The Impact of Behavioral Health Patients on a Pediatric Emergency Department's Length of Stay and Left Without Being Seen.

abstract：OBJECTIVES:In 1997, a Canadian task force published evidence-based guidelines for diagnosing pediatric pneumonia, concluding that the absence of each of four signs (ie, respiratory distress, tachypnea, crackles, and decreased breath sounds) accurately excludes pneumonia. The study was performed to evaluate the accuracy...

journal_title：Pediatric emergency care

authors： Rothrock SG,Green SM,Fanelli JM,Cruzen E,Costanzo KA,Pagane J

更新日期：2001-08-01 00:00:00

abstract：BACKGROUND:Pediatric traumatic brain injury (TBI) and abusive head trauma (AHT) are leading causes of morbidity and mortality. Clinicians may not be aware of AHT at presentation to the emergency department (ED). OBJECTIVE:The objective of this study was to determine which clinical features associated with head injury ...

journal_title：Pediatric emergency care

authors： Burns J,Rohl S,Marth D,Proctor D,Amin R,Sekhon C

更新日期：2020-09-10 00:00:00

abstract：OBJECTIVES:Literature demonstrates that pediatric residents are not graduating with procedural confidence and competency. This was confirmed with our own institution's Accreditation Council for Graduate Medical Education and internal surveys. Our primary objective was to improve procedural confidence among pediatric re...

journal_title：Pediatric emergency care

authors： Price A,Greene HM,Stem CT,Titus MO

更新日期：2020-12-21 00:00:00

abstract：OBJECTIVE:Pediatric isolated skull fractures (ISFs) are common injuries that represent challenging disposition decisions for clinicians. The purpose of this study is to use a decision analysis to compare the clinical and cost-effectiveness of 3 emergency department (ED)-based disposition scenarios for a pediatric patie...

journal_title：Pediatric emergency care

authors： Williams DC,Russell WS,Andrews AL,Simpson KN,Basco WT Jr,Teufel RJ 2nd

更新日期：2018-06-01 00:00:00

abstract：:The cause of a fever of unknown origin (FUO, fever of >21 days without an identified etiology) may be a common illness, an atypical presentation of a common illness, or an unusual illness. A patient with an FUO occasionally presents to the emergency department (ED). The differential diagnosis of an FUO is extensive. A...

journal_title：Pediatric emergency care

authors： Hernandez-Trujillo HS,Dalberg T,Feder H Jr,Smith SR

更新日期：2009-10-01 00:00:00

abstract：OBJECTIVE:The aims of the study were to determine the frequency at which each emergency medicine evaluation and management (E/M) code is used, to identify factors associated with their use by academic pediatric emergency departments (PEDs), and to compare PED E/M code utilization rates with rates reported by Centers fo...

journal_title：Pediatric emergency care

authors： Losek JD,Reid SR,Linzer J

更新日期：2005-09-01 00:00:00

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

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

abstract：:We report a case of baby powder inhalation (BPI), causing adult respiratory distress syndrome (ARDS) in a 16-month-old girl, with follow-up after six years. Pulmonary function studies in the child and her monozygotic twin, used as a control, were normal. The testing consisted of diffusing capacity to carbon monoxide a...

journal_title：Pediatric emergency care

authors： Reyes de la Rocha S,Brown MA

更新日期：1989-03-01 00:00:00

abstract：:Necrotizing soft tissue infections are a serious medical emergency that involve necrosis within the soft tissue space including the dermis, subcutaneous tissue, superficial fascia, deep fascia, and muscle. Inciting factors include recent varicella infection, omphalitis, trauma, intramuscular injections, perianal traum...

journal_title：Pediatric emergency care

authors： Anderson JJ,Avendano P,Kaila R

更新日期：2019-08-01 00:00:00

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

authors： Tucker JR,Kornberg AE

更新日期：1994-04-01 00:00:00

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

authors： Gu A,Kam AJ

更新日期：2019-12-01 00:00:00

abstract：:Children who have been sexually abused develop a variety of emotional and physical complaints, often unrelated to the genital area. Emergency department records of children diagnosed as being sexually abused were reviewed for the period covering January 1984 through June 1985. Of 26,000 patients seen, 300 cases of sex...

journal_title：Pediatric emergency care

authors： Seidel JS,Elvik SL,Berkowitz CD,Day C

更新日期：1986-09-01 00:00:00

abstract：OBJECTIVES:To describe an expedited process for collecting social and cultural data before program planning to develop emergency medical services for children in La Paz, Bolivia. The overall goal was to understand the relevant issues from the point of view of those most affected. METHODS:An interdisciplinary collabora...

journal_title：Pediatric emergency care

authors： Chin NP,Goepp JG,Malia T,Poordabbagh A

更新日期：2004-09-01 00:00:00

abstract：:We retrospectively reviewed the emergency department records of 77 children and adolescents seen in an emergency department with the chief complaint of fainting. Upon careful review, 20 patients had not had any type of syncopal or near-syncopal episode. Of the remaining 57 patients, 40 experienced syncope, and 17 pati...

journal_title：Pediatric emergency care

authors： Pratt JL,Fleisher GR

更新日期：1989-06-01 00:00:00

abstract：OBJECTIVE:Each day, children incur more than 69,000 emergency department (ED) visits, with 58% to 82% of them for nonurgent reasons. The objectives of this study were to elicit and to describe guardians' and health professionals' opinions on reasons for nonurgent pediatric ED visits. METHODS:Focus groups sessions were...

journal_title：Pediatric emergency care

authors： Fieldston ES,Alpern ER,Nadel FM,Shea JA,Alessandrini EA

更新日期：2012-03-01 00:00:00

abstract：:Subcutaneous granuloma annulare is an inflammatory lesion occurring in otherwise healthy children. We present 3 pediatric patients with different diagnostic-therapeutic paths depending on the ward they were referred to. The lesions regress spontaneously, and medical or surgical treatments are generally not necessary. ...

journal_title：Pediatric emergency care

authors： Pederiva F,Paloni G,Berti I

更新日期：2017-08-01 00:00:00

abstract：OBJECTIVES:The Emergency Severity Index version 4 (ESI v.4) is the most recently implemented 5-level triage system. The validity and reliability of this triage tool in the pediatric population have not been extensively established. The goals of this study were to assess the validity of ESI v.4 in predicting hospital ad...

journal_title：Pediatric emergency care

authors： Green NA,Durani Y,Brecher D,DePiero A,Loiselle J,Attia M

更新日期：2012-08-01 00:00:00

abstract：OBJECTIVES:Immobilization of torus fractures of the distal forearm, for 1 to 4 weeks in a slab, cast, or splint, produces good radiological and functional outcomes. This study assesses the pain associated with 2 forms of immobilization used for these injuries. METHODS:A randomized controlled trial comparing fiberglass...

journal_title：Pediatric emergency care

authors： Oakley EA,Ooi KS,Barnett PL

更新日期：2008-02-01 00:00:00

abstract：:Corn starch powder is widely used for routine infant skin care as a substitute for talcum powder, as it is believed to have fewer respiratory hazards. We describe a one-month-old infant who presented to an emergency department with respiratory failure and a severe pneumonitis from aspiration of corn starch powder. The...

journal_title：Pediatric emergency care

authors： Silver P,Sagy M,Rubin L

更新日期：1996-04-01 00:00:00

abstract：:Musculoskeletal pain is a common symptom among active adolescent in the emergency department. The etiologic list is broad and range from benign to potential life-threatening conditions. Deep vein thrombosis is a rare cause of lower extremity pain in children. We report an adolescent who presented with lower extremity ...

journal_title：Pediatric emergency care

authors： Waseem M,Aslam M,Kumar K,Hernandez W

更新日期：2008-11-01 00:00:00

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

authors： Sherman JM,Rocker J,Rakovchik E

更新日期：2015-03-01 00:00:00

abstract：:We present a case of a 4-month-old girl referred to the emergency department with a provisional diagnosis of acute life-threatening event with a recent episode of heart block and a history of long-lasting fever. Soon after admission, the child suddenly deteriorated rapidly; she became pulseless with complete heart blo...

journal_title：Pediatric emergency care

authors： Diana MC,Villa G,Gattorno M,Ottonello G,Costabel S,Savioli C,DiPietro P

更新日期：2006-01-01 00:00:00

abstract：:Donepezil and memantine are commonly prescribed antidementia drugs. There is a paucity of literature concerning pediatric ingestions of these drugs. We describe a case of a 2-year-old child who developed encephalopathy after an unintentional ingestion of donepezil and memantine. A 2-year-old girl was found by her fami...

journal_title：Pediatric emergency care

authors： Thornton SL,Clark RF

更新日期：2014-09-01 00:00:00

abstract：OBJECTIVES:To develop a mathematical model to predict the probability of having community-acquired pneumonia and to evaluate an already developed prediction rule that has not been validated in a clinical scenario. METHODS:Children who presented with fever and had presumptive clinical diagnosis of pneumonia were evalua...

journal_title：Pediatric emergency care

authors： Bilkis MD,Gorgal N,Carbone M,Vazquez M,Albanese P,Branda MC,Alterman E,Rodriguez D,Orellana L,Pedrosa OB

更新日期：2010-06-01 00:00:00

abstract：:Invasive infections due to Haemophilus influenzae non-type b have been reported to be on the increase with the decline in invasive H.influenzae type b infections after the introduction of the conjugate H.influenzae type b vaccine. We report a case of H. influenzae type f sepsis in a fully immunized, immunocompetent, a...

journal_title：Pediatric emergency care

authors： Kannikeswaran N,Sethuraman U,Kamat D

更新日期：2007-04-01 00:00:00

abstract：:Constipation is a common cause of pediatric abdominal pain seen in pediatric emergency departments (EDs). We present the case of an 11-year-old boy with a 4-month history of chronic constipation and abdominal pain who presented to the children's ED. He was found to have a large abdominal mass that was determined to be...

journal_title：Pediatric emergency care

authors： Hightower JL Jr,Dire DJ

更新日期：2014-07-01 00:00:00

abstract：:Guillain-Barré syndrome (GBS) in children can present with early symptoms of limb and back pain that progress to acute generalized paralysis. Although the clinical course of this illness may be benign with spontaneous recovery, treatment is indicated for more severe cases. We report a three-year-old patient with GBS, ...

journal_title：Pediatric emergency care

authors： Jackman NL,Klig JE

更新日期：1998-08-01 00:00:00

abstract：:The report of an acute illness involving a large number of clustered children will undoubtedly provoke an urgent emergency care response or, in some instances, a mass casualty or disaster response. While responding to the perceived needs of those involved, the professionals caring for these children must consider epid...

journal_title：Pediatric emergency care

authors： Krug SE

更新日期：1992-10-01 00:00:00

abstract：:We describe the successful use of polyethylene glycoelectrolyte solution (Golytely) in the management of a child who developed a rectal phytobezoar after ingestion of unshelled sunflower seeds. A brief review of the literature regarding the management of rectal phytobezoar is discussed. ...

journal_title：Pediatric emergency care

authors： Shah M,Nakanishi A

更新日期：1990-06-01 00:00:00

abstract：:Esophageal coins are typically seen as radiopaque disks on anteroposterior chest radiographs. This radiographic finding is generally considered classic for identifying "swallowed" coins as being in the esophagus. We report the case of an 11-year-old girl with an esophageal coin seen end-on on an anteroposterior chest ...

journal_title：Pediatric emergency care

authors： Conners GP,Hadley JA

更新日期：2005-10-01 00:00:00