Physicians' Approach to Anaphylaxis in Childhood.

Abstract:

:Anaphylaxis is a life-threatening, severe, generalized, or systemic hypersensitivity reaction. The incidence of anaphylaxis is increasing especially in pediatric age. Our aim in this study was to investigate the knowledge and attitudes of the physicians on the diagnosis and treatment of anaphylaxis. METHODS:A questionnaire form consisting of a total of 18 questions was prepared. Six questions concerned demographic data; 7 questions inquired about physician's knowledge level about treatment of anaphylaxis. In the last part, 5 different case scenarios were given, and their diagnoses and treatments were asked. RESULTS:A total of 120 physicians participated in the study. Of the participants, 66.7% were residents. The rate of correct answer about dose of epinephrine was 57.5%. The rates of making correct diagnoses in anaphylaxis case scenarios 1, 2, and 3 were 60%, 73.3%, and 91.7%, respectively, whereas epinephrine administration rates were 54%, 67.5%, and 92.5%, respectively. When the answers of all these questions given by the residents and specialists and among physicians who updated and did not update were compared, there were no statistically significant differences except epinephrine administration rate and its route (P < 0.05). CONCLUSIONS:The results of the current study suggest that physicians' knowledge levels were inadequate in making the diagnosis of anaphylaxis, and physicians use epinephrine in conditions without hypotension or an undefined possible/known allergen contact. Information about epinephrine administration was partially correct. It is currently considered to be the simplest measure to have a written anaphylaxis action plan including diagnostic criteria for anaphylaxis.

journal_name

Pediatr Emerg Care

journal_title

Pediatric emergency care

authors

Tuncel T,Sancakli O,Bag O,Cetin HS,Özdoğru EE

doi

10.1097/PEC.0000000000002064

subject

Has Abstract

pub_date

2020-02-24 00:00:00

eissn

0749-5161

issn

1535-1815

pub_type

杂志文章
  • Methodology and Demographics of a Brief Adolescent Alcohol Screen Validation Study.

    abstract:OBJECTIVE:The aim of this study was to determine the psychometric properties of the National Institute on Alcohol Abuse and Alcoholism (NIAAA) 2-question alcohol screen within 16 Pediatric Emergency Care Applied Research Network pediatric emergency departments. This article describes the study methodology, sample chara...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,多中心研究

    doi:10.1097/PEC.0000000000001221

    authors: Bromberg JR,Spirito A,Chun T,Mello MJ,Casper TC,Ahmad F,Bajaj L,Brown KM,Chernick LS,Cohen DM,Fein J,Horeczko T,Levas MN,McAninch B,Monuteaux M,Mull CC,Grupp-Phelan J,Powell EC,Rogers A,Shenoi RP,Suffoletto B,Va

    更新日期:2019-11-01 00:00:00

  • Clinical Impact of Rapid Intravenous Rehydration With Dextrose Serum in Children With Acute Gastroenteritis.

    abstract:OBJECTIVES:We designed a study to compare rapid intravenous rehydration based on 0.9% normal saline (NS) or on NS + glucose 2.5% serum (SGS 2.5%) in patients with dehydration secondary to acute gastroenteritis. Our hypothesis is that the addition of glucose 2.5% serum (SGS 2.5%) to 0.9% saline solution could reduce the...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/PEC.0000000000001064

    authors: Sendarrubias M,Carrón M,Molina JC,Pérez MÁ,Marañón R,Mora A

    更新日期:2018-12-01 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

    doi:10.1097/PEC.0000000000001259

    authors: Samraj RS,Crotty EJ,Wheeler DS

    更新日期:2019-10-01 00:00:00

  • Timing of Button Battery Removal From the Upper Gastrointestinal System in Children.

    abstract:OBJECTIVE:The aim of the study was to investigate the appropriate time of removal of button batteries (BB) from the esophagus and stomach in children. METHODS:This is a retrospective descriptive single-center study reviewing the medical records of all children with BB ingestion seen in the Royal Hospital between Janua...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001697

    authors: Al Lawati TT,Al Marhoobi RM

    更新日期:2018-12-27 00:00:00

  • Practice Variation in Emergency Department Management of Children With Sickle Cell Disease Who Present With Fever.

    abstract:OBJECTIVES:Urgent medical evaluation is recommended for patients with sickle cell disease (SCD) and fever. Clear recommendations exist regarding certain aspects of treatment, but other areas lack evidence. We determined practice variation for children with SCD presenting with fever to the emergency department (ED). ME...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,多中心研究

    doi:10.1097/PEC.0000000000001569

    authors: Eisenbrown K,Ellison AM,Nimmer M,Badaki-Makun O,Brousseau DC

    更新日期:2018-08-01 00:00:00

  • Gluconeogenesis defect presenting with resistant hyperglycemia and acidosis mimicking diabetic ketoacidosis.

    abstract::Fructose-1,6-diphosphatase (FDPase) enzyme deficiency is a rare inherited metabolic disease. Affected patients usually present with metabolic crisis including hypoglycemia, acidosis, ketonuria, and hyperuricemia. A previously healthy 8-month-old male infant presented with fever, vomiting, and hypoactivity. He had tach...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e31823b412d

    authors: Paksu MŞ,Kalkan G,Asilioglu N,Paksu S,Dinler G

    更新日期:2011-12-01 00:00:00

  • Symptomatic Persistent Fetal Ovarian Cysts.

    abstract::Vomiting in young infants is a common presentation to the pediatric emergency department with a broad differential diagnosis. We present 2 cases seen in our emergency department of infant females with symptomatic complex ovarian cysts who presented with vomiting. The first case study describes a patient with a prenata...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000002209

    authors: Souganidis E,Chen A,Friedlaender E

    更新日期:2020-08-10 00:00:00

  • Abnormal computed tomography findings among children with viral gastroenteritis and symptoms mimicking acute appendicitis.

    abstract:OBJECTIVE:To evaluate computed tomography (CT) findings in pediatric patients with viral gastroenteritis who presented with clinical features of acute abdomen. PATIENTS AND METHODS:During 2 seasons of viral gastroenteritis from 2005 to 2007, 302 children with acute gastrointestinal symptoms were admitted to our center...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3181850cc8

    authors: Tajiri H,Kiyohara Y,Tanaka T,Etani Y,Mushiake S

    更新日期:2008-09-01 00:00:00

  • Point-of-Care Ultrasonography for Appendicitis Uncovers Two Alternate Diagnoses.

    abstract::We present two cases of pediatric patients initially presenting with a clinical suspicion of acute appendicitis. In these cases, point-of-care ultrasonography was performed early in the patient's emergency department course, leading to alternate diagnoses. This article highlights a role for point-of-care ultrasound in...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000000623

    authors: Kornblith AE,Doniger SJ

    更新日期:2016-04-01 00:00:00

  • Pediatric pre-hospital advanced life support care in an urban setting.

    abstract:OBJECTIVE:To describe pediatric advanced life support (PALS) in a single urban environment and clarify educational priorities for ALS pre-hospital providers and pediatric medical control physicians. METHODS:Retrospective observational review of all pediatric pre-hospital PALS transport and medical control records of t...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-200102000-00002

    authors: Babl FE,Vinci RJ,Bauchner H,Mottley L

    更新日期:2001-02-01 00:00:00

  • Meningococcal group A sepsis associated with rare manifestations and complicated by Kawasaki-like disease.

    abstract::Neisseria meningitidis serogroup A septicemia and the development of Kawasaki disease in a 10-month-old male infant are described. The patient also experienced a number of primary/septic manifestations as consequences of the direct infectious assault and secondary/hypersensitivity immune-mediated complications. The pr...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e31819a8bab

    authors: Fretzayas A,Stabouli S,Alexaki A,Moustaki M

    更新日期:2009-03-01 00:00:00

  • Teaching Point-of-Care Lung Ultrasound to Novice Pediatric Learners: Web-Based E-Learning Versus Traditional Classroom Didactic.

    abstract:OBJECTIVE:To assess whether Web-based teaching is at least as effective as traditional classroom didactic in improving the proficiency of pediatric novice learners in the image acquisition and interpretation of pneumothorax and pleural effusion using point-of-care ultrasound (POCUS). METHODS:We conducted a randomized ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001482

    authors: Soon AW,Toney AG,Stidham T,Kendall J,Roosevelt G

    更新日期:2020-07-01 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

    doi:10.1097/00006565-199710000-00012

    authors: Bechtel K

    更新日期:1997-10-01 00:00:00

  • Comparing Practice Patterns Between Pediatric and General Emergency Medicine Physicians: A Scoping Review.

    abstract:OBJECTIVE:Acutely ill infants and children presenting to the emergency department are treated by either physicians with pediatric emergency medicine (PEM) training or physicians without PEM training, a good proportion of which are general emergency medicine-trained physicians (GEDPs). This scoping review identified pub...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,评审

    doi:10.1097/PEC.0000000000000557

    authors: Chime NO,Katznelson J,Gangadharan S,Walsh B,Lobner K,Brown L,Gawel M,Auerbach M,International Network for Simulation-based Pediatric Innovation, Research, and Education (INSPIRE) IMPACTS Investigators.

    更新日期:2017-04-01 00:00:00

  • Posttraumatic superior ophthalmic vein thrombosis in a 2 years old.

    abstract::Superior ophthalmic vein thrombosis (SOVT) usually results from inflammatory, infectious, or malignant causes. This case describes a 2-year-old boy with severe prolapsing chemosis and proptosis due to thrombosis of the right superior ophthalmic vein resulting from midfacial and right orbital fractures 1 week after the...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000000066

    authors: Akingbola OA,Shar B,Singh D,Frieberg E,Petrescu M

    更新日期:2014-02-01 00:00:00

  • Trimming the fat: identification of risk factors associated with obesity in a pediatric emergency department.

    abstract:OBJECTIVE:The purpose of this study was to assess which knowledge deficits and dietary habits in an urban pediatric emergency department (ED) population are risk factors for obesity. METHODS:This cross-sectional study in an urban pediatric ED used a modified version of the Diet and Health Knowledge Survey, an in-perso...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3181f39879

    authors: Thundiyil JG,Christiano-Smith D,Greenberger S,Cramm K,Latimer-Pierson J,Modica RF

    更新日期:2010-10-01 00:00:00

  • Drug-Induced Extrapyramidal Symptoms at the Pediatric Emergency Department.

    abstract:OBJECTIVES:Extrapyramidal symptoms (EPS) induced by pharmacologic agents can cause patient discomfort and lead to emergency department visits. Analyzing these cases at a pediatric emergency department may help to elucidate the characteristic features of extrapyramidal syndrome in children. METHODS:This retrospective s...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001954

    authors: Chang MY,Lin KL,Wang HS,Wu CT

    更新日期:2020-10-01 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

    doi:10.1097/pec.0b013e3181d6d9de

    authors: Graham JM,Fitzpatrick EA,Black KJ

    更新日期:2010-04-01 00:00:00

  • An uncommon late complication of appendicitis.

    abstract::A 10-year-old boy presented with a 2.5-week history of right leg pain and limp. A right flank mass was noted by a parent on the day of presentation. The child's past medical history was remarkable for perforated appendicitis treated with an interval laparoscopic appendectomy 2 years before this presentation. Abdominal...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3181f39d84

    authors: Lapus RM,Baker MD

    更新日期:2010-10-01 00:00:00

  • Delayed presentations of congenital diaphragmatic hernia.

    abstract::The delayed presentation of a congenital diaphragmatic hernia may include symptoms of acute respiratory distress or gastrointestinal obstruction. We review the presentation and management of the different types of diaphragmatic hernias. In addition, we present a case of twins with a left-sided congenital diaphragmatic...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-200108000-00013

    authors: Singh S,Bhende MS,Kinnane JM

    更新日期:2001-08-01 00:00:00

  • Grunting respirations in infants and children.

    abstract::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 ass...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-199506000-00004

    authors: Poole SR,Chetham M,Anderson M

    更新日期:1995-06-01 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

    doi:10.1097/PEC.0000000000001875

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

    更新日期:2019-07-25 00:00:00

  • Electrical injuries in urban children in New Delhi.

    abstract:AIM:The objective of this study was to analyze the epidemiology, presentation, management, and complications of electrical burn injuries in urban children. METHODS:Data from records and clinical data were collected retrospectively and prospectively during 2008 to 2010. RESULTS:Of 41 children enrolled, the mean age of...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3182852f71

    authors: Rai A,Khalil S,Batra P,Gupta SK,Bhattacharya S,Dubey NK,Mehra N,Saha A

    更新日期:2013-03-01 00:00:00

  • Spontaneous bilateral pneumothorax in an infant with bronchiolitis.

    abstract::Spontaneous pneumothorax is an uncommon complication of bronchiolitis due to respiratory syncytial virus. Bilateral spontaneous pneumothorax in an infant with respiratory syncytial virus bronchiolitis has not been previously reported. We report the case of a four-month-old infant who presented in respiratory distress ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-198703000-00010

    authors: Pollack J

    更新日期:1987-03-01 00:00:00

  • Observational study of helmet use among children skiing and snowboarding.

    abstract:OBJECTIVES:The objectives of this study were to observe the use of helmets among school-age children while skiing and snowboarding and to determine factors that influenced helmet use in children. METHODS:This was a prospective observational study. Children estimated to be school age (5-17 years of age) were observed a...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e31816a9f0a

    authors: Lawrence L,Shaha S,Lillis K

    更新日期:2008-04-01 00:00:00

  • Curanderismo: consequences of folk medicine.

    abstract::Curanderismo, folk medicine, is an important and common aspect of Hispanic culture. Its use is not well understood by US medical physicians and is often overlooked when Hispanic patients present to US hospitals. We present a case of isopropyl alcohol toxicity in a 4-year-old child due to the use of a curanderismo trea...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e31816b7a92

    authors: DeBellonia RR,Marcus S,Shih R,Kashani J,Rella JG,Ruck B

    更新日期:2008-04-01 00:00:00

  • Diagnosis of Ingested Foreign Body in the Stomach by Point-of-Care Ultrasound in the Upright and Slightly Forward Tilting Position (Bowing Position).

    abstract::We report a case involving accidental ingestion of a marble that was detected by point-of-care ultrasonography of the abdomen with the patient in the upright and slightly forward tilting position, which we term the "bowing position." Using this position for abdominal ultrasonography may be more useful than the usual s...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001125

    authors: Yamamoto M,Koyama T,Agata M,Ouchi K,Kotoku T,Mizuno Y

    更新日期:2017-05-01 00:00:00

  • Pediatric critical care transport survey: team composition and training, mobilization time, and mode of transportation.

    abstract::A survey was conducted to determine the current standard of care with regard to team composition and training, mobilization time, and vehicle use for pediatric critical care transport. An evaluation of 30 pediatric referral centers revealed that 60% provide a critical care transport team. Of those teams, the mean numb...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:

    authors: McCloskey KA,Johnston C

    更新日期:1990-03-01 00:00:00

  • Unusual cause of abdominal pain in pediatric emergency medicine.

    abstract::Atypical manifestations of acute hepatitis A virus (HAV) infection include ascites, pleural effusion, acute renal failure, aplastic anemia, and neurological manifestations. Although association of HAV and acute cholecystitis is known, presentation of hepatitis A infection with acute cholecystitis has not been reported...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e318258bdda

    authors: Prashanth GP,Angadi BH,Joshi SN,Bagalkot PS,Maralihalli MB

    更新日期:2012-06-01 00:00:00

  • When choosing injectable penicillin for the treatment of group A beta-hemolytic streptococcal pharyngitis, there is a less painful choice.

    abstract:OBJECTIVE:To determine whether injection of patients with Bicillin CR is less painful than injection with Bicillin LA. To discover if Bicillin CR with the addition of procaine, which doubles the volume, causes the injection to be less painful. DESIGN:An experimental, double-blinded crossover design was used for this s...

    journal_title:Pediatric emergency care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00006565-200012000-00004

    authors: Bycroft TC,O'Connor T,Hoff C,Bohannon A

    更新日期:2000-12-01 00:00:00