trauma

ACEs: Caught in the cross fireA physician’s curiosity leads to discovery of both the cause and a “cure” for the effects of adverse childhood experiences (ACEs) on patient health.
Infant’s seizures and skull fracture could point to child abuseA 5-month-old Hispanic male presented to the emergency department (ED) at a children’s hospital in the Northeast United States directly from his daycare after caretakers witnessed 2 shaking, seizure-like episodes. The episodes lasted 1 to 2 minutes in the setting of a fever as palpated by the parents.
Study: Surgery less common for blunt renal traumaA new study suggests that surgical care for renal trauma cases is evolving in two different directions: Endovascular procedures have become more common for blunt trauma, supplanting nephrectomy and laceration repair.
Look through the lens of traumaChildren in the foster care system are exposed early in life to adverse experiences by living within dysfunctional families and specific facts have not changed. What has changed is the recognition of the need for the healthcare system to change its care for these vulnerable children to prevent the adverse effects that traumatic stress imposes on their physical and emotional development and well-being.
Refugee children deserve compassionate carePediatricians can help children fleeing to the United States with medical and social needs, as well as acting as their advocate.
Trauma-informed care helps children in foster careApproximately 500,000 children spend time in foster care annually, and the majority of children in foster care have complicated and unmet healthcare needs.
Filling medical gaps in foster care
Filling medical gaps in foster careThe pediatrician may be one of the only sources of advocacy, support, stability, and advice for the child in foster care. In that role, he or she must understand the needs and experiences of a foster child compared with other patients in the practice so that the unmet needs of this vulnerable population can be addressed.
Health home meets foster care’s complex needsAn integrated health home in North Texas aims to fill disparities in physical and mental health, educational attainment, and special healthcare needs for today’s children in foster care.
Anatomy of an “accident”I was reading the causes of mortality and morbidity in children and noticed that beyond age 2 years, many of the most likely serious harms to children, especially death, are considered “accidents.” I began wondering about all those situations that we so readily call “accidents.”
Should teens go to pediatric or adult trauma centers?Pediatric trauma centers may be the best place to take adolescents when they are injured, but authors of a new report say a recommendation against adult or mixed trauma centers would be impractical.