Pediatric emergency medicine trisk 1182

management, 754 –755
treatment, goals of, 754
Chagas disease, 846
Chalazions, 1401 –1402
chronic, 1402 f
multiple, 1401 f
Chance fractures, 1092 , 1211 f
Chancroid, 312
Charcoal therapy, 293
Charcot–Marie–Tooth disease, 305
CHARGE syndrome, 222
Chediak–Higashi syndrome, 465
Chelation therapy, 1064 t
Chemical burns, 1102 –1103
Chemical cystitis, 529
Chemical exposure, 1102 , 1400
Chest compressions, 66
Chest pain
arrhythmias and, 368
associated with mitral valve prolapse, 369
causes, 367 t
esophageal, 374
life-threatening, 368 t
cocaine exposure and, 367 –368
connective tissue disorders and, 369
differential diagnosis, 366 –370
drug exposure and, 369
in dyspneic/cyanotic patient, 366
evaluation and decision, 370 –374
child with no thoracic trauma, 372 –374
child with thoracic trauma, 370 –372

diagnostic approach, 370 f–371 f
foreign bodies aspiration and, 369
GI diseases and, 369
inflammatory conditions and, 368
with palpitations, 374
pathophysiology, 366


pleural effusions and, 369
postpericardiotomy syndrome and, 369
pulmonary diseases and, 369
radiating to back, jaw or left arm, 374
spontaneous pneumomediastinum and, 369
workup of, 374
Chest, subcutaneous emphysema of, 1228 f
Chest wall, 481 –482
injuries, 1282 –1283
tumors
malignant, 1424 f
thoracic emergencies, 1422 –1423
Cheyne–Stokes respirations, 123 , 486
Chiari malformations/myelomeningoceles, 557
Chief complaint, 7 , 10 –11 , 22 –23 , 23 t, 24 , 27 , 30 , 157 , 224
Child abuse, 504 –505
abdominal trauma, 1092 –1093
cutaneous manifestations, 624 –625
emergency care, goals, 620
fractures, 627
injuries from physical abuse, 620 –624
ocular trauma, traumatic iritis, 1272

oropharyngeal injuries, 625 –627
rib fractures, 1283
Child maltreatment, 624
Child physical abuse, 620 –624 , 627 , 629
Chin-lift or jaw-thrust maneuver, 29
Chipmunk facies, 419
Chlamydia, 312 , 543
conjunctivitis, 852
neonatal, 851
trachomatis , 254 , 383 , 402 , 411 , 530 , 537 , 543 , 545 –546 , 1338
Chloramphenicol, 442
Chlorhexidine, oral rinses, 1315
Chloroma, 906
Cholecystitis, 292 , 354 , 358 , 736
Choledochal cysts, 293


Cholelithiasis, 292 , 736
Cholesteatomas, 157
Chondrolysis, 1372
Chondrosarcoma, 1424
Chorea, 897 –898
Chorioamnionitis, 67
Choroid plexus cauterization (CPC), 1386
Chronic arthritis, 406
Chronic bullous disease of childhood (CBDC), 448 , 449 t
Chronic kidney disease, 987 –989 , 988 t
Chronic lung disease (CLD), 572 , 577 –578
Chronic nonbacterial osteomyelitis (CNO), 302
Chronic pharmaceutical toxicity, 1029 –1030

Chronic poisoning, 1029
Chronic recurrent multifocal osteomyelitis (CRMO), 302
Chylothorax, 1413
Cigarette smoking, 1411
Ciguatera, 1057 –1058
Circulation
assessment of, 29
evaluation, 50 –51
management, 51 –58
cardiac compression, 51 –53
defibrillation and cardioversion, 57 –58
fluid resuscitation, 57
intravascular access, 53 –54
use of primary drugs, 54 –57
Circulation-airway-breathing (CAB) sequence, 681
Cisatracurium, 39 t
Classic botulism, 559
Classic plaque-type psoriasis, 470 f
Clevidipine, 245
Clindamycin, 81 t, 350 , 475
Clinical decision support (CDS)
alert design
sequential, 12
testing and monitoring, 12


applied to acute pediatric care, 9 –12 , 10 t
assessment and plan formulation, 9 –10
disposition and post-visit, 12
plan execution, 10

pre-visit, 9
principles for effective order set design, 10 –11
response to events, 11 –12
EHR-based, 8 –9
implementation and sustenance, 9
Clinical Dehydration Scale (CDS), 155 f, 554
Clinically important traumatic brain injury (ciTBI)
clinical features associated with risk of, 1256 t
definition of, 1254
Clinical pathways, 7 –8
Clinical practice guidelines (CPGs), 7
Clonidine, 246 , 1044 –1045
Closed-loop communication, 14
Clostridium botulinum infection, 504 , 558
Clostridium difficile infection, 153 , 1314
Clostridium tetani infection, 559
Clotting abnormalities, 420 , 693
CLOVES syndrome, 1352
Clozapine, for schizophrenia, 1442
Cocaine abuse, 1075 –1076
Coccidioidomycosis, 444
“Coffee-grounds” emesis, 548
Cognitive biases, in emergency medicine, 6 t
Cognitive error, 6
Coke fever, 1076
Cold-induced vasoconstriction, 691
Colic, 139
Collagen vascular disease, 329 , 897
Collateral ligament injury, testing for, 277 , 277 f
Coloboma, 186

Coma
cardiovascular abnormalities and, 120
of cerebrovascular origin, 119 –120