Influence of topical anesthesia on the sedation of pediatric emergency department patients with lacerations.

abstract：:Accessory spleen rupture may occur after blunt abdominal trauma or, more rarely, spontaneously. Although only few cases are described in adults, it is even more uncommon in children. We report the case of a 13-year-old boy with traumatic accessory spleen fracture. After a review of the literature, we discuss the diagn...

journal_title：Pediatric emergency care

authors： Chauvet E,Spyropoulou V,Anooshiravani-Dumont M,Sanchez O,Lacroix L

更新日期：2020-01-01 00:00:00

abstract：OBJECTIVE:To determine the relationship between mothers' use of prenatal care and pediatric emergency department (ED) use by their infants in the first 3 months of life. METHODS:This is a retrospective, cohort-control study of well, full-term infants who use a children's hospital ED. Using logistic regression, the lik...

journal_title：Pediatric emergency care

authors： Donovan EF,Perlstein PH,Atherton HD,Kotagal UR

更新日期：2000-06-01 00:00:00

abstract：:A 4-year-old Indian girl was seen in our emergency department for unintentional ingestion of topical medication oil with subsequent salicylate poisoning. Serum levels were 52 mg/dL at 12 hours after ingestion.She was started on urine alkalization therapy to enhance salicylate elimination. This was achieved by a bicarb...

journal_title：Pediatric emergency care

authors： Ong GY

更新日期：2011-04-01 00:00:00

abstract：:Asplenia may refer to the spleen's surgical removal, functional impairment, or congenital absence. It is a risk factor for the development of severe bacterial infection. Functional asplenia is likely the most common presentation of this entity and has many etiologies. Those that are previously undiagnosed may present ...

journal_title：Pediatric emergency care

authors： Angelski CL,McKay E,Blackie B

更新日期：2011-07-01 00:00:00

abstract：OBJECTIVE:The objective of this study was to assess predictors of emergency department (ED) ketamine-associated laryngospasm using case-control techniques. METHODS:We performed a matched case-control analysis of a sample of 8282 ED ketamine sedations (including 22 occurrences of laryngospasm) assembled from 32 prior p...

journal_title：Pediatric emergency care

authors： Green SM,Roback MG,Krauss B,Emergency Department Ketamine Meta-Analysis Study Group.

更新日期：2010-11-01 00:00:00

abstract：BACKGROUND:The use of observational units (OUs) in pediatric emergency departments (EDs) has become an important adjunct to emergency care. An extended observation period (4 to 23 hours) in the ED has decreased both the number of admissions and prolonged use of acute ED beds. This serves to increase patient satisfactio...

journal_title：Pediatric emergency care

authors： Silvestri A,McDaniel-Yakscoe N,O'Neill K,Bradley D,Hawkins H,Holleran R,Burke P,Hohenhaus S,Howard PK

更新日期：2005-03-01 00:00:00

abstract：:Neonatal seizures are a potentially life-threatening pediatric problem with a variety of causes, such as birth trauma, asphyxia, congenital anomalies, metabolic disturbances, infections, and drug withdrawal or intoxication. Thorough and timely evaluations of such patients are necessary to identify and treat the underl...

journal_title：Pediatric emergency care

authors： Thornton MD,Chen L,Langhan ML

更新日期：2013-10-01 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：: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

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

更新日期：2009-03-01 00:00:00

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

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

更新日期：2020-10-07 00:00:00

abstract：:Ultrasound-guided regional anesthesia is a growing modality within the pediatric emergency department. Here we present a case where a posterior tibial nerve block was used for anesthesia during foreign body removal from the plantar foot. We further review the technique and literature regarding this straightforward and...

journal_title：Pediatric emergency care

authors： Moake MM,Presley BC,Barnes RM

更新日期：2020-05-01 00:00:00

abstract：:We present an instructive case of a 5-week-old infant seen in the emergency department with acute inspiratory stridor and depressed level of consciousness. His emergency department course identified an acute opiate intoxication. The child also developed chest wall rigidity, a rare complication of narcotic use. We disc...

journal_title：Pediatric emergency care

authors： Perez A,Scribano PV,Perry H

更新日期：2004-11-01 00:00:00

abstract：OBJECTIVE:The objective was to derive a simple clinical scoring instrument for assessing children with croup by telephone for use in clinical research studies. METHODS:We reviewed published literature on croup scores, surveyed experienced pediatric emergency nurses and physicians, and conducted a prospective cohort st...

journal_title：Pediatric emergency care

authors： Bjornson CL,Williamson J,Johnson DW

更新日期：2016-05-01 00:00:00

abstract：OBJECTIVE:Emergency department (ED) boarding of admitted patients negatively impacts ED length of stay (LOS). Behavioral health (BH) patients are often challenging to safely discharge. We examined the association between daily BH census and non-BH LOS and left without being seen (LWBS) rates. METHODS:Retrospective ana...

journal_title：Pediatric emergency care

authors： Conrad HB,Hollenbach KA,Gehlbach DL,Ferran KL,Barham TA,Carstairs KL

更新日期：2018-08-01 00:00:00

abstract：BACKGROUND AND OBJECTIVE:Poisoning is the leading cause of injury death in pediatric patients. Hospital and provider readiness, including pharmacy stocking, depends on reliable surveillance data describing local patterns of age-specific clinically significant exposures and the therapeutic modalities employed in their t...

journal_title：Pediatric emergency care

authors： Desai NM,Mistry RD,Brou L,Boehnke ME,Lee JS,Wang GS,Toxicology Investigators Consortium.

更新日期：2019-08-23 00:00:00

abstract：:A study was carried out to determine the influence of telemedicine on management of facial lacerations in children. Proforma was designed, and information was collected retrospectively over a 4-month period. Of the 2524 telemedicine referrals, 27% (693/2524) were pediatric referrals. One hundred forty-five of these we...

journal_title：Pediatric emergency care

authors： Farook SA,Davis AK,Sadiq Z,Dua R,Newman L

更新日期：2013-08-01 00:00:00

abstract：:A 17-year-old adolescent girl with no past medical history presented to the emergency department with a chief complaint of lower back pain after sustaining a minor fall several hours earlier. Physical examination revealed mild to moderate back tenderness, and the result of review of systems was negative. Laboratory ev...

journal_title：Pediatric emergency care

authors： Arhinful E,Rosenthal A

更新日期：2009-11-01 00:00:00

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

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

更新日期：2000-12-01 00:00:00

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

authors： Lawrence L,Shaha S,Lillis K

更新日期：2008-04-01 00:00:00

abstract：:The diagnosis of pulmonary thromboembolism (PE) is often delayed because it is usually misdiagnosed as pneumonia or deep vein thrombosis. We report an unusual case of PE misdiagnosed as viral pleuritis on the first arrival at the emergency department (ED) in our hospital. A 14-year-old girl with no previous significan...

journal_title：Pediatric emergency care

authors： Tetsuhara K,Tsuji S,Uematsu S,Kamei K

更新日期：2018-11-01 00:00:00

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

authors： Wong K,Sequeira S,Bechtel K

更新日期：2020-11-01 00:00:00

abstract：:The unlikely event of long-term complications in some pediatric fractures, such as midclavicular fractures, has allowed for management of these injuries with interventions that support the injured extremity rather than immobilize it while healing occurs. However, there is currently a growing body of evidence that advo...

journal_title：Pediatric emergency care

authors： Boutis K

更新日期：2010-02-01 00:00:00

abstract：OBJECTIVE:Diabetic ketoacidosis (DKA) is a common emergency department presentation of both new-onset and established diabetes mellitus (DM). β-Hydroxybutyrate (BOHB) provides a direct measure of the pathophysiologic derangement in DKA as compared with the nonspecific measurements of blood pH and bicarbonate. Our objec...

journal_title：Pediatric emergency care

authors： Tremblay ES,Millington K,Monuteaux MC,Bachur RG,Wolfsdorf JI

更新日期：2020-02-01 00:00:00

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

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

abstract：:Reexpansion pulmonary edema is a rare complication that may occur after drainage of pneumothorax or pleural effusion. A number of factors have been identified that increase the risk of developing reexpansion pulmonary edema, and pathophysiologic mechanisms have been postulated. Patients may present with radiographic f...

journal_title：Pediatric emergency care

authors： Hirsch AW,Nagler J

更新日期：2018-03-01 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：OBJECTIVE:The objective of this study was to compare the sensitivity and specificity of 2- and 4-film x-ray series when interpreted by pediatric emergency medicine physicians in the diagnosis of skull fracture in children. METHODS:A noninferiority crossover study was performed. The skull radiographs of the 50 most rec...

journal_title：Pediatric emergency care

authors： Morrison J,Mâsse B,Ouellet P,Décarie JC,Gravel J

更新日期：2013-11-01 00:00:00

abstract：BACKGROUND:The use of pediatric hospitalists in community hospitals has increased over the past decade in response to the desire to provide high-quality pediatric care. Many hospitals are challenged to create financially independent and productive programs. OBJECTIVE:To evaluate an alternative approach to traditional ...

journal_title：Pediatric emergency care

authors： Krugman SD,Suggs A,Photowala HY,Beck A

更新日期：2007-01-01 00:00:00

abstract：INTRODUCTION:Resuscitation skills decay as early as 4 months after course acquisition. Gaps in research remain regarding ideal educational modalities, timing, and frequency of curricula required to optimize skills retention. Our objective was to evaluate the impact on retention of resuscitation skills 8 months after th...

journal_title：Pediatric emergency care

authors： Jani P,Blood AD,Park YS,Xing K,Mitchell D

更新日期：2019-07-11 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