Improving the Evaluation and Management of Abnormal Uterine Bleeding in Female Adolescents Presenting for Emergency Care

Increasing optimal coagulation factor dosing in the paediatric emergency department: Update to a quality improvement study

“…The availability of a prior medical history and medication list is a helpful tool, particularly when patients present to an ED not associated with their primary hematology clinic 10 . In addition, the development of clinical practice guidelines has been a helpful adjunct in ED provider comfort 11 . More studies are needed to determine which interventions are most helpful in improving the care for these patients.…”

“…The availability of a prior medical history and medication list is a helpful tool, particularly when patients present to an ED not associated with their primary hematology clinic 10. In addition, the development of clinical practice guidelines has been a helpful adjunct in ED provider comfort 11. More studies are needed to determine which interventions are most helpful in improving the care for these patients.Although the mean average proportion of haemophilia patients receiving in-range coagulation factor product improved over time, analysis of the proportion of encounters with appropriate coagulation factor dosing showed no statistical difference pre-and post-QI.…”

Pediatric and Adolescent Gynecology: The Potpourri of Our Clinical Practices

“…In this issue, I cite to you some examples from the potpourri. This issue includes articles on teaching PAG using high-fidelity simulation 1 ; an article on ovarian function in adolescents conceived using assisted reproductive technologies, suggesting later menarche and lower ovulatory rates 2 ; 2 articles addressing abnormal bleeding and bleeding disorders in adolescents 3,4 ; obstetric concerns including an investigation of obstetric lacerations in adolescent mothers 5 ; what are the outcomes of pregnancies of overweight and obese teens 6 ; and what are the risky behaviors in which pregnant adolescents engage 7 ; what do teens know about human papillomavirus before and after vaccination 8 and what do they learn about human papillomavirus vaccine from YouTube 9 ; what are the differences in risk and knowledge of the female athlete triad between adolescent and young adult figure skaters, dancers, and runners 10 ; and what do we know about the provision of reproductive health services including emergency contraception in emergency departments and in school-based health centers. 11,12 Finally, I cite to you a review on the transition of care of adolescent gynecology patients with surgically treated congenital and acquired anomalies.…”