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 children enrolled was 8.1 ± 4.5 years. Low-voltage injury was seen in 28 (68.2%), and 13 (31.8%) had high-voltage injuries. Low-voltage injuries were most commonly (52.45%) secondary to direct contact with live wire, whereas high-voltage injuries in 70% were due to direct contact with broken wires lying in fields/rooftops. Fourteen children of the 41 enrolled had associated injuries. Low-voltage injuries were associated with minor burns, seizures, tibial fracture, eyelid burn, scalp hematoma, and speech and visual impairment, whereas high-voltage injuries were associated with cardiac arrest, extradural hematoma, visceral burns, pulmonary hemorrhage and hypoxic encephalopathy, and postelectrocution acute respiratory distress syndrome. Surgical interventions done included split-thickness skin grafting, fasciotomy, and amputation procedures. The mean duration of hospital stay of all the children enrolled was 9.02 days with 35 children discharged, 71.4% of them having low-voltage injuries. Four children died, 75% of them having high-voltage injury, whereas 2 children left without medical advice, both having low-voltage injuries. CONCLUSIONS:Children are a major group susceptible to electrical injuries in our country. Most of the mechanisms leading to them are easily preventable, but occur because of lack or awareness among the children and their guardians. Burn prevention program should be implemented incorporating these epidemiological data.

journal_name

Pediatr Emerg Care

journal_title

Pediatric emergency care

authors

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

doi

10.1097/PEC.0b013e3182852f71

subject

Has Abstract

pub_date

2013-03-01 00:00:00

pages

342-5

issue

3

eissn

0749-5161

issn

1535-1815

journal_volume

29

pub_type

杂志文章
  • Effectiveness of intramuscular penicillin versus oral amoxicillin in the early treatment of outpatient pediatric pneumonia.

    abstract:OBJECTIVE:To determine if intramuscular (IM) penicillin is more effective than oral (PO) amoxicillin in the early outpatient treatment of pediatric patients with presumed bacterial pneumonia. METHODS:Prospective, randomized, evaluator-blinded, clinical trial. SETTING:Pediatric emergency department (ED) of an urban ch...

    journal_title:Pediatric emergency care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Tsarouhas N,Shaw KN,Hodinka RL,Bell LM

    更新日期:1998-10-01 00:00:00

  • The assessment and management of hypertensive emergencies and urgencies in children.

    abstract::Although the prevalence of hypertension in the pediatric population is estimated at only 1% to 2%, hypertensive urgencies and emergencies may be encountered in the emergency department. Efficient management of these children is of utmost importance to avoid some of the life-threatening complications associated with hy...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,评审

    doi:10.1097/01.pec.0000166733.08965.23

    authors: Constantine E,Linakis J

    更新日期:2005-06-01 00:00:00

  • Prehospital use of intraosseous infusion by paramedics.

    abstract::Vascular access in young children frequently proves difficult in the prehospital setting. To assess the feasibility of training paramedics in the placement of intraosseous (IO) lines as an alternative to intravenous (IV) access, this pilot project studied a training program and treatment protocol for prehospital IO us...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-198903000-00002

    authors: Miner WF,Corneli HM,Bolte RG,Lehnhof D,Clawson JJ

    更新日期:1989-03-01 00:00:00

  • Oncology and transport. Beware of the presentation and anticipate the clinical course.

    abstract::These cases demonstrate a few of the presentations that may occur with new onset oncologic problems. While the transport phase of these children's care was not extraordinary, the development and management of the clinical issues might have been influenced by earlier interventions. Would the outcome of Case 1 have been...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-199612000-00019

    authors: Moore KJ,Needle MN

    更新日期:1996-12-01 00:00:00

  • Acute renal failure in a child with thrombocytopenic purpura caused by acute Epstein-Barr virus infection after treatment with anti-D immunoglobulin.

    abstract::Immune thrombocytopenia (ITP) in children is usually a benign, self-limiting disorder. An acute Epstein-Barr virus (EBV) infection usually causes atypical lymphocytosis and mild decrease in platelets. Severe thrombocytopenia is an extremely rare complication. Anti-D immunoglobulin has been used for treatment of ITP in...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e318294f3a5

    authors: Kossiva L,Kyriakou D,Mitsioni A,Garoufi A

    更新日期:2013-06-01 00:00:00

  • Fell on outstretched hand.

    abstract::Radial neck fractures in children are not uncommon. Most are minimally displaced or nondisplaced. Severely displaced fractures or angulated radial neck fractures in children often have poor outcomes, especially if not reduced, and even after open reduction. ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/01.pec.0000235839.44449.36

    authors: Waseem M,Devas G,Perales O

    更新日期:2006-09-01 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

    doi:10.1097/PEC.0000000000000817

    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

  • Hypertensive emergency successfully treated with metoprolol: a case report.

    abstract::It has been estimated that up to 27% of all medical emergencies presenting to emergency departments are due to hypertension, predominantly in the adult population. Although this often is an insidious process, acutely, a hypertensive emergency occurs when a patient presents with severe hypertension and evidence of end ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3181a34816

    authors: Liesemer K,Mullen N

    更新日期:2009-05-01 00:00:00

  • Long-Term Follow-Up of Infants After a Brief Resolved Unexplained Event-Related Hospitalization.

    abstract:OBJECTIVE:A brief resolved unexplained event (BRUE) in infancy is a common reason for visiting the emergency department. However, little is known about the long-term outcomes of such an event. This study evaluates future mortality, morbidity, and/or developmental outcome after a BRUE. METHODS:A single-center retrospec...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001816

    authors: Ari A,Atias Y,Amir J

    更新日期:2019-11-01 00:00:00

  • Barriers to care among US school-aged children with disabilities.

    abstract:OBJECTIVE:We examined financial barriers to care experienced by US school-aged children with disabilities. METHODS:Data from the 2005 National Health Interview Survey were analyzed. Children aged 5 to 17 years were classified into 4 health condition groups: children with activity limitations, disabling conditions, chr...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e318180fda3

    authors: Scurlock C,Yu S,Zhang X,Xiang H

    更新日期:2008-08-01 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

  • 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

  • Retropharyngeal abscesses in children: a 10-year review.

    abstract::Retropharyngeal abscess is a rather rare, deep-neck infection of children and may seriously compromise the airway and mimic other diseases. A retrospective review of 17 cases of retropharyngeal abscess presenting to The Children's Hospital, Denver, from 1976 to 1986 was performed. Nine children (56%) had stridor or ai...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-198803000-00003

    authors: Morrison JE Jr,Pashley NR

    更新日期:1988-03-01 00:00:00

  • Charges and complications associated with the medical evaluation of febrile young infants.

    abstract:BACKGROUND:Since 1983, no study has evaluated the costs and complications involved in the inpatient evaluation of antibiotic therapy for febrile infants aged 29 to 60 days. METHODS:A prospective quality indicator/quality assurance study of low-risk febrile young infants (FYIs) was conducted during a 16-month period af...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3181d1e180

    authors: Condra CS,Parbhu B,Lorenz D,Herr SM

    更新日期:2010-03-01 00:00:00

  • Central venous access via external jugular vein in children.

    abstract:OBJECTIVE:To determine the success rate and complications of using the external jugular (EJ) vein for central venous access in pediatric patients. METHODS:Prospective cohort study of children who underwent attempts at EJ vein central venous access while receiving care in an 11-bed pediatric intensive care unit at an u...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3181ea71ca

    authors: Tecklenburg FW,Cochran JB,Webb SA,Habib DM,Losek JD

    更新日期:2010-08-01 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

  • An unusual complication from a femoral venous catheter.

    abstract::We report a case of a child with sickle cell disease and decreased intravascular volume secondary to splenic sequestration in whom a femoral venous catheter dislodged, infiltrated into the soft tissue of the anterior abdominal wall, and caused clinical signs of peritonitis. Inability to recognize this complication led...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-198803000-00009

    authors: Bonadio WA,Losek JD,Melzer-Lange M

    更新日期:1988-03-01 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

    doi:10.1097/PEC.0b013e3181e15e7d

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

    更新日期:2010-06-01 00:00:00

  • Concentrated liquid detergent pod ingestion in children.

    abstract::Concentrated liquid detergent pods are an emerging public health hazard, especially in pediatric patients. Ingestion is a more common route of exposure for liquid detergent pods compared with non-pod detergents and it tends to be associated with more severe adverse effects. We present 3 cases that demonstrate the vari...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000000292

    authors: Sidhu N,Jaeger MW

    更新日期:2014-12-01 00:00:00

  • Status epilepticus in a child secondary to ingestion of skin-lightening cream.

    abstract::The popularity of the Internet and online media has led to the increased availability of prescription-strength, skin-lightening products contributing to a rise in their use among people with various skin pigment disorders. These products may contain a wide variety of active ingredients such as heavy metals, hydroquino...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e31828ed1be

    authors: Burns JM,Marino A,Manno M,Rhyee S,Boyer EW

    更新日期:2013-05-01 00:00:00

  • Accessory Spleen Fracture: Report of a Pediatric Case and Review of the Literature.

    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

    pub_type: 杂志文章,评审

    doi:10.1097/PEC.0000000000001381

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

    更新日期:2020-01-01 00:00:00

  • A Mild Laryngeal Cleft Causes Severe Symptoms.

    abstract::Diagnosis and treatment of laryngeal clefts (LCs) particularly type I pose a challenge. Although rare, type I LCs are becoming increasingly identified in recent years, and this is perhaps due to both an increased awareness and better diagnostic modalities. We report a young infant presenting with feeding difficulty an...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,评审

    doi:10.1097/PEC.0000000000001350

    authors: Mandadi AR,Saeed W,Suneja U,Waseem M

    更新日期:2019-03-01 00:00:00

  • Alcaligenes faecalis Cellulitis After a Dog Bite: Case Report and Literature Review.

    abstract::Alcaligenes faecalis is a gram-negative organism that is commonly found in the environment and may also be a part of normal fecal flora in humans. Although various infections with this bacteria have been described in the pediatric population, it has not been previously identified in infections as the pathogen after a ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,评审

    doi:10.1097/PEC.0000000000000645

    authors: Chu AS,Harkness J

    更新日期:2017-07-01 00:00:00

  • Intraosseous and central venous blood acid-base relationship during cardiopulmonary resuscitation.

    abstract:OBJECTIVE:The objectives of this study were: 1) to determine whether obtaining intraosseous (IO) blood samples was practical during cardiopulmonary resuscitation (CPR), and 2) to compare the acid-base status (pH and partial pressure of CO2 (PCO2) of venous and IO blood during CPR. DESIGN:A prospective repeated measure...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-199708000-00002

    authors: Kissoon N,Idris A,Wenzel V,Murphy S,Rush W

    更新日期:1997-08-01 00:00:00

  • Poor Agreement but Good Predictive Value Between Automated and Manual QTc Intervals in Pediatric Emergency Department Electrocardiograms.

    abstract:OBJECTIVES:QTc interval is significant because prolongation may lead to ventricular dysrhythmia. Computerized electrocardiogram machines typically measure QT interval length and, using an algorithm assessment of multiple leads, calculate a QTc value. Manual measurement of the QT interval used to calculate the QTc value...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000002125

    authors: Hoffman RJ,Alansari K

    更新日期:2020-06-01 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

    doi:10.1097/PEC.0b013e31820d65b7

    authors: O'Gorman A,Ratnapalan S

    更新日期:2011-03-01 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

    doi:10.1097/00006565-199704000-00008

    authors: Smith SR,Jaffe DM,Skinner MA

    更新日期:1997-04-01 00:00:00

  • Scorpion envenomation and antivenom therapy.

    abstract::Scorpion envenomation is a dangerous and common global event that can result in a variety of toxic clinical effects. These are typically managed with supportive care or antivenom. Antivenom use is controversial because of conflicting evidence of effectiveness for adrenergic toxicity. However, both controlled and uncon...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3182228dfa

    authors: Tuuri RE,Reynolds S

    更新日期:2011-07-01 00:00:00

  • Prenatal Maternal Occupational Exposure and Postnatal Child Exposure to Elemental Mercury.

    abstract:OBJECTIVES:Young children are highly vulnerable to elemental mercury toxicity, and elementary mercury exposure in young children in China unfortunately occurs regularly because of the wide use of fluorescent lamps, glass thermometers, and other mercury-contained items. This study aimed to summarize such recent cases in...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000000305

    authors: Xu J,Yan CH,Hu H,Wu MQ,Shen XM

    更新日期:2016-03-01 00:00:00

  • The Use of Routine Blood Cultures in Pediatric Appendicitis.

    abstract:OBJECTIVES:To determine the proportion of true-positive blood culture results in children presenting to the ED with suspected appendicitis. To describe the current practice of obtaining blood cultures in children with suspected appendicitis. METHODS:We performed a 2-year retrospective health record review of all child...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000000877

    authors: Thompson GC,Morrison E,Ross M,Liu H,Vanderkooi OG,Eccles R

    更新日期:2017-12-01 00:00:00