Occult Pneumothorax Identification on Extended Focused Assessment with Sonography for Trauma Examination in Children.


OBJECTIVE:Occult pneumothoraces (OPTXs) are defined by air within the pleural space that is not visible on conventional chest radiographs (CXR). The aim of this study was to understand how frequently the Extended Focused Assessment with Sonography for Trauma (eFAST) examination identifies occult PTX in a pediatric blunt trauma population as compared with a criterion standard of chest computed tomography (CCT). METHODS:This study is a secondary analysis of blunt trauma patients younger than 18 years who underwent CCT at Los Angeles County +USC Medical Center Emergency Department from October 2015 to April 2017. The eFAST examination was performed and documented by an emergency medicine resident with attending oversight or by an emergency medicine attending for each trauma. The eFAST results were reviewed for patients diagnosed with small or trace pneumothoraces identified on CCT. RESULTS:Of 168 pediatric trauma patients undergoing CCT, 16 had OPTXs not seen on CXR and 4 patients had a small/trace PTX without a corresponding CXR performed. None were identified on eFAST. CONCLUSIONS:Although the sample size in this data set was small, our eFAST examinations identified none of 16 proven and 4 presumed OPTXs. The standard eFAST examination performed poorly in the detection of OPTXs in this single-center study of pediatric blunt trauma victims.


Pediatr Emerg Care


Pediatric emergency care


Malek D,Santillanes G,Hsiao V,Mailhot T,Claudius I




Has Abstract


2020-12-01 00:00:00






  • Does extreme leukocytosis predict serious bacterial infections in infants in the post-pneumococcal vaccine era? The experience of a large, tertiary care pediatric hospital.

    abstract:BACKGROUND:Extreme leukocytosis, defined as a peripheral white blood cell count greater than 25,000/mm, may alarm clinicians and prompt extensive evaluation in infants with fever, especially in the pediatric emergency department. METHODS:We reviewed data from children aged 3 to 36 months with extreme leukocytosis, fev...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Danino D,Rimon A,Scolnik D,Grisaru-Soen G,Glatstein M

    更新日期:2015-06-01 00:00:00

  • Small bowel obstruction secondary to strangulation through a defect in the falciform ligament after blunt abdominal trauma in a pediatric patient.

    abstract::Obstruction caused by strangulation internal hernia secondary to incarceration within the falciform ligament, although rare, has been previously reported in the literature. These cases, however, were unrelated to trauma. We report on the first case in the pediatric literature of a strangulated internal hernia secondar...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Sykes JA,Norton KI,Bhattacharya N,Stombaugh L

    更新日期:2010-06-01 00:00:00

  • Adherence to Guidelines in the Treatment of Diabetic Ketoacidosis in Children: An Austrian Survey.

    abstract:BACKGROUND:The aim of this study is to assess the adherence of Austrian physicians to International Society for Pediatric and Adolescent Diabetes guidelines 2009 concerning treatment in diabetic ketoacidosis and whether there is a difference between specialty (endocrinologists or intensivists) or clinical experience. ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Weinberger K,Seick Barbarini D,Simma B

    更新日期:2018-07-24 00:00:00

  • Evaluating computer-assisted learning for common pediatric emergency procedures.

    abstract:OBJECTIVE:To develop a computer-assisted learning (CAL) model and evaluate its effectiveness in improving medical trainees' knowledge of pediatric emergency procedures. METHODS:Three common pediatric emergency procedures were selected: laceration repair, splinting of fractures, and lumbar puncture. Web-based computeri...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,随机对照试验


    authors: Ricks C,Ratnapalan S,Jain S,Tait G

    更新日期:2008-05-01 00:00:00

  • Serotonergic or Anticholinergic Toxidrome: Case Report of a 9-Year-Old Girl.

    abstract:OBJECTIVE:The aim of this study was to report an acute onset of symptoms erroneously attributed to serotonin syndrome in a child who had been given both anticholinergic and serotonergic agents. CASE SUMMARY:A 9-year-old girl with chronic anxiety and gastrointestinal problems was prescribed oral sertraline 6.25 mg dail...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Gerardi DM,Murphy TK,Toufexis M,Hanks C

    更新日期:2015-12-01 00:00:00

  • Ingested magnets: the force within.

    abstract::Foreign body ingestion is a common occurrence in children. Morbidity associated with ingestion is rare and is dependent on the type of foreign body ingested. We report a case of a 9-year-old boy who developed intestinal obstruction and perforation following ingestion of magnetic-backed earrings. ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Tay ET,Weinberg G,Levin TL

    更新日期:2004-07-01 00:00:00

  • Procedural Training in Pediatric Emergency Medicine Fellowship: What Are We Teaching and What Do Fellows Need to Learn?

    abstract:BACKGROUND:Life-saving procedures are rarely performed on children in the emergency department, making it difficult for trainees to acquire the skills necessary to provide proficient resuscitative care for children. Studies have demonstrated that residents in general pediatrics and emergency medicine lack exposure to p...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Weiss A,Myers S,Lockman JL,Posner J,Shaw K

    更新日期:2020-08-28 00:00:00

  • Hemoptysis in children: a single institutional experience.

    abstract:OBJECTIVES:The purpose of this study was to describe a single institutional experience with pediatric diffuse pulmonary hemorrhage, with an emphasis on etiology, clinical course, and outcome. METHODS:The medical records of pediatric patients admitted to Assaf Harofeh Medical Center between the years 2002 and 2011 beca...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Abu-Kishk I,Klin B,Eshel G

    更新日期:2012-11-01 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

  • Leaving Without Being Seen From a Pediatric Emergency Department: Identifying Caregivers' Perspectives Using Q-methodology.

    abstract:OBJECTIVE:National rates of left (or leaving) without being seen (LWBS) in pediatric emergency departments (PED) are higher than general emergency departments. We investigated coexisting perspectives on LWBS. METHODS:Q-methodology was implemented through a mixed-methods design. Semistructured interviews elicited a con...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Moskalewicz RL,Pham PK,Liberman DB,Hall JE

    更新日期:2019-04-11 00:00:00

  • A Rare Pediatric Case of Posttraumatic Pseudoaneurysm: Case Report and Literature Review.

    abstract::Posttraumatic pseudoaneurysms are extremely rare in pediatric populations. In many cases, pseudoaneurysms may be confused with abscesses, epidermoid cysts, arteriovenous fistula, foreign objects, and ganglion cysts, as well as tumors. They are associated with distinguishing findings of "pulsatile mass, a palpable thri...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,评审


    authors: Gu A,Kam AJ

    更新日期:2019-12-01 00:00:00

  • The acceptability of mental health screening in a pediatric emergency department.

    abstract:OBJECTIVES:The purposes of the study were (1) to assess the acceptability of mental health screening in the pediatric emergency department (ED) for children and their parents; (2) to measure providers' perceptions on whether screening has an impact on patient care; and (3) to determine the impact of screening status on...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Williams JR,Ho ML,Grupp-Phelan J

    更新日期:2011-07-01 00:00:00

  • Uncommon Complication of Pediatric Umbilical Hernia-Spontaneous Evisceration: Case Report and Literature Review.

    abstract::The umbilical hernia is common in children. Most of the cases have a spontaneous regression around the age of 3 years. Complications are very rare, and thus surgery is not routinely indicated before the age of 3 years. We report an exceptional case of spontaneous rupture of an umbilical hernia with emphasis on the man...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Chouikh T,Echaieb A,Belkhir D,Audry G,Raquillet C

    更新日期:2020-09-01 00:00:00

  • Traumatic deaths in children: is there a difference between urban and rural populations?

    abstract:OBJECTIVE:Trauma is a leading cause of death among children. Detailed knowledge of the epidemiology of traumatic childhood deaths is necessary for allocating available treatment resources and for preventing injuries at both community and regional levels. To our knowledge, there has been no report comparing urban to rur...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,多中心研究


    authors: Ortega HW,Velden HV,Krause E,Reid S

    更新日期:2013-01-01 00:00:00

  • Utilization of a pediatric observation unit for toxicologic ingestions.

    abstract:OBJECTIVES:The objectives of this study were to evaluate the efficacy and utilization of an observation unit (OU) for admission of pediatric patients after a toxicologic ingestion; compare the characteristics and outcomes of patients admitted to the pediatric OU, inpatient (IP) service, and intensive care unit (ICU) af...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Plumb J,Dudley NC,Herman BE,Kadish HA

    更新日期:2012-11-01 00:00:00

  • Hair tourniquet management.

    abstract::Unwind or incise has been the standard of management for removing hair tourniquets. The hair ends are usually difficult to hold and unwind as they break at the ends easily, and using scalpels or needles to get under the hair tourniquet is difficult when the involved appendage is swollen and leads to more trauma to the...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: O'Gorman A,Ratnapalan S

    更新日期:2011-03-01 00:00:00

  • Her belly button is leaking: a case of patent urachus.

    abstract::Patent urachus is one of the least commonly seen of the urachal anomalies. In this report, we present a case of a patent urachus in a15-day-old female who presented with leakage from the umbilical site. The purpose of this article is to discuss the embryology, clinical manifestations, diagnosis, and management of pate...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Sherman JM,Rocker J,Rakovchik E

    更新日期:2015-03-01 00:00:00

  • Inability to walk, disequilibrium, incoherent speech, disorientation following the instillation of 1% cyclopentolate eyedrops: case report.

    abstract::A 4-year-old boy, who had no prior history of convulsions, presented with inability to walk, disequilibrium, dysarthria (incoherent speech), and impaired cognition (disorientation) following the instillation of 1% cyclopentolate, a commonly used mydriatic in pediatric practice. This case demonstrates the uncommon, alt...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Derinoz O,Er A

    更新日期:2012-01-01 00:00:00

  • "My child can't keep anything down!" Interviewing parents who bring their preschoolers to the emergency department for diarrhea, vomiting, and dehydration.

    abstract:INTRODUCTION:Viral gastroenteritis with dehydration is one of the most frequent reasons for visits to pediatric emergency departments (ED). Parental intervention before presentation to the ED can make a significant difference in the course of a child's illness. There is a discrepancy between medical knowledge of dehydr...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Graham JM,Fitzpatrick EA,Black KJ

    更新日期:2010-04-01 00:00:00

  • Anti-N-Methyl-D-Aspartate Receptor Encephalitis: A Challenging Diagnosis in the Emergency Department.

    abstract::Anti-N-methyl-D-aspartate receptor (NMDAR) encephalitis is an underdiagnosed disease that has been described thus far only in case series. Patients, the majority of which are females, develop neuropsychiatric symptoms that can often be misdiagnosed as purely psychiatric illness. Although teratomas are nearly pathognom...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Zhao B,Nelson DG

    更新日期:2019-09-01 00:00:00

  • Two-Thumb Encircling Technique Over the Head of Patients in the Setting of Lone Rescuer Infant CPR Occurred During Ambulance Transfer: A Crossover Simulation Study.

    abstract:OBJECTIVE:The purpose of this study was to determine if the over-the-head 2-thumb encircling technique (OTTT) provides better overall quality of cardiopulmonary resuscitation compared with conventional 2-finger technique (TFT) for a lone rescuer in the setting of infant cardiac arrest in ambulance. METHODS:Fifty medic...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Jo CH,Cho GC,Lee CH

    更新日期:2017-07-01 00:00:00

  • Gravel gut: small bowel perforation due to a blunt ingested foreign body.

    abstract::The ingestion of foreign bodies remains a common occurrence in children. Most ingested foreign bodies pass spontaneously, although up to 1% will result in intestinal perforation. Specific foreign bodies such as sharp, pointed, or corrosive objects have been typically associated with perforation. The initial diagnosis ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Cross KM,Holland AJ

    更新日期:2007-02-01 00:00:00

  • Rhabdomyolysis associated with olanzapine treatment in a child with Autism.

    abstract::Children with autism often display difficult behaviors including tantrums, extreme irritability, and physical aggression. There is emerging evidence that olanzapine is useful in decreasing these disruptive behaviors. The most common adverse effects are weight gain and short-term sedation. On the other hand, olanzapine...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Karakaya P,Yiş U,Kurul SH,Türkmen MA

    更新日期:2010-01-01 00:00:00

  • Adverse Events Related to Accidental Unintentional Ingestions From Cough and Cold Medications in Children.

    abstract:OBJECTIVES:Previous research has demonstrated that accidental unsupervised ingestions (AUIs) were responsible for the majority of cough and cold medication (CCM) ingestions leading to significant adverse events (AEs) in children. The objective of this analysis was to characterize the role of AUIs in the morbidity assoc...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Wang GS,Reynolds KM,Banner W,Bond GR,Kauffman RE,Palmer RB,Paul IM,Rapp-Olsson M,Green JL,Dart RC

    更新日期:2020-06-22 00:00:00

  • Unsuspected splenic rupture in a neonate.

    abstract::Serious intra-abdominal injuries in neonates are very rare. In addition, the signs and symptoms of hemoperitoneum caused by bleeding from solid viscera are vague and nonspecific and often are not recognized before the onset of hypovolemic shock or death. In this report, we describe a 2-day-old infant who presented wit...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,评审


    authors: Longobardi Y,Lessin MS,Kleinman M,Wesselhoeft CW,Berns SD

    更新日期:2000-02-01 00:00:00

  • A systematic review and meta-analysis of new interventions for peripheral intravenous cannulation of children.

    abstract:OBJECTIVE:Establishing intravenous access in children is often challenging for health professionals. Multiple attempts at peripheral intravenous cannulation (PIVC) cause increased pain and delayed delivery of therapy. Our objective was to synthesize and evaluate the best evidence for novel interventions designed to imp...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,meta分析,评审


    authors: Heinrichs J,Fritze Z,Klassen T,Curtis S

    更新日期:2013-07-01 00:00:00

  • Atlanto-Axial Subluxation After Adenoidectomy.

    abstract::Atlanto-axial subluxation is a rare but potentially serious complication after otolaryngological procedures. We are describing a case of a 4-year-old child who developed atlanto-axial subluxation of the cervical spine after adenoidectomy. Our patient underwent adenoidectomy and, 18 days later, presented to the emergen...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Gross IT,Bahar-Posey L

    更新日期:2017-06-01 00:00:00

  • An unusual presentation of hydrochloric acid ingestion: a mystery unraveled.

    abstract:BACKGROUND:Unintentional acid ingestion is less commonly encountered than alkali ingestion. The injury develops for hours to days after ingestion and often results in progressively increasing difficulty in airway management. However, gastric perforation is rare. CASE:A 3-year-old boy presented to us with an orotonsill...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Ganapathy VP,Das RR,Chinnakkannan S,Panda SS

    更新日期:2015-03-01 00:00:00

  • Association of Socioeconomic Characteristics With Where Children Receive Emergency Care.

    abstract:OBJECTIVE:Outcomes of emergency care delivered to children vary by patient-level socioeconomic factors and by emergency department (ED) characteristics, including pediatric volume. How these factors intersect in emergency care-seeking patterns among children is not well understood. The objective of this study was to ch...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Chang L,Rees CA,Michelson KA

    更新日期:2020-09-16 00:00:00

  • Appendicitis: an unusual cause of pneumonia and impending shock in a toddler.

    abstract::Owing to its lower incidence in young children, appendicitis is not as often thought of as a common cause of abdominal pain and vomiting in this age group. However, because of its higher incidence of morbidity (perforation and peritonitis), it should be considered in any young child with either significant abdominal p...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Bechtel K

    更新日期:1997-10-01 00:00:00