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Best Practices In The Emergency Department Management Of Children With Special Needs
Insights
Emergency care for children with special needs requires attention to medical devices like feeding tubes and shunts, and behavioral challenges that can complicate procedures such as laceration repair.
Area of Science:
- Pediatric Emergency Medicine
- Developmental Pediatrics
- Medical Device Management
Background:
- Children with special needs present unique challenges in emergency settings.
- These challenges include complex medical devices and behavioral or psychiatric issues.
- Standard emergency procedures may be difficult to perform on these children.
Observation:
- Common issues involve managing complications with gastrostomy/jejunostomy feeding tubes, cerebroventricular shunts, and tracheostomy tubes.
- Developmental or behavioral disorders can impede common emergency procedures like laceration repair or sedation for imaging.
- Subtle medical presentations require careful consideration during emergency care.
Findings:
- This review examines specific challenges encountered when treating children with special needs in emergencies.
- It addresses the management of complications related to common medical devices.
- Guidance is provided for performing emergency procedures on children with behavioral or developmental disorders.
Implications:
- Improved emergency care protocols for children with special needs.
- Enhanced management strategies for medical devices in pediatric emergencies.
- Better approaches to performing procedures on children with behavioral and developmental challenges.
- This review aims to optimize the delivery of emergency care for this vulnerable population.
Abstract:
Children with special needs have a wide variety of physical and developmental challenges. These children often have medical devices, subtle presentations, and behavioral or psychiatric issues that demand consideration when delivering emergency care. Some of the more common issues include the evaluation and management of complications in devices such a gastrostomy/jejunostomy feeding tubes, cerebroventricular shunts, and tracheostomy tubes, as well as impediments to the performance of common emergency procedures (eg, laceration repair, sedation for imaging) on children with developmental or behavioral disorders. This review will examine each of these circumstances and provide guidance on the best approaches to managing these patients.
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