Pediatric emergency care
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Pediatric emergency care · Apr 2012
Comparative StudySuperior mesenteric artery syndrome in intellectually disabled children.
Superior mesenteric artery syndrome (SMAS) is a rare cause of small intestinal obstruction in pediatric patients. Children with intellectual disabilities are a challenging patient population in which to make this diagnosis. The goal of this study was to determine the frequency, presenting symptoms, and outcomes of SMAS in intellectually disabled and non-intellectually disabled children. ⋯ Superior mesenteric artery syndrome was found more often in children with an intellectual disability. These data highlight the need to consider SMAS if there is difficulty tolerating gastrostomy tube feedings in patients with weight-for-age percentiles less than 5%.
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Pediatric emergency care · Apr 2012
ReviewTranscutaneous bilirubin measurement methods in neonates and its utility for emergency department use.
Transcutaneous bilirubin measurements correlate with serum bilirubin measurements in neonates. They permit rapid measurements but do not provide fractionation information. Background information of bilirubin measurements is reviewed. The role of transcutaneous bilirubin measurements in the emergency department is reviewed.
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Pediatric emergency care · Apr 2012
Case ReportsYield of emergent neuroimaging among children presenting with a first complex febrile seizure.
The objective of this study was to assess the risk of intracranial pathology requiring immediate intervention among children presenting with their first complex febrile seizure (CFS). ⋯ Very few patients with CFSs have intracranial pathology in the absence of other signs or symptoms. Patients presenting with more than one seizure in 24 hours in particular are at very low risk.
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Pediatric emergency care · Apr 2012
Case ReportsThe effect of magnesium sulfate on uncontrollable contractions in a tetanus case.
Tetanus is a rare disease caused by the exotoxins of Clostridium tetani. Higher mortality rates have been reported among the elderly and in the newborn. In this report of a tetanus case, the treatment and prognosis of contractions resistant to diazepam, midazolam, and atracurium infusion has been evaluated.
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Pediatric emergency care · Apr 2012
Comparative StudyRapid medical assessment: improving pediatric emergency department time to provider, length of stay, and left without being seen rates.
This article aimed to study the impact of a rapid medical assessment (RMA) program on patient flow and left without being seen (LWBS) rates in a pediatric emergency department (ED). RMA is designed to evaluate and discharge uncomplicated patients quickly or initiate diagnostic workup and treatment before the patient is placed in an ED bed. ⋯ Rapid medical assessment is an effective way to improve patient flow and reduce the LWBS rate. A decrease in the LWBS rate allows the ED to provide health care to these potentially high-risk patients.