Pediatric emergency care
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Pediatric emergency care · Jun 2011
Comparative StudyPediatric alternate site of care during the 2009 H1N1 pandemic.
This study aimed to describe the design and implementation of an alternate site of care (ASC) for nonurgent pediatric patients with influenza-like illnesses during the 2009 H1N1 pandemic and to evaluate its performance. ⋯ Selected nonurgent patients with influenza-like illness during a pandemic can be treated in a safe and timely manner with high levels of family satisfaction in a novel setting.
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Pediatric emergency care · Jun 2011
Comparative StudyInterexaminer agreement in physical examination for children with suspected soft tissue abscesses.
This study aimed to measure interexaminer agreement for physical examination (PE) findings in children with a suspected soft tissue abscess. ⋯ Interexaminer agreement of examination findings and diagnosis of an abscess was fair to moderate, implying a lack of precision of PE as the primary means for diagnosis. Future studies of diagnostic adjuncts, such as bedside ultrasonography, may lead to improved management of soft tissue infections in children.
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Pediatric emergency care · Jun 2011
Case ReportsOrnithine transcarbamylase deficiency presenting as hepatitis.
Ornithine transcarbamylase deficiency is an inborn error of metabolism that commonly presents as hyperammonemia in neonates. We present a case of a 2-year-old girl who was referred to a pediatric emergency department for evaluation of hepatitis, an uncommon presentation of ornithine transcarbamylase deficiency. Recognition of late presentations of this disease is important for survival and neurological outcome.
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Pediatric emergency care · Jun 2011
Comparative StudyA content analysis of parents' written communication of needs and expectations for emergency care of their children.
We investigated the potential value of information shared by parents on a written form designed to capture needs and expectations for care to an emergency department (ED) system that values patient-centeredness. ⋯ Information shared by parents on written forms designed to capture needs and expectations provides potential value to a patient-centered ED system. The high level of informational value is consistent across patient type and acuity level.
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Pediatric emergency care · Jun 2011
Case ReportsFirst-Onset Seizure After Use of an Energy Drink [corrected].
The health consequences of energy drink use in adolescents are unknown. We discuss an adverse event in an adolescent who presented to the emergency department with his first-ever seizure after consumption of 5-Hour Energy. ⋯ We pay particular attention to the identification of energy drink-related adverse events in the emergency department and the need for subsequent reporting to the Food and Drug Administration. To our knowledge, this is the first reported case of an adolescent presenting with a new-onset seizure associated with energy drink use.