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Related Concept Videos

Introduction Cardiac Emergencies01:30

Introduction Cardiac Emergencies

Cardiac emergencies are critical situations involving the heart that require immediate medical intervention to prevent severe complications or death. These emergencies often arise from underlying heart conditions that impair the heart's ability to function correctly.Types of Cardiac EmergenciesThe most common types of cardiac emergencies include Acute Coronary Syndrome (ACS), myocardial infarction (MI), cardiac arrest, and heart failure.Acute Coronary Syndrome (ACS)Acute Coronary Syndrome (ACS)...
Pharmacokinetics in Pediatric Patients: Drug Excretion01:26

Pharmacokinetics in Pediatric Patients: Drug Excretion

In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
Pharmaceutical Poisoning: Potential Scenarios01:26

Pharmaceutical Poisoning: Potential Scenarios

Pharmaceutical poisoning can occur through various channels, impacting an estimated 2 million hospitalized patients in the U.S. annually with serious adverse drug responses. These scenarios encompass both therapeutic uses, such as drug toxicity, where even standard dosages can lead to severe central nervous system depression, and non-therapeutic exposures, including accidental ingestion by children, and environmental and occupational exposures.Unintentional poisonings often involve exploratory...
Drug Dosing: Infants and Children01:29

Drug Dosing: Infants and Children

Pediatric patient dosages diverge from adults due to disparities in body surface area, total body water, and extracellular fluid per kilogram of body weight. The dosing regimen considers the variations in pharmacokinetics and pharmacology across distinct age groups, encompassing preterm newborns, infants, young children, older children, and adolescents. Calculation of pediatric patient doses is predicated on determining body surface area, which exhibits a superior correlation with the child's...
Pharmacokinetics in Pediatric Patients: Drug Metabolism01:24

Pharmacokinetics in Pediatric Patients: Drug Metabolism

In pediatric care, understanding the nuances of hepatic drug metabolism is crucial, as it significantly differs from that of adults. This divergence is primarily due to the developmental stage of drug-metabolizing enzymes, which affects how medications are processed in the body. In neonates, for instance, the activity of Phase I enzymes—critical for the initial breakdown of drugs—is markedly reduced, functioning at just 20–40% of the levels seen in adults. This reduction poses a challenge in...
Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption01:23

Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption

Understanding the physiological differences in the pediatric population is crucial for effective pharmacotherapy. Neonates, infants, and children exhibit significant variations in gastric pH, gastric emptying time, intestinal transit time, and biliary function. These variations profoundly affect oral drug absorption, necessitating a nuanced approach to pediatric dosing.Neonates present with a unique physiological profile, having a gastric pH greater than 4 and faster and more irregular gastric...

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Updated: Jul 11, 2026

A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn
11:27

A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn

Published on: April 7, 2023

Pediatric office emergencies.

Jean E Klig1, Patricia J O'Malley

  • 1Department of Pediatric Emergency Medicine, Boston Medical Center, 91 East Concord Street, Boston, MA 02118, USA. jean.klig@bmc.org

Current Opinion in Pediatrics
|September 22, 2007
PubMed
Summary

Pediatric emergency preparedness in primary care offices is often inadequate. Regular training and readily available resources are crucial for improving pediatric emergency outcomes.

Area of Science:

  • Pediatric emergency medicine
  • Primary care practice management
  • Healthcare preparedness

Background:

  • Office-based emergencies pose significant risks, especially for pediatric patients prone to rapid decompensation.
  • Current emergency preparedness in primary care settings is frequently insufficient to manage pediatric emergencies effectively.
  • Over-reliance on external Emergency Medical Services (EMS) is inadequate due to variability in EMS provider training and delayed access in remote areas.

Purpose of the Study:

  • To review the history of emergency medical services for children.
  • To examine the framework for office emergency preparedness.
  • To identify challenges faced by primary care providers in managing pediatric emergencies.

Main Methods:

  • Literature review on pediatric emergency medical services history.

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Guidelines for Elective Pediatric Fiberoptic Intubation
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A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn
11:27

A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn

Published on: April 7, 2023

Guidelines for Elective Pediatric Fiberoptic Intubation
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Guidelines for Elective Pediatric Fiberoptic Intubation

Published on: January 17, 2011

  • Analysis of current office emergency preparedness frameworks.
  • Evaluation of primary care provider challenges.

    • Main Results:

    • Many primary care offices are ill-equipped for pediatric emergencies.
    • EMS system reliance is insufficient for optimal pediatric emergency care outcomes.
    • Mock code exercises enhance practitioner confidence and life-saving skills.

    Conclusions:

    • Improved pediatric emergency outcomes necessitate comprehensive staff training.
    • Availability of appropriate equipment and medications is essential.
    • Regular skills practice and clear transfer pathways to definitive care facilities are critical.