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In Brief

Reframing Hope in Pediatric End-of-Life Care
 Reframing Hope in Pediatric End-of-Life Care 150 150 Tiasha Letostak, PhD
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As physicians, you want to do more good than harm. And it is often believed that telling the truth about poor end-of-life expectations will lead to hopelessness in patients and families, causing more harm than good. But study after study on prognostication has shown that patients and their families prefer more honest and accurate communication.…

1 in 8 Children Exposed to Violence 5 or More Times in a Year
 1 in 8 Children Exposed to Violence 5 or More Times in a Year 150 150 Tiasha Letostak, PhD
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The average pediatric subspecialist sees two to four child polyvictims each day. What can physicians do to help these children and their families? According to the National Survey of Children’s Exposure to Violence (NatSCEV), 60 percent of children have directly experienced or indirectly witnessed at least one act of violence in the previous year. Nearly…

Liquid Danger
 Liquid Danger 150 150 Dave Ghose
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Henry Spiller, MS, DABT, never used to worry too much about nicotine poisoning. If a child ate a cigarette, he might throw up but wasn’t going to die. Then e-cigarettes took off about seven years ago and changed the equation. Now, Spiller and other toxicologists fear the death of a child from nicotine poisoning is…

Witnessing a Parent’s Injury Can Leave Kids with PTSD, Study Suggests
 Witnessing a Parent’s Injury Can Leave Kids with PTSD, Study Suggests 150 150 Tiasha Letostak, PhD
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When parents have an injury, their children are more likely to experience symptoms of post-traumatic stress disorder, or PTSD. What can pediatric health professionals do to help these families? In June, Pediatrics published the first-ever study examining the effect of civilian parents’ injuries on their uninjured children. Researchers from the Harborview Injury Prevention and Research Center at…

Antibiotics Alone are a Successful Treatment for Uncomplicated Acute Appendicitis in Children
 Antibiotics Alone are a Successful Treatment for Uncomplicated Acute Appendicitis in Children 150 150 Kelli Whitlock Burton
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Using antibiotics alone to treat children with uncomplicated acute appendicitis is a reasonable alternative to surgery that leads to less pain and fewer missed school days, according to a pilot study. The research, led by a team at Nationwide Children’s Hospital and published online April 12 in the Journal of the American College of Surgeons, is…

By the Book: Anticoagulation for CHD
 By the Book: Anticoagulation for CHD 150 150 Kelli Whitlock Burton
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The American Heart Association (AHA) has released its first evidence-based guidelines on anticoagulation in congenital heart disease (CHD). Anticoagulation is a key element in managing patients with congenital heart disease. Despite the therapy’s widespread use, there are no established guidelines on anticoagulants in this patient population, which often leads to inconsistency and guesswork in how…

Diagnosis Focus
 Diagnosis Focus 150 150 Katie Brind'Amour, PhD, MS, CHES
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Up to one in 10 blood clots in women occur in teen contraceptive users. When a teenage girl presents with chest pain, most doctors likely think first of anxiety, muscle injury or heartburn. In most cases, this is entirely appropriate. But if the girl is taking birth control pills, the problem could be a pulmonary…

A Knowledge Gap
 A Knowledge Gap 150 150 Kelli Whitlock Burton
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Study suggests many pediatricians feel unqualified to treat genetic conditions.

(Some Other) Mother’s Milk
 (Some Other) Mother’s Milk 150 150 Katie Brind'Amour, PhD, MS, CHES
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Women who can’t breastfeed often turn to the Internet for breast milk. But is it safe?