Unsuspected splenic rupture in a neonate.

Abstract:

:Serious intra-abdominal injuries in neonates are very rare. In addition, the signs and symptoms of hemoperitoneum caused by bleeding from solid viscera are vague and nonspecific and often are not recognized before the onset of hypovolemic shock or death. In this report, we describe a 2-day-old infant who presented with shock and pallor who had a ruptured spleen, presumably from birth. We also review the literature and the importance of recognizing this injury in the emergency department setting.

journal_name

Pediatr Emerg Care

journal_title

Pediatric emergency care

authors

Longobardi Y,Lessin MS,Kleinman M,Wesselhoeft CW,Berns SD

doi

10.1097/00006565-200002000-00009

subject

Has Abstract

pub_date

2000-02-01 00:00:00

pages

28-30

issue

1

eissn

0749-5161

issn

1535-1815

journal_volume

16

pub_type

杂志文章,评审
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    abstract:PURPOSE:The object of this study was to assess, in cost-effective measures, 3 different models for pediatric first-aid training among caregivers and teachers. METHODS:Quasi-experimental design was used. A stratified random sampling method was used to obtain 1282 teachers working at nurseries and kindergartens in Shang...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/PEC.0b013e318216a5f0

    authors: Li F,Jiang F,Jin XM,Shen XM

    更新日期:2011-05-01 00:00:00

  • Laxative-Induced Contact Dermatitis.

    abstract::A 5-year-old female with Charcot-Marie-Tooth neuropathy and a history of constipation presented to the emergency department with a new blistering buttocks rash, which was initially concerning for nonaccidental burn. Upon further investigation, it was found that Ex-Lax had been given to the patient for constipation. Th...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001498

    authors: Melvin JE,Hickey RW

    更新日期:2019-07-01 00:00:00

  • A Case of Child Physical Abuse With a Rolling Pin Insertion, Resulting in Bladder and Rectal Perforation.

    abstract::Visceral injuries are not uncommon in nonaccidental trauma and often require emergent operative intervention. However, sometimes it can be difficult to assess the extent of injury. In this report, we present a case of child physical abuse resulting in bladder and rectal perforations, which was initially referred to ou...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000000883

    authors: Kondolot M,Doganay S,Turan C,Asil H,Oztop DB,Ozdemir C

    更新日期:2018-03-01 00:00:00

  • Sudden-onset back pain and cauda equina syndrome in an adolescent: a case report.

    abstract::Recent epidemiological studies have shown that childhood back pain is a common complaint often prompting medical attention and that it is infrequently the result of serious etiology. This challenges the traditional view that childhood back pain was an uncommon and ominous symptom, always indicative of significant path...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3181f054a9

    authors: Estey A,Lim R

    更新日期:2010-09-01 00:00:00

  • Characteristics of pediatric trauma in an urban city in Japan.

    abstract:OBJECTIVES:To clarify the characteristics of recent pediatric injuries in an urban city in Japan. METHODS:Any patient who was under 13 years old and admitted for treatment of trauma between January 2000 and December 2007 was retrospectively investigated. The subjects were divided into 2 groups, the head injury (HI) an...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3181b4f60e

    authors: Yanagawa Y,Sakamoto T

    更新日期:2009-09-01 00:00:00

  • Pediatric observation status beds on an inpatient unit: an integrated care model.

    abstract:OBJECTIVES:Describe the usage of observation status (OS) beds on a pediatric inpatient unit and identify diagnoses likely to be successfully discharged compared to those requiring formal inpatient admission. METHODS:Retrospective chart review of all patients (0-18 years) transferred to pediatric OS beds from the emerg...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,评审

    doi:10.1097/01.pec.0000106238.72265.5f

    authors: Crocetti MT,Barone MA,Amin DD,Walker AR

    更新日期:2004-01-01 00:00:00

  • Acute disseminated encephalomyelitis following meningoencephalitis: case report and literature review.

    abstract::Meningoencephalitis and acute disseminated encephalomyelitis (ADEM) are both neurological disease processes, but there have been few cases of meningoencephalitis progressing to ADEM in the pediatric population. A case of a 4-year-old girl with an initial diagnosis of meningoencephalitis is presented here, whose initia...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,评审

    doi:10.1097/PEC.0000000000000107

    authors: Elias MD,Narula S,Chu AS

    更新日期:2014-04-01 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

  • Pediatric Carbon Monoxide Poisoning in Southern Israel: A Cross-Sectional Study.

    abstract:OBJECTIVES:This study aimed to describe the epidemiology and clinical burden of unintended carbon monoxide (CO) poisoning among children in the Negev region of southern Israel. METHODS:This was a cross-sectional retrospective study of CO poisoning patients admitted to Soroka University Medical Center in 2011 through 2...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001484

    authors: Fruchtman Y,Perry ZH,Leibson T,Vered Cohen L,Lifshitz M,Leibovitz E

    更新日期:2020-11-01 00:00:00

  • Amitriptyline Intoxication in Children: Twenty Years' Experience in a Tertiary Care Center in Turkey.

    abstract:BACKGROUND:Amitriptyline ingestion is an important cause of poisoning morbidity and mortality in Turkey and other countries. In contrast to adults, data concerning amitriptyline intoxication in children are limited. The purpose of this study was to investigate amitriptyline intoxication findings in the pediatric popula...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000002055

    authors: Kamasak T,Kader Ş,Mutlu M,Özkaya K,Erduran E,Orhan F,Dilber E,Kalyoncu M,Karagüzel G,Cakir M,Bahat E,Cansu A

    更新日期:2020-03-02 00:00:00

  • Sticking It Straight: Pediatric Procedure Curriculum Initiative.

    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

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000002324

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

    更新日期:2020-12-21 00:00:00

  • Association between medication and intestinal intussusception in children: a case-crossover study.

    abstract:OBJECTIVES:This study aimed to assess the association between the appearance of intussusception in children and medication intake in the immediately preceding period (2-15 days). METHODS:A case-crossover design was used. We selected cases of children admitted with a diagnosis of intussusception (International Classifi...

    journal_title:Pediatric emergency care

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1097/PEC.0000000000000397

    authors: Vega García L,Fuentes-Leonarte V,Tenías JM,Correcher Medina P,Arias Arias Á,Román Ortiz C

    更新日期:2015-04-01 00:00:00

  • Efficacy of vibration on venipuncture pain scores in a pediatric emergency department.

    abstract:OBJECTIVE:Venipuncture is a frequent source of painful procedures for infants. It has been well documented that infants react to pain with a combination of physiologic and behavioral responses. Infants are unable to describe pain and at particularly high risk for inadequate pain management. The Vibration Anesthesia Dev...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/PEC.0000000000000228

    authors: Secil A,Fatih C,Gokhan A,Alpaslan GF,Gonul SR

    更新日期:2014-10-01 00:00:00

  • Tracheal Rupture: A Rare Complication of Endotracheal Intubation.

    abstract::There are numerous immediate and delayed complications associated with endotracheal intubation. Tracheal rupture is a rare complication whose diagnosis is often delayed. This can result in significant morbidity and mortality. We present a case of therapeutic misadventure resulting in a significant tracheal rupture in ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000000279

    authors: Reichman EF,Lanan BJ

    更新日期:2015-11-01 00:00:00

  • A Rare Case of Candida Epiglottitis in an Immunocompetent Child.

    abstract::We present a case of acute Candida epiglottitis in an otherwise healthy and Haemophilus influenzae type B-immunized 4-year-old child. A query of the literature reveals this disease to be commonly found in patients who are immunocompromised by problems including human immunodeficiency virus disease and lymphoma and leu...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,评审

    doi:10.1097/PEC.0000000000001082

    authors: Beil EP,Sole DP

    更新日期:2019-02-01 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

  • Adolescent Seizure in the Emergency Department Due to Concomitant Brugada Syndrome.

    abstract::Brugada syndrome is an increasingly discussed entity in the emergency medicine and cardiology literature. However, there are few cases reported in the pediatric population. Seizure is a presentation common to pediatric emergency departments. This case report describes the clinical course, workup, and differential diag...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,评审

    doi:10.1097/PEC.0000000000001508

    authors: Baum B,Ingaramo O,Chao D

    更新日期:2018-08-01 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

  • Severe Infant Rash Resistant to Therapy Due to Zinc Deficiency.

    abstract::Pediatric skin diseases are a common presenting complaint to emergency medicine physicians but often pose a significant diagnostic challenge. Skin eruptions that are unusually severe for the diagnosis in question, lasting beyond the typical time of resolution, or not responding to conventional therapy should raise con...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001218

    authors: Mohammed J,Mehrotra S,Schulz H,Lim R

    更新日期:2017-08-01 00:00:00

  • A rare case of lithium battery ingestion in a neonate with no complications.

    abstract::We report an extremely rare case of homicidal lithium battery ingestion in a neonate hitherto unreported in the medical literature. Although a definitive diagnosis was initially missed in the baby, the patient survived with no complications whatsoever even after retention of the said foreign body for 10 days. ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e31825d23df

    authors: Sahni JK,Singh GB,Verma R,Dhanda SK

    更新日期:2012-07-01 00:00:00

  • What Do We Know About Pediatric Palliative Care Patients Consulting to the Pediatric Emergency Department?

    abstract:OBJECTIVES:The objective of this study was to describe the characteristics of pediatric palliative care (PPC) patients presenting to a pediatric emergency department (ED) and these patients' ED visits. METHODS:This retrospective chart review was conducted from April 1, 2007, to March 31, 2012, in a tertiary care pedia...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001620

    authors: Gaucher N,Humbert N,Gauvin F

    更新日期:2018-09-25 00:00:00

  • Chest wall rigidity in two infants after low-dose fentanyl administration.

    abstract::Since its introduction into clinical practice, it has been known that fentanyl and other synthetic opioids may cause skeletal muscle rigidity. Involvement of the respiratory musculature, laryngeal structures, or the chest wall may impair ventilation, resulting in hypercarbia and hypoxemia. Although most common with th...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3182535a2a

    authors: Dewhirst E,Naguib A,Tobias JD

    更新日期:2012-05-01 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

  • Association of Delay in Appendectomy With Perforation in Children With Appendicitis.

    abstract:OBJECTIVE:The aim of this study was to assess whether increased time from emergency department (ED) triage to appendectomy is associated with a greater risk of children developing appendiceal perforation. METHODS:We performed a multicenter retrospective cohort study of children younger than 18 years hospitalized with ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,多中心研究

    doi:10.1097/PEC.0000000000000850

    authors: Meltzer JA,Kunkov S,Chao JH,Tay ET,George JP,Borukhov D,Alerhand S,Harrison PA,Hom J,Crain EF

    更新日期:2019-01-01 00:00:00

  • Child Mental Health Services in the Emergency Department: Disparities in Access.

    abstract:OBJECTIVE:Recent research suggests that increasing numbers of caregivers are bringing their children to the emergency department (ED) for mental health services and that a large proportion of these children have Medicaid as their insurance. The objective of this study was to examine the characteristics of children with...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000000336

    authors: Lynch S,Bautista M,Freer C,Kalynych C,Hendry P

    更新日期:2015-07-01 00:00:00

  • Diagnosis and guided reduction of forearm fractures in children using bedside ultrasound.

    abstract:BACKGROUND:Forearm fractures are common injuries in children. Displaced and angulated fractures usually require reduction. Ultrasound diagnosis and guided reduction offer several potential advantages: (1) the procedure does not involve ionizing radiation; (2) compared with fluoroscopy units, the newer ultrasound units ...

    journal_title:Pediatric emergency care

    pub_type: 临床试验,杂志文章

    doi:10.1097/PEC.0b013e318128f85d

    authors: Chen L,Kim Y,Moore CL

    更新日期:2007-08-01 00:00:00

  • Pediatric Emergency Medicine Fellowship survey: 1991-1992.

    abstract::This study was designed to determine the general characteristics, training expectations, and career goals of those individuals entering Pediatric Emergency Medicine Fellowships in 1992 through the NRMP Pediatric Emergency Medicine Match. A 20-item questionnaire was developed and sent to those individuals who successfu...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-199212000-00006

    authors: Simon HK,Linakis JG

    更新日期:1992-12-01 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

  • 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

  • Technical skills experiences in pediatric emergency medicine fellowship programs.

    abstract::Guidelines for Pediatric Emergency Medicine (PEM) fellowship programs were published by the Curriculum Subcommittee, Section of Emergency Medicine, American Academy of Pediatrics in February 1993. The guideline listed 120 technical skills that the subcommittee felt all fellows should be able to perform at the completi...

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    pub_type: 杂志文章

    doi:10.1097/00006565-199602000-00003

    authors: Paul RI,King L

    更新日期:1996-02-01 00:00:00