: 10
Clinical facts and curios 临床事实和奇闻
Current problems in pediatrics
Pub Date : 1999-09-01 DOI: 10.1016/S0045-9380(99)80050-4
MD James A. Stockman III (President, American Board of Pediatrics, Professor of Clinical Pediatrics, University of North Carolina School of Medicine, Clinical Professor, Duke University Medical Center)
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引用次数: 0
Diarrheogenic Escherichia coli 致泻性大肠杆菌
Current problems in pediatrics
Pub Date : 1999-08-01 DOI: 10.1016/S0045-9380(99)80027-9
MD Marita Noguera-Obenza (fellow in pediatric Infectious Diseases), MD Thomas G. Cleary (director of the Division of Pediatric Infectious Diseases, Professor of pediatrics)

The diarrheogenic E coli are currently difficult to diagnose and treat. For physicians in the United States, they are primarily a concern in children returning from international travel. The exception to this generalization is STEC, which, because of the low inoculum, ease of transmission, and serious consequences, are important pathogens in the United States.

致泻性大肠杆菌目前很难诊断和治疗。对于美国的医生来说，他们主要关注从国际旅行归来的儿童。这种概括的例外是产志异大肠杆菌，由于其接种量低，易于传播，后果严重，在美国是重要的病原体。
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引用次数: 36
Rotavirus diarrhea 轮状病毒腹泻
Current problems in pediatrics
Pub Date : 1999-08-01 DOI: 10.1016/S0045-9380(99)80022-X
MD, PhD Tom Belhorn (assistant professor of pediatrics)
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引用次数: 8
Clinical facts and curios 临床事实和奇闻
Current problems in pediatrics
Pub Date : 1999-08-01 DOI: 10.1016/S0045-9380(99)80032-2
MD James A. Stockman III (President, American Board of Pediatrics, Professor of Clinical Pediatrics, University of North Carolina School of Medicine, Clinical Professor, Duke University Medical Center)
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引用次数: 0
Pediatric echocardiography: Applications and limitations 儿童超声心动图:应用和局限性
Current problems in pediatrics
Pub Date : 1999-07-01 DOI: 10.1016/S0045-9380(99)80034-6
MPhil, MD Colin K.L. Phoon (assistant professor of pediatrics and attending pediatric cardiolgist and echocardiographer) , MD Abhay Divekar (fellow in Pediatric Cardiology) , MD Monika Rutkowski (director of the Pediatric Echocardiography Laboratory and faculty member in the Division of Pediatric Cardiology)
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引用次数: 7
Clinical facts and curios 临床事实和奇闻
Current problems in pediatrics
Pub Date : 1999-07-01 DOI: 10.1016/S0045-9380(99)80035-8
MD James A. Stockman III (President, American Board of Pediatrics, Professor of Clinical Pediatrics, University of North Carolina School of Medicine, Clinical Professor, Duke University Medical Center)
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引用次数: 0
Clinical facts and curios 临床事实和奇闻
Current problems in pediatrics
Pub Date : 1999-05-01 DOI: 10.1016/S0045-9380(99)80056-5
MD James A. Stockman III (President, American Board of Pediatrics, Professor of Clinical Pediatrics, University of North Carolina School of Medicine, Clinical Professor, Duke University Medical Center)
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引用次数: 0
Erythropoietin in the neonate 新生儿的促红细胞生成素
Current problems in pediatrics
Pub Date : 1999-05-01 DOI: 10.1016/S0045-9380(99)80055-3
MD, PhD Sandra E. Juul (assistant professor)
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引用次数: 31
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