Pediatric emergency care
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Pediatric emergency care · Jan 2009
Comparative StudyRadiographic pneumonia in young, highly febrile children with leukocytosis before and after universal conjugate pneumococcal vaccination.
Studies before the introduction of conjugate pneumococcal vaccine demonstrated a high rate of radiographic pneumonia among highly febrile young children with leukocytosis and no other identified source of infection. We sought to evaluate the impact of universal vaccination with Prevnar (pneumococcal conjugate vaccine [PCV]) on the incidence and characteristics of occult and nonoccult radiographic pneumonia among these children. ⋯ Clinicians should continue to consider chest radiography in young highly febrile children with leukocytosis and no other identified source of infection.
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Pediatric emergency care · Jan 2009
Occurrence of serious bacterial infection in infants aged 60 days or younger with an apparent life-threatening event.
To describe the occurrence of serious bacterial infections (SBIs) in well-appearing, afebrile infants aged 60 days or younger with an apparent life-threatening event (ALTE). ⋯ Serious bacterial infection occurred in 2.7% of well-appearing, afebrile infants aged 60 days or younger with an ALTE. Prematurity was associated with having an SBI. For premature infants aged 60 days or younger who present with an ALTE, an evaluation for SBI should be strongly considered.
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Pediatric emergency care · Jan 2009
Pattern of pediatric zolpidem ingestions reported to Texas poison control centers, 2000 to 2006.
The purpose of this study was to describe the pattern of zolpidem ingestions by young children reported to poison control centers. ⋯ Pediatric ingestions of zolpidem alone reported to Texas poison control centers most frequently resulted in at most minor effects and were often managed at home.
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Pediatric emergency care · Jan 2009
Simple febrile seizures: are the AAP guidelines regarding lumbar puncture being followed?
In 1996, the American Academy of Pediatrics (AAP) published a practice parameter recommending that lumbar puncture (LP) be strongly considered in infants younger than 12 months presenting with a first febrile seizure. ⋯ The AAP recommendations regarding LP in patients 6 to 12 months of age with first simple febrile seizure are not being strictly adhered to. The AAP recommendations regarding simple febrile seizures were conceived in a different epidemiologic era of disease pathology with data not representative of current prevalence and etiologic issues and need to be revisited.
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Throat pain is a common presenting complaint in the pediatric emergency department and often occurs secondary to non-life-threatening conditions. Certain etiologies may initially appear benign, but if not recognized and treated, may result in airway compromise. Patients with blunt trauma to the neck may present with throat pain. ⋯ This injury is rarely seen in isolation. We present a case of laryngeal injury due to blunt trauma to the neck. This case illustrates the potentially serious consequence after an apparently minor traumatic injury.