Grunting respirations in infants and children.


:Grunting respirations are recognized as a sign of serious illness in infants and children, but have not been well studied beyond the newborn period. We present three illustrative cases and the results of a descriptive study which elucidates the causes of grunting in infants and children and suggests guidelines for assessing pediatric patients with this symptom. All patients between one month and 18 years of age who presented to the Emergency Department (ED) of The Children's Hospital of Denver during the last five months of 1992 with grunting respirations were prospectively identified, and their charts were retrospectively reviewed. The 51 pediatric patients with grunting respirations (0.3% of all patients seen in the ED) fell into three groups based upon mode of presentation: 1) 55% presented with predominantly respiratory signs and symptoms, and each one had a respiratory or cardiac condition; 2) 25% presented with high fever (greater than 38.5 degrees C) but without respiratory signs and symptoms, and all had an infectious cause (three fourths of them had an invasive bacterial disease); 3) 20% presented with neither fever nor respiratory signs or symptoms and had one of a variety of conditions which appeared to cause pain. Presenting symptoms can guide the selection of tests used to evaluate the infant or child with grunting respirations. Guidelines for evaluation are provided in this report.


Pediatr Emerg Care


Pediatric emergency care


Poole SR,Chetham M,Anderson M




Has Abstract


1995-06-01 00:00:00












  • Pediatric ziprasidone overdose.

    abstract::We describe the first ziprasidone overdose with quantitative serum levels of a pediatric patient in coma and with pinpoint pupils. This case is an important contribution to the pediatric ziprasidone literature because it illustrates that ingestion of just 1 pill may result to profound mental status and respiratory dep...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Fasano CJ,O'Malley GF,Lares C,Rowden AK

    更新日期:2009-04-01 00:00:00

  • Facial Nerve Hematoma After Penetrating Middle Ear Trauma: A Cause of Delayed Facial Palsy.

    abstract::Penetrating middle ear injury may cause hearing loss, vertigo, or facial nerve injury, although facial nerve paralysis followed by head trauma is a rare condition. In this study, we report a case of a 3-year-old patient with delayed facial palsy on the left side that developed 4 days after an accidental tympanic membr...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Han K,Roh HG,Shin JE,Kim CH

    更新日期:2019-07-25 00:00:00

  • Procalcitonin Levels in Critically Ill Children With Status Asthmaticus.

    abstract:BACKGROUND:Children with status asthmaticus (SA) often present with fever and are evaluated with chest radiographs (CXRs). In the absence of a confirmatory test for bacterial infection, antibiotics are started whenever there are radiological infiltrates or if there is a suspicion of pneumonia. We undertook this study t...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Samraj RS,Crotty EJ,Wheeler DS

    更新日期:2019-10-01 00:00:00

  • Association between medication and intestinal intussusception in children: a case-crossover study.

    abstract:OBJECTIVES:This study aimed to assess the association between the appearance of intussusception in children and medication intake in the immediately preceding period (2-15 days). METHODS:A case-crossover design was used. We selected cases of children admitted with a diagnosis of intussusception (International Classifi...

    journal_title:Pediatric emergency care

    pub_type: 临床试验,杂志文章,多中心研究


    authors: Vega García L,Fuentes-Leonarte V,Tenías JM,Correcher Medina P,Arias Arias Á,Román Ortiz C

    更新日期:2015-04-01 00:00:00

  • Return visits to the emergency department among febrile children 3 to 36 months of age.

    abstract:OBJECTIVES AND METHODS:The aim of the present retrospective, cross-sectional, descriptive study was to determine the characteristics of febrile 3- to 36-month-old children who were admitted to the emergency department (ED) with the chief complaint of fever and returned with the same complaint within 72 hours (returning...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Klein-Kremer A,Goldman RD

    更新日期:2011-12-01 00:00:00

  • Little boy black and blue.

    abstract::Tooth decay is common in US children, especially for children in low-income families. More than half of second-grade children have cavities. Therefore, root canal procedures are becoming more common in children. We report a case of a 2-year-old boy with a rare complication of a root canal procedure secondary to sodium...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Greene AE,Roosevelt GE,Grubenhoff JA,Klein U

    更新日期:2011-08-01 00:00:00

  • Prevalence of occult anemia in an urban pediatric emergency department: what is our response?

    abstract:OBJECTIVE:Treating or referring patients who are found to be anemic during pediatric emergency department (ED) encounters should lead to improved health in children and young adults. Before establishing guidelines how to approach the anemic in the pediatric ED, it is essential to determine the prevalence of anemia in t...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Kristinsson G,Shtivelman S,Hom J,Tunik MG

    更新日期:2012-04-01 00:00:00

  • Acute disseminated encephalomyelitis: an unusual cause of encephalitic syndrome in childhood.

    abstract::Acute disseminated encephalomyelitis is a rare central nervous system demyelinating disease that occurs most frequently in children. It usually runs a monophasic course, beginning with fever, headache, and meningeal signs and rapidly progressing to coma when appropriate diagnosis and treatment are not provided. We rep...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Sztajnbok J,Lignani L Jr,Bresolin AU,Marotto PC,Seguro AC

    更新日期:1998-02-01 00:00:00

  • Reasons for nonurgent pediatric emergency department visits: perceptions of health care providers and caregivers.

    abstract:OBJECTIVES:This study aimed to determine the most important reasons for pediatric nonurgent (NU) emergency department (ED) visits as perceived by caregivers, primary care pediatricians (PCPs), and ED personnel and to assess the differences among these 3 groups in perceived reasons and solutions to NUED visits. METHODS...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Salami O,Salvador J,Vega R

    更新日期:2012-01-01 00:00:00

  • Pediatric Bilateral Facial Paralysis: An Unusual Presentation of Lyme Disease.

    abstract::Pediatric bilateral facial nerve paralysis (FNP) is a rare condition, representing less than 2% of all cases of FNP. The differential diagnosis of FNP is extensive (ranging from infectious, traumatic, neurologic, to idiopathic) and often can present as a diagnostic challenge. In contrast to unilateral presentation, bi...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Wong K,Sequeira S,Bechtel K

    更新日期:2020-11-01 00:00:00

  • Update on antidotes for pediatric poisoning.

    abstract::Antidotes are playing an increasing role in therapy for pediatric poisonings. Although initial response to all pediatric poisonings begins with basic stabilization, knowledge of specific antidotes, their mechanisms of action, safety profile in pediatrics, and dosing regimens can be life-saving for pediatric victims of...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,评审


    authors: White ML,Liebelt EL

    更新日期:2006-11-01 00:00:00

  • Test characteristics of an automated age- and temperature-adjusted tachycardia alert in pediatric septic shock.

    abstract:OBJECTIVES:This study aimed to create and analyze the performance of an automated triage tool alerting triage nursing staff and physicians to an abnormal heart rate consistent with septic shock in a pediatric emergency department. METHODS:A computerized best-practice alert (BPA) triage system corrected heart rate for ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Cruz AT,Williams EA,Graf JM,Perry AM,Harbin DE,Wuestner ER,Patel B

    更新日期:2012-09-01 00:00:00

  • Phrenic nerve palsy associated with brachial plexus avulsion in a pediatric patient with multitrauma.

    abstract::Although brachial plexus injury occurring during multitrauma is frequent in adults, it is rarely observed in childhood. The most common cause of pediatric traumatic brachial palsy is motor vehicle accidents followed by pedestrian struck. Generally, phrenic nerve palsy accompanying brachial plexus trauma is observed in...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Karaoğlu P,Yiş U,Öztura I,Akdoğan Ö,Bayram E,Topçu Y,Hiz S

    更新日期:2013-08-01 00:00:00

  • A Pulse Check on Leadership and Teamwork: An Evaluation of the First 5 Minutes of Emergency Department Resuscitation During Pediatric Cardiopulmonary Arrests.

    abstract:OBJECTIVES:Effective leadership and teamwork are imperative during pediatric cardiopulmonary resuscitations (CPR). The initial phase of pediatric CPR, termed the "first 5 minutes," has significant care delivery gaps in both leadership and team performance. The aim of the study was to describe the performance data of em...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Grimsley EA,Cochrane NH,Keane RR,Sumner BD,Mullan PC,OʼConnell KJ

    更新日期:2019-12-13 00:00:00

  • Patients at High Risk of Intervention for Pediatric Traumatic Liver Injury.

    abstract:OBJECTIVES:Nonoperative management of hemodynamically stable liver lacerations in pediatric trauma patients is a safe and effective management strategy for pediatric patients; approximately 90% will be successfully managed nonoperatively. No study has specifically identified risk criteria for the need for intervention ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Donnelly KA,Breslin K,OʼConnell KJ

    更新日期:2020-07-01 00:00:00

  • Invasive Yersiniosis in a Pediatric Patient With β-Thalassemia Major: Acute Decompensation After Rapid Blood Transfusion.

    abstract::Yersinia enterocolitica infection, or yersiniosis, is a common cause of gastroenteritis in developing nations, but the disease is less common in the developed world. Yersiniosis typically presents as a self-limited gastroenteritis in an immunocompetent patient and rarely progresses to the more fulminant disseminated f...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Hsu G,Jones A,Thornton B

    更新日期:2019-07-01 00:00:00

  • Validation of a decision rule identifying febrile young girls at high risk for urinary tract infection.

    abstract:OBJECTIVE:To validate a previously published clinical decision rule to predict risk of urinary tract infection in febrile young girls. METHODS:We performed a retrospective case-control study at a children's hospital emergency department in a different city than that in which the original derivation study took place. G...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Gorelick MH,Hoberman A,Kearney D,Wald E,Shaw KN

    更新日期:2003-06-01 00:00:00

  • Response to child abuse in the pediatric emergency department: need for continued education.

    abstract:BACKGROUND:Child abuse is a leading pediatric public health problem. Pediatric emergency physicians are on the front line to identify and respond to child abuse. The physician's response to suspected child abuse cases is influenced by educational content and experience. OBJECTIVE:To determine pediatric emergency medic...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Wright RJ,Wright RO,Farnan L,Isaac NE

    更新日期:1999-12-01 00:00:00

  • Carnitine palmitoyl transferase II deficiency in an adolescent presenting with rhabdomyolysis and acute renal failure.

    abstract::The most common cause of recurrent rhabdomyolysis in childhood is inherited metabolic disorders. Carnitine palmitoyl transferase II (CPT II) deficiency is a lipidosis and is a common cause of inherited recurrent myoglobinuria. The disease is inherited in autosomal recessive trait, and the clinical phenotype ranges fro...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Topçu Y,Bayram E,Karaoğlu P,Yiş U,Bayram M,Kurul SH

    更新日期:2014-05-01 00:00:00

  • Is Serum Bicarbonate Level Associated With Negative Outcomes in Pediatric Patients?: A Retrospective Cohort Study.

    abstract:OBJECTIVES:Early identification of children at risk for adverse outcomes is important. Serum bicarbonate is easily collected and widely available. We described the relationship between bicarbonate and adverse outcomes in children presenting to the emergency department (ED). METHODS:We conducted a retrospective cohort ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Poonai N,Mainprize D,Travers C,Vivas LLY,Tryphonopoulos P,Sangha G,Arbeau R,Seabrook J,Miller M,Sarpal A,Lim R

    更新日期:2017-11-01 00:00:00

  • Infective Uvulitis in a Child.

    abstract::Infective uvulitis is a rare condition in children. In this report, we describe the case of a 4-year old-patient who presented a group A Streptococcus pharyngitis with uvulitis. No signs of epiglottitis were detected at nasal fibroscopy. She recovered rapidly with intravenous antibiotic therapy and 2 days of corticost...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: De Pieri C,Valentini E,Pusiol A,Passone E,Gamalero L,Cogo PE

    更新日期:2020-10-07 00:00:00

  • Real-Time Measurement of Crowding in Pediatric Emergency Department: Derivation and Validation Using Consensual Perception of Crowding (SOTU-PED).

    abstract::Our study aimed to develop and validate a real-time crowding composite scale for pediatric emergency department (PED). The study took place in one teaching PED for 2 months. The outcome was the perception of crowding evaluated by triage nurses and pediatricians on a 10-level Likert scale. Triage nurses evaluated crowd...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Noel G,Jouve E,Fruscione S,Minodier P,Boiron L,Viudes G,Gentile S

    更新日期:2020-01-27 00:00:00

  • Case report of metallic mercury injury.

    abstract:OBJECTIVE:Injury and poisoning from metallic mercury has become a rare event. Review of the literature and a case report of pediatric metallic mercury injury are presented. DESIGN:A case report. SETTING:The Emergency Department at St. Louis Children's Hospital. PATIENTS OR PARTICIPANTS:A 15-year-old boy. INTERVENTI...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,评审


    authors: Smith SR,Jaffe DM,Skinner MA

    更新日期:1997-04-01 00:00:00

  • Closing the Loop: Program Description and Qualitative Analysis of a Pediatric Posttransfer Follow-up and Feedback Program.

    abstract:OBJECTIVES:Follow-up and feedback foster improvement. General emergency medicine providers working in community hospitals desire follow-up and feedback on pediatric patients transferred to children's hospitals. We implemented a novel program to provide these data to our colleagues. The objective of this study was to ex...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Goldman MP,Query LA,Wong AH,Gross IT,Emerson BL,Auerbach MA,Tiyyagura GK

    更新日期:2020-10-01 00:00:00

  • Association of Risk of Mortality in Pediatric Patients Transferred From Scene by Helicopter With Major But Not Minor Injuries.

    abstract:OBJECTIVES:Helicopter emergency medical services (HEMS) are used for 16% of pediatric trauma. National HEMS guidelines advised that triage criteria be standardized for pediatric patients. A national report found pediatric HEMS associated with decreased mortality compared with ground emergency medical services (GEMS) bu...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Duffens A,Grigorian A,de Virgilio C,Chin T,Kim D,Lekawa M,Schubl SD,Nahmias J

    更新日期:2020-10-22 00:00:00

  • Effective management of complaints in the emergency department.

    abstract::Many of the causes of complaints can be reduced but not completely eliminated. Appropriate attention through education and quality management keeps the department's attention focused on increasing patient satisfaction. ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,评审


    authors: Tucker JR,Kornberg AE

    更新日期:1994-04-01 00:00:00

  • Superior mesenteric artery syndrome in intellectually disabled children.

    abstract:OBJECTIVES:Superior mesenteric artery syndrome (SMAS) is a rare cause of small intestinal obstruction in pediatric patients. Children with intellectual disabilities are a challenging patient population in which to make this diagnosis. The goal of this study was to determine the frequency, presenting symptoms, and outco...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Geskey JM,Erdman HJ,Bramley HP,Williams RJ,Shaffer ML

    更新日期:2012-04-01 00:00:00

  • Child Mental Health Services in the Emergency Department: Disparities in Access.

    abstract:OBJECTIVE:Recent research suggests that increasing numbers of caregivers are bringing their children to the emergency department (ED) for mental health services and that a large proportion of these children have Medicaid as their insurance. The objective of this study was to examine the characteristics of children with...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Lynch S,Bautista M,Freer C,Kalynych C,Hendry P

    更新日期:2015-07-01 00:00:00

  • Atlantoaxial Rotatory Subluxation: A Review for the Pediatric Emergency Physician.

    abstract::Pediatric emergency physicians must have a high clinical suspicion for atlantoaxial rotatory subluxation (AARS), particularly when a child presents with neck pain and an abnormal head posture without the ability to return to a neutral position. As shown in the neurosurgical literature, timely diagnosis and swift initi...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,评审


    authors: Kinon MD,Nasser R,Nakhla J,Desai R,Moreno JR,Yassari R,Bagley CA

    更新日期:2016-10-01 00:00:00

  • The Use of PECARN and CATCH Rules in Children With Minor Head Trauma Presenting to Emergency Department 24 Hours After Injury.

    abstract:OBJECTIVE:Major studies (PECARN [Pediatric Emergency Care Applied Research Network], CATCH [Canadian Assessment of Childhood Head Injury]) that regulate the use of computed tomography (CT) algorithms in children with minor head trauma (MHT) have been conducted among children presenting in 24 hours after injury. In this...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Sert ET,Mutlu H,Kokulu K

    更新日期:2020-01-10 00:00:00