Pediatric emergency care
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Pediatric emergency care · Oct 2012
ReviewSudden unexpected infant death: differentiating natural from abusive causes in the emergency department.
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 been sometimes mistaken for sudden infant death syndrome. The distinction between these 2 entities can only be made after a thorough investigation of the scene, interview of caregivers, and a complete forensic autopsy. Development of ED guidelines for the reporting and evaluation of SUID, in collaboration with the local medical examiner and child death review teams, will enable ED practitioners to collect important information in a compassionate manner that will be valuable to the investigating personnel.
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Pediatric emergency care · Oct 2012
Comparative StudyChildren with and without developmental disabilities: sedation medication requirements and adverse events related to sedation.
Our objective was to prospectively compare sedation medication requirements and adverse events related to sedation in children with and without developmental disabilities. ⋯ When compared with DN children, DD children do not require a higher dose of sedatives and do not have a higher incidence of adverse events.
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Pediatric emergency care · Oct 2012
Comparative StudyUse of computed tomography in the emergency department for the diagnosis of pediatric peritonsillar abscess.
The objective of this study was to review our pediatric emergency department's (ED's) utilization of computed tomography (CT) in the diagnosis of peritonsillar abscess (PTA) and treatment outcomes. ⋯ Computed tomography is commonly utilized in the ED for the evaluation of PTA and is ordered more often in younger children.
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Pediatric emergency care · Oct 2012
Comparative StudyAcute encephalopathy with pandemic (H1N1) 2009 virus infection.
In April 2009, a novel influenza A (H1N1) pdm virus was identified in Mexico and spread quickly around the world. However, the clinical features of acute encephalopathy associated with 2009 pandemic influenza have not yet been elucidated. ⋯ This study showed that patients with influenza-associated encephalopathy caused by influenza A (H1N1) pdm infection were all older than those with seasonal influenza. Underlying neurological disease or history may be associated with poor prognosis.
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Pediatric emergency care · Oct 2012
Comparative StudyA profile of nonurgent emergency department use in an urban pediatric hospital.
This study was designed to develop a descriptive profile of parents and caregivers who bring their children to the emergency department (ED) for nonurgent issues and to explore the reasons for presenting to an urban hospital pediatric ED for nonurgent conditions. Such work is necessary to develop effective interventions. ⋯ Interventions should focus on health literacy and ensure that parents are provided relevant and accurate education on pediatric illnesses and common safety concerns; by increasing parental education on pediatric health, parents may be better able to assess acuity of their child's health issues.