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

authors： Stremski E,Hennes H

更新日期：2000-08-01 00:00:00

abstract：:Vertebral artery dissection is an unusual cause of stroke especially in children. The majority of dissections are thought to be caused by trauma although in many cases the trauma may be trivial. In other cases, certain underlying pathological processes are thought to be risk factors. We report a case of vertebral arte...

journal_title：Pediatric emergency care

authors： Feudale F,Liebelt E

更新日期：2000-06-01 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：:Wernicke's encephalopathy is a neurologic disorder due to a nutritional deficiency of thiamine, characterized by ocular palsies, ataxia, and altered mental activity. While Wernicke's encephalopathy is commonly attributed to alcoholism in the adult population, it has been described in children receiving prolonged paren...

journal_title：Pediatric emergency care

authors： Decker MJ,Isaacman DJ

更新日期：2000-04-01 00:00:00

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 wit...

journal_title：Pediatric emergency care

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

更新日期：2000-02-01 00:00:00

abstract：BACKGROUND:Child abuse is a leading pediatric public health problem. Pediatric emergency physicians are on the front line to identify and respond to child abuse. The physician's response to suspected child abuse cases is influenced by educational content and experience. OBJECTIVE:To determine pediatric emergency medic...

journal_title：Pediatric emergency care

authors： Wright RJ,Wright RO,Farnan L,Isaac NE

更新日期：1999-12-01 00:00:00

abstract：:We report the case of an unrestrained driver with achondroplastic dwarfism who suffered a fatal anterior neck injury when her airbag deployed as she rear-ended another vehicle at 30-40 mph. Her short stature and short limbs required her to sit within a handbreadth of the steering wheel, which probably allowed the airb...

journal_title：Pediatric emergency care

authors： Roberts D,Pexa C,Clarkowski B,Morey M,Murphy M

更新日期：1999-08-01 00:00:00

abstract：OBJECTIVE:This study was performed to determine the doses of midazolam used for sedation during procedures in children, and the frequency of adverse events. METHODS:We performed a retrospective analysis of data collected for a prospective study of flumazenil in children who had received midazolam for a procedure (n = ...

journal_title：Pediatric emergency care

authors： Karl HW,Coté CJ,McCubbin MM,Kelley M,Liebelt E,Kaufman S,Burkhart K,Albers G,Wasserman G

更新日期：1999-06-01 00:00:00

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

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

更新日期：1999-06-01 00:00:00

abstract：:Pneumocephalus or air within the cranial vault is usually associated with disruption of the skull caused by head trauma, neoplasms, or after craniofacial surgical interventions. We report a child who presented with headache and the pathognomonic "succussion splash" and was found to have atraumatic pneumocephalus from ...

journal_title：Pediatric emergency care

authors： Babl FE,Arnett AM,Barnett E,Brancato JC,Kharasch SJ,Janecka IP

更新日期：1999-04-01 00:00:00

abstract：PURPOSE:To describe a series of patients seen in a pediatric emergency department with adverse effects following an ingestion of a caterpillar. METHODS:Case series. RESULTS:Ten patients presented to the emergency department following ingestion of a caterpillar. Adverse effects ranged from drooling and refusal to drin...

journal_title：Pediatric emergency care

authors： Pitetti RD,Kuspis D,Krenzelok EP

更新日期：1999-02-01 00:00:00

abstract：OBJECTIVE:To determine whether application of topical aqueous lidocaine to a laceration attenuates the pain from the subsequent lidocaine injection in children. DESIGN:Prospective, double-blind study. SETTING:A large, urban, tertiary care children's hospital emergency department. PATIENTS:A convenience sample of 100...

journal_title：Pediatric emergency care

authors： Stewart GM,Simpson P,Rosenberg NM

更新日期：1998-12-01 00:00:00

abstract：STUDY OBJECTIVE:To document the current epidemiology of pediatric injury-related deaths in a rural state and evaluate changes over time. DESIGN:Retrospective review of injury-related deaths in children less than 15 years of age. Data were obtained from death certificates and coroner, autopsy, prehospital, and hospital...

journal_title：Pediatric emergency care

authors： Rausch TK,Sanddal ND,Sanddal TL,Esposito TJ

更新日期：1998-12-01 00:00:00

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

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

更新日期：1998-10-01 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：PURPOSE:To determine the requirements in all states and the District of Columbia for use of restraints on patients in ambulances. MATERIALS AND METHODS:A structured telephone survey was conducted with all state Emergency Medical Services (EMS) agencies or the agency responsible for the regulation of ambulances. Questi...

journal_title：Pediatric emergency care

authors： Seidel JS,Greenlaw J

更新日期：1998-06-01 00:00:00

abstract：OBJECTIVES:To determine the frequency of inappropriate transport by Emergency Medical Service (EMS). DESIGN:A retrospective study. SUBJECTS:Patients up to 36 months of age with medical complaints transported by EMS to an urban pediatric emergency department (ED). INTERVENTIONS:None. MEASUREMENTS:Arbitrary criteria ...

journal_title：Pediatric emergency care

authors： Rosenberg N,Knazik S,Cohen S,Simpson P

更新日期：1998-06-01 00:00:00

abstract：:A case of albuterol abuse by a pediatric patient with the development of hypokalemia with electrocardiographic changes is presented. The hypokalemic effects of beta2-agonists are discussed in regard to the production of significant cardiac symptoms. Additionally, guidance regarding the evaluation of similar patients p...

journal_title：Pediatric emergency care

authors： Rakhmanina NY,Kearns GL,Farrar HC 3rd

更新日期：1998-04-01 00:00:00

abstract：OBJECTIVE:To evaluate the utility of a simple scoring system as a predictor of obtaining a positive throat culture for group A streptococci (GAS). DESIGN:Prospective descriptive study. Scores were assigned prior to the availability of the results of throat cultures. SETTING:Emergency department and walk-in clinic of ...

journal_title：Pediatric emergency care

authors： Wald ER,Green MD,Schwartz B,Barbadora K

更新日期：1998-04-01 00:00:00

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

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

更新日期：1998-02-01 00:00:00

abstract：:Acute pediatric elbow trauma is commonly seen in the emergency department (ED). Reports confirm that, compared to other fractures, children's elbow fractures are commonly misdiagnosed in the ED. In addition, missed orthopedic injuries are one of the leading causes of malpractice claims in emergency medicine. Radiologi...

journal_title：Pediatric emergency care

authors： Skaggs D,Pershad J

更新日期：1997-12-01 00:00:00

abstract：:Foreign body aspirations in children are relatively uncommon occurrences, but they can be a serious events, causing respiratory distress, atelectasis, chronic pulmonary infections, or death. Safety pins are not commonly aspirated objects and account for less than 3% of all foreign bodies found in the tracheobronchial ...

journal_title：Pediatric emergency care

authors： Causey AL,Talton DS,Miller RC,Warren ET

更新日期：1997-12-01 00:00:00

abstract：INTRODUCTION:Since 1987 the average length of stay for infants following hospital delivery has decreased 1.8 days. This study was undertaken to evaluate the null hypothesis that early discharge of newborns from nurseries does not result in increased emergency department (ED) utilization during the first 10 days of life...

journal_title：Pediatric emergency care

authors： Sacchetti AD,Gerardi M,Sawchuk P,Bihl I

更新日期：1997-12-01 00:00:00

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

authors： Bechtel K

更新日期：1997-10-01 00:00:00

abstract：OBJECTIVE:To determine if pediatric emergency physicians (PEP) are following Centers for Disease Control and Prevention (CDC) recommendations that all health care workers receive routine vaccines and annual tuberculosis screens. DESIGN:A two-page mail survey with one follow-up mailing. PARTICIPANTS:All active members...

journal_title：Pediatric emergency care

authors： Lane NE,Paul RI,Bratcher DF,Stover BH

更新日期：1997-10-01 00:00:00

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

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

更新日期：1997-08-01 00:00:00

abstract：:Adolescents infected with the human immunodeficiency virus (HIV) often confront the clinician with difficult medical problems. Besides the host of opportunistic infections, which can affect these patients, side effects from medications can be frequent and, at times, life-threatening. We report a case of aseptic mening...

journal_title：Pediatric emergency care

authors： Rudy BJ,Rutstein R

更新日期：1997-06-01 00:00:00

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

authors： Smith SR,Jaffe DM,Skinner MA

更新日期：1997-04-01 00:00:00

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

authors： Moore KJ,Needle MN

更新日期：1996-12-01 00:00:00

abstract：OBJECTIVE:We present a case of Kasabach-Merritt syndrome with discussion of hemangiomas of childhood relevant to the emergency physician. DESIGN:This is a case report. SETTING:The case is described in the setting of a tertiary care hospital level I pediatric emergency department. PATIENTS:A single case is discussed....

journal_title：Pediatric emergency care

authors： Ward DG,Wang W,Fesmire W,Salhab W

更新日期：1996-12-01 00:00:00

abstract：OBJECTIVES:To assess the effect of adding a shared research nurse on patient enrollment in an ongoing clinical study. DESIGN:Before/after comparison of recruitment rates and consent rates involving patients eligible for a study of blood culture collection strategies for methods on the detection of bacteremia and deter...

journal_title：Pediatric emergency care

authors： Isaacman DJ,Reynolds EA

更新日期：1996-10-01 00:00:00

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

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

更新日期：1996-08-01 00:00:00

abstract：OBJECTIVE:To identify the source of acquisition of infant walkers and attitudes regarding the continuing use of walkers following an injury to an infant in order to design preventive strategies. DESIGN:Descriptive and retrospective. SETTING:Emergency department of a children's hospital involved in primary, secondary ...

journal_title：Pediatric emergency care

authors： Morrison CD,Stanwick RS,Tenenbein M

更新日期：1996-06-01 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：: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...

journal_title：Pediatric emergency care

authors： Paul RI,King L

更新日期：1996-02-01 00:00:00

abstract：:The object of this study was to review and delineate the presenting complaints, signs, symptoms, and Emergency Department (ED) management of pediatric heart transplant recipients who presented to Loma Linda University Medical Center's (LLUMC) Emergency Department. A retrospective chart review was made of all of the pe...

journal_title：Pediatric emergency care

authors： Chinnock R,Sherwin T,Robie S,Baum M,Janner D,Mellick L

更新日期：1995-12-01 00:00:00

abstract：:To determine the accuracy and reliability of a labeled leukocyte imaging technique in the early diagnosis of pediatric appendicitis, we prospectively studied patients presenting to the pediatric emergency department with abdominal pain suggestive of appendicitis. Patients scheduled for urgent laparotomy were excluded,...

journal_title：Pediatric emergency care

authors： Kanegaye JT,Vance CW,Parisi M,Miller JH,Mahour GH,Chan LS,Schonfeld N

更新日期：1995-10-01 00:00:00

abstract：:The development of leadership and management skills requires a commitment to personal introspection and the development of self-knowledge. Difficult decisions concerning the determination of that which is truly important is central to the process. At both the personal and organizational levels, this process can be fac...

journal_title：Pediatric emergency care

authors： Petrack EM,Li MM

更新日期：1995-06-01 00:00:00

abstract：:Grunting respirations are recognized as a sign of serious illness in infants and children, but have not been well studied beyond the newborn period. We present three illustrative cases and the results of a descriptive study which elucidates the causes of grunting in infants and children and suggests guidelines for ass...

journal_title：Pediatric emergency care

authors： Poole SR,Chetham M,Anderson M

更新日期：1995-06-01 00:00:00

abstract：:Candidates for fellowship training in Pediatric Emergency Medicine may be residency-trained in pediatrics or emergency medicine. The fellows who are emergency medicine-trained have different needs than those with pediatric training. Training programs for these individuals should focus on normal and abnormal developmen...

journal_title：Pediatric emergency care

authors： Seidel JS

更新日期：1995-04-01 00:00:00