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：:Most fire-related deaths are attributable to smoke inhalation rather than burns. The inhalation of fire smoke, which contains not only carbon monoxide but also a complex mixture of gases, seems to be the major cause of morbidity and mortality in fire victims, mainly in enclosed spaces. Cyanide gas exposure is quite co...

journal_title：Pediatric emergency care

authors： Mintegi S,Clerigue N,Tipo V,Ponticiello E,Lonati D,Burillo-Putze G,Delvau N,Anseeuw K,Toxicology Surveillance System of the Intoxications Working Group of the Spanish Society of Paediatric Emergencies.

更新日期：2013-11-01 00:00:00

abstract：:Zolpidem is a widely prescribed anti-insomnia agent. Although most pediatric zolpidem ingestions are benign, large ingestions can cause significant central nervous system (CNS) depression. Flumazenil has been reported to reverse the CNS effects of zolpidem. We describe a case of a large pediatric zolpidem ingestion re...

journal_title：Pediatric emergency care

authors： Thornton SL,Negus E,Carstairs SD

更新日期：2013-11-01 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：OBJECTIVES:As emergency department (ED) waiting times and volumes increase, substantial numbers of patients leave without being seen (LWBS) by a physician. The objective of this study was to identify ED conditions reflecting patient input, throughput, and output associated with the number of patients who LWBS in a pedi...

journal_title：Pediatric emergency care

authors： Stang AS,McCusker J,Ciampi A,Strumpf E

更新日期：2013-10-01 00:00:00

abstract：INTRODUCTION:Escitalopram is rarely associated with prolongation of the QTc interval; however, there are no reported cases of QRS complex widening associated with escitalopram overdose. We report a case of a patient who presented with both QRS complex widening and QTc interval prolongation after an escitalopram overdos...

journal_title：Pediatric emergency care

authors： Schreffler SM,Marraffa JM,Stork CM,Mackey J

更新日期：2013-09-01 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：:Although brachial plexus injury occurring during multitrauma is frequent in adults, it is rarely observed in childhood. The most common cause of pediatric traumatic brachial palsy is motor vehicle accidents followed by pedestrian struck. Generally, phrenic nerve palsy accompanying brachial plexus trauma is observed in...

journal_title：Pediatric emergency care

authors： Karaoğlu P,Yiş U,Öztura I,Akdoğan Ö,Bayram E,Topçu Y,Hiz S

更新日期：2013-08-01 00:00:00

abstract：OBJECTIVE:Establishing intravenous access in children is often challenging for health professionals. Multiple attempts at peripheral intravenous cannulation (PIVC) cause increased pain and delayed delivery of therapy. Our objective was to synthesize and evaluate the best evidence for novel interventions designed to imp...

journal_title：Pediatric emergency care

authors： Heinrichs J,Fritze Z,Klassen T,Curtis S

更新日期：2013-07-01 00:00:00

abstract：OBJECTIVE:In the aftermath of the detonation of a radiological dispersal device (RDD), or "dirty bomb," a large influx of children would be expected to present to the emergency department, including many patients not directly affected by the event who present with concerns regarding radiation exposure. Our objective wa...

journal_title：Pediatric emergency care

authors： Reynolds SL,Crulcich MM,Sullivan G,Stewart MT

更新日期：2013-07-01 00:00:00

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

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

更新日期：2013-06-01 00:00:00

abstract：OBJECTIVE:The objective of this study was to compare admission rates and medical interventions among children whose caregivers called their child's primary care provider (PCP) before taking an ambulance to the pediatric emergency department (PED) versus those who did not. METHODS:This was a prospective cohort study of...

journal_title：Pediatric emergency care

authors： Grossman D,Kunkov S,Kaplan C,Crain EF

更新日期：2013-06-01 00:00:00

abstract：OBJECTIVES:Although child abuse pediatricians are frequently asked to evaluate risk of abuse based on photographs, the effect of photographic quality on this process is presently unknown. Photographs of abused children are often taken by professionals without photographic training, and quality varies widely. This artic...

journal_title：Pediatric emergency care

authors： Melville JD,Lukefahr JL,Cornell J,Kellogg ND,Lancaster JL

更新日期：2013-05-01 00:00:00

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

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

更新日期：2013-05-01 00:00:00

abstract：:Pneumomediastinum is a relatively uncommon occurrence in pediatric patients. After mediastinal air leak, air may dissect through a variety of tissue planes within the chest, neck, and abdomen. We report the case of a 16-year-old adolescent boy who presented with spontaneous pneumomediastinum accompanied by the presenc...

journal_title：Pediatric emergency care

authors： Carolan PL,Wright SL,Jha V

更新日期：2013-04-01 00:00:00

abstract：OBJECTIVES:This study aimed to assess urban adolescents' knowledge of and attitudes about emergency contraception (EC) and to assess the intention to use EC in particular hypothetical situations. We hypothesized that knowledge about EC would be limited, but that adolescents would support using EC in certain situations....

journal_title：Pediatric emergency care

authors： Mollen CJ,Miller MK,Hayes KL,Barg FK

更新日期：2013-04-01 00:00:00

abstract：BACKGROUND:Interfacility transfers occur frequently and often involve critically ill patients. Clear communication at the time of patient referral is essential for patient safety. OBJECTIVES:The objective of this work was to study whether a standardized inter-emergency department (ED) transfer communication template f...

journal_title：Pediatric emergency care

authors： Sahyoun C,Fleegler E,Kleinman M,Monuteaux MC,Bachur R

更新日期：2013-04-01 00:00:00

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...

journal_title：Pediatric emergency care

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

更新日期：2013-03-01 00:00:00

abstract：OBJECTIVE:The objectives of this study were to provide population-based incidence estimate of abusive head trauma (AHT) in children aged 0 to 5 years from inpatient and emergency department (ED) and identify risk characteristics for recognizing high-risk children to improve public health surveillance. METHODS:This was...

journal_title：Pediatric emergency care

authors： Selassie AW,Borg K,Busch C,Russell WS

更新日期：2013-03-01 00:00:00

abstract：:Subconjunctival hemorrhages in infants and children can be a finding after nonaccidental trauma. We describe 14 children with subconjunctival hemorrhages on physical examination, who were subsequently diagnosed by a child protection team with physical abuse. Although infrequent, subconjunctival hemorrhage may be relat...

journal_title：Pediatric emergency care

authors： DeRidder CA,Berkowitz CD,Hicks RA,Laskey AL

更新日期：2013-02-01 00:00:00

abstract：BACKGROUND:Somatization is associated with increased health care use in adults. Whether mothers with somatic symptoms use more health care resources for their children has not been investigated. OBJECTIVE:This study aimed to explore the association of maternal somatic symptoms and emergency department (ED) use. DESIG...

journal_title：Pediatric emergency care

authors： Dang AT,Ho M,Kroenke K,Grupp-Phelan J

更新日期：2013-02-01 00:00:00

abstract：:When an emergency medicine physician evaluates a child with abdominal pain and a history of appendectomy, appendicitis is often excluded from the differential. We present a case of a 16-year-old boy who developed stump appendicitis 3 years after laparoscopic appendectomy. Knowledge of this rare phenomenon in children ...

journal_title：Pediatric emergency care

authors： Schreiner C,Hartin CW Jr,Yamout SZ,Ozgediz DE,Glick PL

更新日期：2013-01-01 00:00:00

abstract：OBJECTIVE:Trauma is a leading cause of death among children. Detailed knowledge of the epidemiology of traumatic childhood deaths is necessary for allocating available treatment resources and for preventing injuries at both community and regional levels. To our knowledge, there has been no report comparing urban to rur...

journal_title：Pediatric emergency care

authors： Ortega HW,Velden HV,Krause E,Reid S

更新日期：2013-01-01 00:00:00

abstract：OBJECTIVE:The objective of this study was to identify common presenting signs, symptoms, and laboratory findings of imported pediatric malaria presenting to a US pediatric emergency department (ED). METHODS:This is a retrospective chart review of all patients presenting to an urban pediatric ED between July 1, 2004, a...

journal_title：Pediatric emergency care

authors： Schwartz KR,Vinci R

更新日期：2012-12-01 00:00:00

abstract：OBJECTIVE:This study aimed to investigate the management of pediatric patients with diabetic ketoacidosis (DKA) presenting to emergency departments (EDs) participating in the Illinois Emergency Medical Services for Children (EMSC) Facility Recognition program. METHODS:In 2010, Illinois EMSC conducted a survey (includi...

journal_title：Pediatric emergency care

authors： Barrios EK,Hageman J,Lyons E,Janies K,Leonard D,Duck S,Fuchs S

更新日期：2012-12-01 00:00:00

abstract：OBJECTIVE:Human immunodeficiency virus (HIV) continues to be a significant public health concern for adolescents and young adults. Since 2006, the Centers for Disease Control and Prevention has recommended more aggressive routine screening for HIV for patients presenting to the emergency department (ED). Our objectives...

journal_title：Pediatric emergency care

authors： Akhter S,Gorelick M,Beckmann K

更新日期：2012-12-01 00:00:00

abstract：:Penetrating head injuries are rare in children, with most injuries being accidental as a result of unsupervised use of sharp objects by young children. We present the case of a 4-year-old boy brought to our emergency department with a nail embedded through a wooden board and into his skull. The nail was determined to ...

journal_title：Pediatric emergency care

authors： Sedney CL,Harshbarger T,Orphanos J,Collins JJ

更新日期：2012-11-01 00:00:00

abstract：OBJECTIVES:The purpose of this study was to describe a single institutional experience with pediatric diffuse pulmonary hemorrhage, with an emphasis on etiology, clinical course, and outcome. METHODS:The medical records of pediatric patients admitted to Assaf Harofeh Medical Center between the years 2002 and 2011 beca...

journal_title：Pediatric emergency care

authors： Abu-Kishk I,Klin B,Eshel G

更新日期：2012-11-01 00:00:00

abstract：OBJECTIVES:The objectives of this study were to evaluate the efficacy and utilization of an observation unit (OU) for admission of pediatric patients after a toxicologic ingestion; compare the characteristics and outcomes of patients admitted to the pediatric OU, inpatient (IP) service, and intensive care unit (ICU) af...

journal_title：Pediatric emergency care

authors： Plumb J,Dudley NC,Herman BE,Kadish HA

更新日期：2012-11-01 00:00:00

abstract：OBJECTIVE:To evaluate the clinical use of procalcitonin (PCT) as a rapid marker for the identification of bacteremia in the emergency department (ED) population of children with fever and a central venous catheter (CVC). METHODS:Children were identified on presentation to the ED with a chief complaint of fever and who...

journal_title：Pediatric emergency care

authors： Kasem AJ,Bulloch B,Henry M,Shah K,Dalton H

更新日期：2012-10-01 00:00:00

abstract：OBJECTIVES:The goals of this study were to (1) conduct a cost-benefit analysis, from a hospital's perspective, of using a pediatrician in triage (PIT) in the emergency department (ED) and (2) assess the impact of a physician in triage on provider satisfaction. METHODS:This was a prospective, controlled trial of PIT (i...

journal_title：Pediatric emergency care

authors： Kezirian J,Muhammad WT,Wan JY,Godambe SA,Pershad J

更新日期：2012-10-01 00:00:00

abstract：:Sudden unexpected infant deaths (SUIDs) are deaths in infants younger than 12 months that occur suddenly, unexpectedly, and without obvious cause in the emergency department (ED). Sudden infant death syndrome, the leading cause of SUID in the United States, is much more common, but fatal child abuse and neglect have b...

journal_title：Pediatric emergency care

authors： Bechtel K

更新日期：2012-10-01 00:00:00

abstract：OBJECTIVES:This study aimed to create and analyze the performance of an automated triage tool alerting triage nursing staff and physicians to an abnormal heart rate consistent with septic shock in a pediatric emergency department. METHODS:A computerized best-practice alert (BPA) triage system corrected heart rate for ...

journal_title：Pediatric emergency care

authors： Cruz AT,Williams EA,Graf JM,Perry AM,Harbin DE,Wuestner ER,Patel B

更新日期：2012-09-01 00:00:00

abstract：OBJECTIVE:The objective of this study was to describe the demographics, epidemiology, and characteristics associated with survival of children younger than 18 years who had an out-of-hospital respiratory arrest (OOHRA) during a 1-year period in a large urban area. METHODS:A prospective observational cohort of consecut...

journal_title：Pediatric emergency care

authors： Tunik MG,Richmond N,Treiber M,Skomorowsky A,Galea S,Vlahov D,Blaney S,Kusick M,Silverman R,Foltin GL

更新日期：2012-09-01 00:00:00

abstract：:Deep vein thrombosis (DVT) and pulmonary embolism (PE) are relatively rare occurrences in the pediatric population. However, DVT and PE are associated with significant morbidity and mortality to the patient if not promptly diagnosed and treated. We describe the case of a 5-year-old boy that was diagnosed in our emerge...

journal_title：Pediatric emergency care

authors： Schaub RL,Rodkey ML

更新日期：2012-09-01 00:00:00

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

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

abstract：OBJECTIVES:The Emergency Severity Index version 4 (ESI v.4) is the most recently implemented 5-level triage system. The validity and reliability of this triage tool in the pediatric population have not been extensively established. The goals of this study were to assess the validity of ESI v.4 in predicting hospital ad...

journal_title：Pediatric emergency care

authors： Green NA,Durani Y,Brecher D,DePiero A,Loiselle J,Attia M

更新日期：2012-08-01 00:00:00

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

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

更新日期：2012-07-01 00:00:00

abstract：OBJECTIVES:This study examined whether utilization of the Florida State Health Online Tracking System (SHOTS) immunization registry to determine Haemophilus influenzae type B and heptavalent pneumococcal conjugate (PCV7) vaccine status impacts the protocolized decision to perform a screening blood draw for occult bacte...

journal_title：Pediatric emergency care

authors： Zeretzke CM,McIntosh MS,Kalynych CJ,Wylie T,Lott M,Wood D

更新日期：2012-07-01 00:00:00

abstract：OBJECTIVE:This study examined whether the withdrawal of over-the-counter cough and cold medication labeled for use in children younger than 2 years in October 2007 and the warning against use of the products in children younger than 4 years in October 2008 affected cough and cold medication ingestions by young children...

journal_title：Pediatric emergency care

authors： Forrester MB

更新日期：2012-06-01 00:00:00