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Pediatric Abdominal Emergencies

    • Pediatric surgical emergencies occur at characteristic ages, and emergency physicians need to be aware of this on presentation.
    • Diagnosis of incarcerated inguinal hernia is a clinical diagnosis.
    • Ultrasonography is the initial imaging modality of choice for midgut volvulus, pyloric stenosis, intussusception, and appendicitis.
    • Hydrostatic and pneumatic enema is the therapeutic method of choice for reduction of ileocolic intussusception.
    • In children with suspected appendicitis, the application of a staged algorithm, including a scoring system and ultrasonography, can improve test characteristics.

Pediatric Abdominal Emergencies

    • Pediatric surgical emergencies occur at characteristic ages, and emergency physicians need to be aware of this on presentation.
    • Diagnosis of incarcerated inguinal hernia is a clinical diagnosis.
    • Ultrasonography is the initial imaging modality of choice for midgut volvulus, pyloric stenosis, intussusception, and appendicitis.
    • Hydrostatic and pneumatic enema is the therapeutic method of choice for reduction of ileocolic intussusception.
    • In children with suspected appendicitis, the application of a staged algorithm, including a scoring system and ultrasonography, can improve test characteristics.

Pediatric Abdominal Emergencies

    • Pediatric surgical emergencies occur at characteristic ages, and emergency physicians need to be aware of this on presentation.
    • Diagnosis of incarcerated inguinal hernia is a clinical diagnosis.
    • Ultrasonography is the initial imaging modality of choice for midgut volvulus, pyloric stenosis, intussusception, and appendicitis.
    • Hydrostatic and pneumatic enema is the therapeutic method of choice for reduction of ileocolic intussusception.
    • In children with suspected appendicitis, the application of a staged algorithm, including a scoring system and ultrasonography, can improve test characteristics.

Approach to the Patient with Shock

    • New Sepsis-3 criteria for evaluating sepsis and septic shock using the SOFA score (replacing the previous SIRS score).
    • FAST and EFAST examination to determine causes of shock in trauma patients.
    • Intra-aortic balloon pump placement for assist in cases of cardiogenic shock.

Approach to the Patient with Shock

    • New Sepsis-3 criteria for evaluating sepsis and septic shock using the SOFA score (replacing the previous SIRS score).
    • FAST and EFAST examination to determine causes of shock in trauma patients.
    • Intra-aortic balloon pump placement for assist in cases of cardiogenic shock.

Approach to the Patient with Shock

    • New Sepsis-3 criteria for evaluating sepsis and septic shock using the SOFA score (replacing the previous SIRS score).
    • FAST and EFAST examination to determine causes of shock in trauma patients.
    • Intra-aortic balloon pump placement for assist in cases of cardiogenic shock.

Approach to the Patient with Shock

    • New Sepsis-3 criteria for evaluating sepsis and septic shock using the SOFA score (replacing the previous SIRS score).
    • FAST and EFAST examination to determine causes of shock in trauma patients.
    • Intra-aortic balloon pump placement for assist in cases of cardiogenic shock.

Approach to the Patient with Shock

    • New Sepsis-3 criteria for evaluating sepsis and septic shock using the SOFA score (replacing the previous SIRS score).
    • FAST and EFAST examination to determine causes of shock in trauma patients.
    • Intra-aortic balloon pump placement for assist in cases of cardiogenic shock.
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