Presentation and management of an acute caffeine overdose.

Abstract:

:A one-year-old white female ingested approximately two to three grams of caffeine (200-300 mg/kg). The patient survived the ingestion with a maximum caffeine concentration of 385 micrograms/ml four hours postingestion. The child developed ventricular arrhythmias, seizures, metabolic disturbances, and severe pulmonary edema. She survived without apparent long-term sequelae despite having reached a serum caffeine concentration that is the second highest reported level in a survivor.

journal_name

Pediatr Emerg Care

journal_title

Pediatric emergency care

authors

Dietrich AM,Mortensen ME

doi

10.1097/00006565-199012000-00012

subject

Has Abstract

pub_date

1990-12-01 00:00:00

pages

296-8

issue

4

eissn

0749-5161

issn

1535-1815

journal_volume

6

pub_type

杂志文章
  • Diagnosing abdominal pain in a pediatric emergency department.

    abstract::We undertook a prospective study of 377 children (two to 16 years old) presenting with abdominal pain to determine: 1) common discharge diagnoses; 2) what signs and symptoms are associated with appendicitis; and 3) follow-up of patients discharged from the emergency department (ED). Nine diagnoses accounted for 86% of...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-199206000-00003

    authors: Reynolds SL,Jaffe DM

    更新日期:1992-06-01 00:00:00

  • Association of Risk of Mortality in Pediatric Patients Transferred From Scene by Helicopter With Major But Not Minor Injuries.

    abstract:OBJECTIVES:Helicopter emergency medical services (HEMS) are used for 16% of pediatric trauma. National HEMS guidelines advised that triage criteria be standardized for pediatric patients. A national report found pediatric HEMS associated with decreased mortality compared with ground emergency medical services (GEMS) bu...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000002263

    authors: Duffens A,Grigorian A,de Virgilio C,Chin T,Kim D,Lekawa M,Schubl SD,Nahmias J

    更新日期:2020-10-22 00:00:00

  • Stress: A Factor Explaining the Gap Between Simulated and Clinical Procedure Success.

    abstract:BACKGROUND:Stress may impair the success of procedures in emergency medicine. The aims were to assess residents' stress during simulated and clinical lumbar punctures (LPs) and to explore the correlation of stress and performance. METHODS:A prospective study (2013-2016) was carried out in a pediatric emergency departm...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001962

    authors: Oriot D,Trigolet M,Kessler DO,Auerbach MA,Ghazali DA

    更新日期:2020-01-20 00:00:00

  • Emergency department treatment failures for skin infections in the era of community-acquired methicillin-resistant Staphylococcus aureus.

    abstract:BACKGROUND:Despite rapidly increasing incidence of skin and soft tissue infections (SSTIs) presenting to emergency departments (EDs), outcome data for these infections are limited. METHODS:This is a retrospective cohort study of children with culture-positive SSTI, managed as outpatients from a large pediatric ED in t...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e318203ca1c

    authors: Mistry RD,Scott HF,Zaoutis TE,Alpern ER

    更新日期:2011-01-01 00:00:00

  • Ventricular septal defect following blunt chest trauma in childhood: a case report.

    abstract::We report a case of a six-year-old male who sustained a ventricular septal defect following blunt trauma to the chest. Traumatically acquired VSD is rare in children. The diagnosis is made by characteristic history and physical examination and confirmed by echocardiogram or cardiac catheterization. Treatment is medica...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-198612000-00009

    authors: Knapp JF,Sharma V,Wasserman G,Hoover CJ,Walsh I

    更新日期:1986-12-01 00:00:00

  • A one-year prospective ED cohort of pediatric burns: a proposal for standardizing scald burns.

    abstract::During a 12-month period ending on 11/30/88, data were collected on 143 pediatric patients visiting a pediatric emergency department with burns. Sixty-four percent were males. Common causes of the burns included hot water (17%), hot food (23%), hot appliances (18%), and charcoal and grills (9%). Sixty-six percent of t...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-199104000-00004

    authors: Yamamoto LG,Wiebe RA,Matthews WJ Jr

    更新日期:1991-04-01 00:00:00

  • Application of Pediatric Appendicitis Score on the emergency department of a secondary level hospital.

    abstract:BACKGROUND:Acute appendicitis is the most common surgical emergency during childhood. Accurate early diagnosis is important to avoid complications and unnecessary interventions. In 2002, Samuel developed the Pediatric Appendicitis Score (PAS) based on a series of data obtained from anamnesis, physical examination, and ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3182586d34

    authors: Zúñiga RV,Arribas JL,Montes SP,Fernandez MN,Abad CG,Martin LG,González-Sagrado M

    更新日期:2012-06-01 00:00:00

  • Planning Emergency Medical Services for Children in Bolivia: part 2-results of a Rapid Assessment Procedure.

    abstract:OBJECTIVE:To obtain social and cultural data about factors affecting the development of Emergency Medical Services for Children (EMS-C) in La Paz, Bolivia. The points-of-view of potential consumers and providers were sought. METHODS:A Rapid Assessment Procedure (RAP) was conducted. RAP is a qualitative ethnographic te...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/01.pec.0000142950.58265.15

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

    更新日期:2004-10-01 00:00:00

  • Crural amputation of a newborn as a consequence of intraosseous needle insertion and calcium infusion.

    abstract::Intraosseous needle insertion and infusion is considered an easy and reliable method of achieving a vascular access in acute circulatory collapse where other methods have not been successful within reasonable time. Complications are considered few but may be serious. We present a case of a newborn girl, where intraoss...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000000150

    authors: Oesterlie GE,Petersen KK,Knudsen L,Henriksen TB

    更新日期:2014-06-01 00:00:00

  • Frequency of and Factors Associated With Prescription Medication Sharing Within Families.

    abstract:OBJECTIVES:Limited literature has investigated caregiver sharing of prescription medications with children. Our primary aim was to determine the frequency of and factors associated with prescription medication sharing within families. Our secondary aim was to determine the source and type of medications shared. METHOD...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001804

    authors: Renny MH,Thaker RH,Dayan PS

    更新日期:2019-04-30 00:00:00

  • A Survey Assessment of Perceived Importance and Methods of Maintenance of Critical Procedural Skills in Pediatric Emergency Medicine.

    abstract:OBJECTIVE:The aim of this study was to delineate pediatric emergency medicine provider opinions regarding the importance of, and to ascertain existing processes by which practitioners maintain, the following critical procedural skills: oral endotracheal intubation, intraosseous line placement, pharmacologic and electri...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000000991

    authors: Mittiga MR,FitzGerald MR,Kerrey BT

    更新日期:2019-08-01 00:00:00

  • Pulmonary Embolism Mimicking Infectious Pleuritis.

    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

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001104

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

    更新日期:2018-11-01 00:00:00

  • Treatment of children with migraine in the emergency department: a qualitative systematic review.

    abstract:OBJECTIVE:To evaluate which treatment could be effective in the emergency department (ED) for children with migraine and status migrainosus, we carried out a qualitative systematic review of randomized controlled trials (RCTs) that evaluated treatment that could be used for those conditions. METHODS:Databases (Cochran...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,评审

    doi:10.1097/PEC.0b013e31816ed047

    authors: Bailey B,McManus BC

    更新日期:2008-05-01 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

  • Education in the Waiting Room: Description of a Pediatric Emergency Department Educational Initiative.

    abstract:OBJECTIVE:The aim of this study was to understand parents' awareness of and reactions to a slide presentation based waiting-room educational initiative. METHODS:This was a prospective observational study at a Canadian tertiary-care pediatric emergency department (ED) with an annual census of 68,000 visits. An anonymou...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001140

    authors: Reid S,Neto G,Tse S,Farion KJ,Marvizi A,Smith L,Clarkin C,Rohde K,Moreau K

    更新日期:2017-10-01 00:00:00

  • Amitriptyline-associated seizures in a toddler with Munchausen-by-proxy.

    abstract::We describe an unusual case of a toddler diagnosed with an idiopathic seizure disorder that later was proved to be caused by deliberate administration of amitriptyline by his custodian. In spite of seizures associated with widened electrocardiographic wave (QRS) and right axis deviation on the electrocardiogram (EKG),...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-199906000-00011

    authors: Mullins ME,Cristofani CB,Warden CR,Cleary JF

    更新日期:1999-06-01 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

  • A teenage girl with a sternal mass: an unusual presentation of Pott disease.

    abstract::Bone and joint infection complicating tuberculosis is most likely to involve vertebrae. Pott disease, or tuberculous spondylitis, represents a small proportion of tuberculosis cases, but it can be associated with significant morbidity and mortality. Our case report details Pott disease in a teenage girl, which present...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3181fb0e38

    authors: Posner KR,Mittal MK

    更新日期:2010-11-01 00:00:00

  • Point-of-Care Ultrasound Diagnosis of Perforated Appendicitis in the Pediatric Emergency Department: A Case Series.

    abstract::Point-of-care ultrasound (POCUS) is being used for clinical decision making with increasing frequency across a broad range of indications in pediatric emergency medicine (PEM). We present a series of 4 patients in whom POCUS was used to facilitate a diagnosis of perforated appendicitis. ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000002082

    authors: Azhdam DB,Marin JR

    更新日期:2020-12-01 00:00:00

  • Two unusual pediatric cases of dilutional hyponatremia.

    abstract::Dilutional hyponatremia, although not uncommon, is an underestimated problem in the pediatric population. In most cases, it results from excessive hydration or water retention, also described as the so-called water intoxication. One of the most known causes is the use of desmopressin in enuretic children. This drug en...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3181e5bf9e

    authors: Boetzkes S,Van Hoeck K,Verbrugghe W,Ramet J,Wojciechowski M,Jorens PG

    更新日期:2010-07-01 00:00:00

  • Reexpansion Pulmonary Edema in Pediatrics.

    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

    pub_type: 杂志文章,评审

    doi:10.1097/PEC.0000000000001435

    authors: Hirsch AW,Nagler J

    更新日期:2018-03-01 00:00:00

  • The role of physician assistants in a pediatric emergency department: a center review and survey.

    abstract:OBJECTIVES:The objectives of this study were to outline the clinical conditions presenting to a Canadian pediatric emergency department (ED), survey the opinions of physician assistants (PAs) and emergency pediatricians to determine which conditions they consider could be managed by PAs, and to estimate the proportion ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3182627ce5

    authors: Doan Q,Sabhaney V,Kissoon N,Johnson D,Sheps S,Wong H,Singer J

    更新日期:2012-08-01 00:00:00

  • Flumazenil administration in poisoned pediatric patients.

    abstract:OBJECTIVE:The goal of this retrospective cohort study of pediatric patients exposed to flumazenil was to identify the frequency of seizures. METHODS:Included patient were those aged 12 years or younger who received flumazenil, who had evidence of clinical poisoning as defined by an altered mental status, and who were ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3182531d0d

    authors: Kreshak AA,Tomaszewski CA,Clark RF,Cantrell FL

    更新日期:2012-05-01 00:00:00

  • Comparison of 4 Pediatric Intraosseous Access Devices: A Randomized Simulation Study.

    abstract:BACKGROUND:Obtaining intravascular access can be challenging or even impossible in several clinical situations. As an alternative, medications and fluids can be administered via the intraosseous (IO) route, which is a well-tolerated and established alternative, especially in the emergency setting. METHODS:Seventy-five...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001587

    authors: Szarpak L,Ladny JR,Dabrowski M,Ladny M,Smereka J,Ahuja S,Ruetzler K

    更新日期:2020-10-01 00:00:00

  • Family member presence during pediatric emergency department procedures.

    abstract:OBJECTIVE:Exclusion of family members (FM) during pediatric procedures in the emergency department (ED) is an accepted practice. This study questions the validity of such a practice. SUBJECTS:FM of ED pediatric patients undergoing procedures and ED staff performing procedures. SITES: ED of a tertiary care university-a...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-199608000-00008

    authors: Sacchetti A,Lichenstein R,Carraccio CA,Harris RH

    更新日期:1996-08-01 00:00:00

  • Simultaneous Acquired Self-limited Hemophagocytic Lymphohistiocytosis and Kikuchi Necrotizing Lymphadenitis in a 16-Year-Old Teenage Girl: A Case Report and Review of the Literature.

    abstract:OBJECTIVES:The aim of this study was to increase education and awareness among pediatric practitioners of possibility of simultaneous hemophagocytic lymphohistiocytosis and Kikuchi-Fujimoto disease/Kikuchi disease occurring in the pediatric population and the diagnostic dilemma it can present. We describe a case presen...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,评审

    doi:10.1097/PEC.0000000000000560

    authors: Sykes JA,Badizadegan K,Gordon P,Sokol D,Escoto M,Ten I,Vyas S,Torres A,Levine AM

    更新日期:2016-11-01 00:00:00

  • Reducing contamination of peripheral blood cultures in a pediatric emergency department.

    abstract:OBJECTIVE:Blood culture contamination rates (CRs) in emergency departments (EDs) vary from 1% to 9% in previous studies. High CRs cause unnecessary admissions, antibiotics, and costs. Different measures have been tried to improve CR. This study sought to determine the ED CR at Arkansas Children's Hospital (ACH) and eva...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e318230285b

    authors: Murillo TA,Beavers-May TK,English D,Plummer V,Stovall SH

    更新日期:2011-10-01 00:00:00

  • Acute disseminated encephalomyelitis: an unusual cause of encephalitic syndrome in childhood.

    abstract::Acute disseminated encephalomyelitis is a rare central nervous system demyelinating disease that occurs most frequently in children. It usually runs a monophasic course, beginning with fever, headache, and meningeal signs and rapidly progressing to coma when appropriate diagnosis and treatment are not provided. We rep...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:

    authors: Sztajnbok J,Lignani L Jr,Bresolin AU,Marotto PC,Seguro AC

    更新日期:1998-02-01 00:00:00

  • Accidental isopropanol ingestion in children.

    abstract:OBJECTIVE:To describe the clinical course and determine the minimal observation period required following isopropanol ingestion in children. METHODS:The emergency department records of children less than 6 years of age with isopropanol ingestion who presented between June 1992 and December 1998 were identified. Demogr...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-200008000-00005

    authors: Stremski E,Hennes H

    更新日期:2000-08-01 00:00:00

  • Real-Time Measurement of Crowding in Pediatric Emergency Department: Derivation and Validation Using Consensual Perception of Crowding (SOTU-PED).

    abstract::Our study aimed to develop and validate a real-time crowding composite scale for pediatric emergency department (PED). The study took place in one teaching PED for 2 months. The outcome was the perception of crowding evaluated by triage nurses and pediatricians on a 10-level Likert scale. Triage nurses evaluated crowd...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001986

    authors: Noel G,Jouve E,Fruscione S,Minodier P,Boiron L,Viudes G,Gentile S

    更新日期:2020-01-27 00:00:00