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

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

abstract：:Atypical manifestations of acute hepatitis A virus (HAV) infection include ascites, pleural effusion, acute renal failure, aplastic anemia, and neurological manifestations. Although association of HAV and acute cholecystitis is known, presentation of hepatitis A infection with acute cholecystitis has not been reported...

journal_title：Pediatric emergency care

authors： Prashanth GP,Angadi BH,Joshi SN,Bagalkot PS,Maralihalli MB

更新日期：2012-06-01 00:00:00

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

authors： Dewhirst E,Naguib A,Tobias JD

更新日期：2012-05-01 00:00:00

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

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

更新日期：2012-05-01 00:00:00

abstract：OBJECTIVES:Superior mesenteric artery syndrome (SMAS) is a rare cause of small intestinal obstruction in pediatric patients. Children with intellectual disabilities are a challenging patient population in which to make this diagnosis. The goal of this study was to determine the frequency, presenting symptoms, and outco...

journal_title：Pediatric emergency care

authors： Geskey JM,Erdman HJ,Bramley HP,Williams RJ,Shaffer ML

更新日期：2012-04-01 00:00:00

abstract：OBJECTIVE:Treating or referring patients who are found to be anemic during pediatric emergency department (ED) encounters should lead to improved health in children and young adults. Before establishing guidelines how to approach the anemic in the pediatric ED, it is essential to determine the prevalence of anemia in t...

journal_title：Pediatric emergency care

authors： Kristinsson G,Shtivelman S,Hom J,Tunik MG

更新日期：2012-04-01 00:00:00

abstract：OBJECTIVE:Each day, children incur more than 69,000 emergency department (ED) visits, with 58% to 82% of them for nonurgent reasons. The objectives of this study were to elicit and to describe guardians' and health professionals' opinions on reasons for nonurgent pediatric ED visits. METHODS:Focus groups sessions were...

journal_title：Pediatric emergency care

authors： Fieldston ES,Alpern ER,Nadel FM,Shea JA,Alessandrini EA

更新日期：2012-03-01 00:00:00

abstract：:As the field of pediatric procedural sedation continues to expand, so does the exploration of medications that have a role in such invasive and noninvasive procedures. One such medication that has emerged during the last decade is dexmedetomidine, a drug approved for use in the adult intensive care setting. Its role i...

journal_title：Pediatric emergency care

authors： McMorrow SP,Abramo TJ

更新日期：2012-03-01 00:00:00

abstract：OBJECTIVE:This study aimed to compare efficacy of enema versus polyethylene glycol (PEG) 3350 for pediatric fecal impaction treatment. METHODS:We conducted a prospective, randomized comparison of treatments of fecal impaction in children in a pediatric emergency department (ED). Treatment arms were a single milk and m...

journal_title：Pediatric emergency care

authors： Miller MK,Dowd MD,Friesen CA,Walsh-Kelly CM

更新日期：2012-02-01 00:00:00

abstract：:We report an unusual case of ventriculoperitoneal (VP) shunt intrathoracic migration, associated with massive symptomatic hydrothorax. The VP shunt was inserted 10 years before presentation, after hemorrhagic hydrocephalus caused by prenatal intraventricular hemorrhage. The pleural fluid was drained via tube thoracost...

journal_title：Pediatric emergency care

authors： Glatstein MM,Roth J,Scolnik D,Haham A,Rimon A,Koren L,Constantini S

更新日期：2012-02-01 00:00:00

abstract：OBJECTIVES:This study aimed to determine the most important reasons for pediatric nonurgent (NU) emergency department (ED) visits as perceived by caregivers, primary care pediatricians (PCPs), and ED personnel and to assess the differences among these 3 groups in perceived reasons and solutions to NUED visits. METHODS...

journal_title：Pediatric emergency care

authors： Salami O,Salvador J,Vega R

更新日期：2012-01-01 00:00:00

abstract：OBJECTIVES:The Accreditation Council for Graduate Medical Education requires pediatric residency training programs to provide exposure to the prehospital management and transport of patients. The authors hypothesized that compared with a similar study a decade prior, current pediatric residency training programs have r...

journal_title：Pediatric emergency care

authors： Kline-Krammes S,Wheeler DS,Schwartz HP,Forbes M,Bigham MT

更新日期：2012-01-01 00:00:00

abstract：:A 4-year-old boy, who had no prior history of convulsions, presented with inability to walk, disequilibrium, dysarthria (incoherent speech), and impaired cognition (disorientation) following the instillation of 1% cyclopentolate, a commonly used mydriatic in pediatric practice. This case demonstrates the uncommon, alt...

journal_title：Pediatric emergency care

authors： Derinoz O,Er A

更新日期：2012-01-01 00:00:00

abstract：:Fructose-1,6-diphosphatase (FDPase) enzyme deficiency is a rare inherited metabolic disease. Affected patients usually present with metabolic crisis including hypoglycemia, acidosis, ketonuria, and hyperuricemia. A previously healthy 8-month-old male infant presented with fever, vomiting, and hypoactivity. He had tach...

journal_title：Pediatric emergency care

authors： Paksu MŞ,Kalkan G,Asilioglu N,Paksu S,Dinler G

更新日期：2011-12-01 00:00:00

abstract：OBJECTIVES AND METHODS:The aim of the present retrospective, cross-sectional, descriptive study was to determine the characteristics of febrile 3- to 36-month-old children who were admitted to the emergency department (ED) with the chief complaint of fever and returned with the same complaint within 72 hours (returning...

journal_title：Pediatric emergency care

authors： Klein-Kremer A,Goldman RD

更新日期：2011-12-01 00:00:00

abstract：:Catecholaminergic polymorphic ventricular tachycardia (CPVT) is a rare adrenergically mediated arrhythmogenic disorder classically induced by exercise or emotional stress and found in structurally normal hearts. It is an important cause of cardiac syncope and sudden death in childhood. Catecholaminergic polymorphic ve...

journal_title：Pediatric emergency care

authors： Heiner JD,Bullard-Berent JH,Inbar S

更新日期：2011-11-01 00:00:00

abstract：BACKGROUND:Optimizing patient/family caregiver satisfaction with emergency department (ED) encounters has advantages for improving patient health outcomes, adherence with medical plans, patient rights, and shared participation in care, provider satisfaction, improved health economics, institutional market share, and li...

journal_title：Pediatric emergency care

authors： Locke R,Stefano M,Koster A,Taylor B,Greenspan J

更新日期：2011-11-01 00:00:00

abstract：:The etiology of acute liver failure varies widely in children, but the most common causes are viral hepatitis, drugs, and toxins. We report herein a case of autoimmune hepatitis and acute liver failure caused by leptospirosis, which is involved rarely in etiology. ...

journal_title：Pediatric emergency care

authors： Urganci N,Kalyoncu D,Cayonu N,Erdem E,Yildirmak Y,Yilmaz B

更新日期：2011-10-01 00:00:00

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

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

更新日期：2011-10-01 00:00:00

abstract：:We illustrate a case of an 8-year-old boy presenting acutely with bilateral lower extremity pain and weakness. This case illustrates the presentation and progression of a rare and potentially lethal diagnosis and highlights the use of computed tomography angiography in the setting of a patient with acute onset of pain...

journal_title：Pediatric emergency care

authors： Herliczek TW,Brown LL

更新日期：2011-09-01 00:00:00

abstract：OBJECTIVES:Children returning to the emergency department (ED) within 72 hours of their visit may increase overcrowding and health care costs. Identifying the characteristics of returning children who need admission may help distinguish who might need admission on their first visit. The objective of this study was to c...

journal_title：Pediatric emergency care

authors： Goldman RD,Kapoor A,Mehta S

更新日期：2011-09-01 00:00:00

abstract：OBJECTIVE:Emergency department (ED) crowding is an increasingly common problem in the United States. Crowding can lead to ED closure and diversion, poor patient satisfaction, and patient safety issues. The purpose of this study was to examine measures of ED census and measures of crowding to determine if a correlation ...

journal_title：Pediatric emergency care

authors： Graham J,Aitken ME,Shirm S

更新日期：2011-08-01 00:00:00

abstract：:Tooth decay is common in US children, especially for children in low-income families. More than half of second-grade children have cavities. Therefore, root canal procedures are becoming more common in children. We report a case of a 2-year-old boy with a rare complication of a root canal procedure secondary to sodium...

journal_title：Pediatric emergency care

authors： Greene AE,Roosevelt GE,Grubenhoff JA,Klein U

更新日期：2011-08-01 00:00:00

abstract：OBJECTIVES:The purposes of the study were (1) to assess the acceptability of mental health screening in the pediatric emergency department (ED) for children and their parents; (2) to measure providers' perceptions on whether screening has an impact on patient care; and (3) to determine the impact of screening status on...

journal_title：Pediatric emergency care

authors： Williams JR,Ho ML,Grupp-Phelan J

更新日期：2011-07-01 00:00:00

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

authors： Tuuri RE,Reynolds S

更新日期：2011-07-01 00:00:00

abstract：:Asplenia may refer to the spleen's surgical removal, functional impairment, or congenital absence. It is a risk factor for the development of severe bacterial infection. Functional asplenia is likely the most common presentation of this entity and has many etiologies. Those that are previously undiagnosed may present ...

journal_title：Pediatric emergency care

authors： Angelski CL,McKay E,Blackie B

更新日期：2011-07-01 00:00:00

abstract：:Clinical signs of hypophosphatemia, even when severe, are rare in diabetic ketoacidosis despite their high frequency in this condition. This article presents a patient with rhabdomyolysis due to severe hypophosphatemia, where the level of serum phosphorus was observed to be as low as 0.42 mg/dL on the 16th hour of ket...

journal_title：Pediatric emergency care

authors： Kutlu AO,Kara C,Cetinkaya S

更新日期：2011-06-01 00:00:00

abstract：OBJECTIVE:This study aimed to measure interexaminer agreement for physical examination (PE) findings in children with a suspected soft tissue abscess. METHODS:A prospective study was conducted from March 1 to July 31, 2007, at an urban, tertiary care children's hospital emergency department. Children presenting to the...

journal_title：Pediatric emergency care

authors： Giovanni JE,Dowd MD,Kennedy C,Michael JG

更新日期：2011-06-01 00:00:00

abstract：:The recent popularity of elastic bands on the wrist may put children at risk for acute compartment syndrome. Acute compartment syndrome is a limb-threatening condition characterized by elevated interstitial pressure in a confined fascial compartment. If left untreated, it may result in tissue necrosis, irreversible ne...

journal_title：Pediatric emergency care

authors： McIver MA,Gochman RF

更新日期：2011-05-01 00:00:00

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

authors： Li F,Jiang F,Jin XM,Shen XM

更新日期：2011-05-01 00:00:00

abstract：PURPOSE:This study aimed to compare clinical manifestations, physical examination findings, laboratory, and radiographic dates in pediatric patients with different pathological diagnoses of acute scrotum as well as to accurately establish the true incidence of various pathological diagnoses of acute scrotum. METHODS:T...

journal_title：Pediatric emergency care

authors： Yang C Jr,Song B,Liu X,Wei GH,Lin T,He DW

更新日期：2011-04-01 00:00:00

abstract：:A 4-year-old Indian girl was seen in our emergency department for unintentional ingestion of topical medication oil with subsequent salicylate poisoning. Serum levels were 52 mg/dL at 12 hours after ingestion.She was started on urine alkalization therapy to enhance salicylate elimination. This was achieved by a bicarb...

journal_title：Pediatric emergency care

authors： Ong GY

更新日期：2011-04-01 00:00:00

abstract：OBJECTIVES:To determine the percentage of cases of epididymitis in pediatric patients that is of bacterial cause and to identify factors that predict a positive urine culture. METHODS:We conducted a retrospective chart review of patients diagnosed with acute epididymitis or epididymo-orchitis in 1 pediatric emergency ...

journal_title：Pediatric emergency care

authors： Santillanes G,Gausche-Hill M,Lewis RJ

更新日期：2011-03-01 00:00:00

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

authors： O'Gorman A,Ratnapalan S

更新日期：2011-03-01 00:00:00

abstract：OBJECTIVE:To estimate the prevalence of and to identify factors associated with prolonged emergency department length-of-stay (ED-LOS) for admitted children. METHODS:Data were from the 2001-2006 National Hospital Ambulatory Medical Care Survey. The primary outcome was prolonged ED-LOS (defined as total ED time >8 hour...

journal_title：Pediatric emergency care

authors： Bekmezian A,Chung PJ,Cabana MD,Maselli JH,Hilton JF,Hersh AL

更新日期：2011-02-01 00:00:00

abstract：:We report an infant with apnea due to infantile hypertrophic pyloric stenosis. The distinct mechanism of compensatory respiratory depression of severe metabolic acidosis is implicated. ...

journal_title：Pediatric emergency care

authors： Pappano D

更新日期：2011-02-01 00:00:00

abstract：:Anticoagulation for thromboembolic disease and bleeding, the main complication of anticoagulation therapy, are uncommon but are potentially life- or limb-threatening conditions that may present in the pediatric emergency department. Thromboembolic disease in children usually occurs as a complication of vascular access...

journal_title：Pediatric emergency care

authors： Long E,Pitfield AF,Kissoon N

更新日期：2011-01-01 00:00:00

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

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

更新日期：2011-01-01 00:00:00

abstract：OBJECTIVE:The objective of this study was to assess predictors of emergency department (ED) ketamine-associated laryngospasm using case-control techniques. METHODS:We performed a matched case-control analysis of a sample of 8282 ED ketamine sedations (including 22 occurrences of laryngospasm) assembled from 32 prior p...

journal_title：Pediatric emergency care

authors： Green SM,Roback MG,Krauss B,Emergency Department Ketamine Meta-Analysis Study Group.

更新日期：2010-11-01 00:00:00

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

authors： Posner KR,Mittal MK

更新日期：2010-11-01 00:00:00