Pediatric emergency care
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On average, 24,000 children a year are treated in the emergency departments (EDs) for shopping cart injuries, with over 650 children a year requiring hospital admission. The authors sought to evaluate the incidence and outcomes of children in the community evaluated by paramedics because they were injured in shopping cart or stroller-related incidences. ⋯ Shopping cart and stroller-related injuries are a common mechanism of injury for pediatric patients responded to by paramedics. This is an area which continued parental education is needed.
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Pediatric emergency care · Oct 2004
Case ReportsElevated cardiac troponin I in a 9-week-old infant.
Myocardial ischemia in children is generally not suspected when they present to an emergency department with congestive heart failure. However, the opposite holds true for an adult patient. ⋯ A case is presented of an infant with a complex congenital heart defect with congestive heart failure who was found to have an elevated cardiac troponin. Infants at risk for myocardial damage should have an evaluation of cardiac markers, as infants with elevated levels are prone to dysrhythmias or worsening cardiac function and thus warrant closer observations and therapy.
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Hearing loss from airbag deployment after motor vehicle crashes has been documented multiple times in the adult population, but rarely in the pediatric population. We report a case of significant sensorineural hearing loss following airbag deployment in a pediatric patient who presented to the ED on the day of the crash. This report highlights the need for pediatric physicians to be aware of the potential of minor to significant hearing loss in patients who present for medical evaluation after airbag deployment in motor vehicle crashes and to be aware of the importance of follow-up in these children.