Pediatric emergency care
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Pediatric emergency care · Oct 2012
Comparative StudyWho should be reading chest radiographs in the pediatric emergency department?
Pediatric emergency department chest radiographs are frequently interpreted by the pediatrician, and patient management is based on this interpretation. ⋯ Although the clinically significant discordant rate was relatively low, daily chest radiograph reassessment by pediatric radiologists in a joint meeting with pediatricians has an added value for patient safety, quality assurance, and mutual training.
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Pediatric emergency care · Oct 2012
Comparative StudyA survey of the management of febrile infants in pediatric emergency departments.
To determine whether emergency departments (EDs) at pediatric emergency medicine (PEM) fellowship training institutions have a departmental policy regarding the evaluation and management of febrile infants and if reported policies are based on published guidelines (PGs). ⋯ Nearly one half of EDs at PEM fellowship training institutions are reported not to have a departmental policy regarding the management of febrile infants, and departmental policies rarely conform to any of the PGs. There is substantial interdepartmental and intradepartmental practice variability regarding the management of febrile infants and a strong consensus regarding the need for a new guideline.
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Pediatric emergency care · Oct 2012
Comparative StudyManagement of afebrile neonates with skin and soft tissue infections in the pediatric emergency department.
To describe the management of afebrile neonatal skin and soft tissue infections (SSTIs) in the pediatric emergency department (PED). ⋯ None of the neonates who had cultures drawn had serious bacterial infection. The SSTI subtype correlated with the extent of evaluation and dispositions. The findings of this study will help with management strategies for afebrile neonates with SSTIs in the PED.
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Pediatric emergency care · Oct 2012
Case ReportsSignificant toxicity in a young female after low-dose tricyclic antidepressant ingestion.
Tricyclic antidepressant (TCA) ingestions are a relatively common pediatric ingestion, with significant potential for both cardiac and neurological toxicity. Previous studies on pediatric TCA ingestions have found the threshold of toxicity to be 5 mg/kg. ⋯ Tricyclic antidepressant ingestion has a high potential for toxicity in pediatric patients. This case suggests, contrary to previous literature, that toxicity may occur even with small doses.
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Pediatric emergency care · Oct 2012
Case ReportsPediatric posttraumatic headache: two cases using steroids as abortive therapy.
Pediatric traumatic brain injury is a common occurrence, and even an ostensibly mild injury may result in disabling posttraumatic headaches. The headache may result in a number of subsequent unremitting symptoms refractory to many standard headache therapies. Current treatment recommendations are sparse because there is a lack of clinical trial data recommendations and outcomes. From these 2 cases, we report the effectiveness of steroids for severe posttraumatic headache, along with recommended treatment strategies for acute pain management and prevention.