Pediatric emergency care
-
Pediatric emergency care · Apr 2012
Multicenter Study Comparative StudyIs pediatric emergency department utilization by pregnant adolescents on the rise?
This study evaluates trends of pregnant adolescents' utilization of pediatric emergency departments (PEDs), describes patient demographics, and reviews common pregnancy-related conditions seen in the PED. ⋯ Pregnant adolescents make up a small (<1%) but growing proportion of overall visits to PEDs. Future direction should include an evaluation of the educational opportunities provided during pediatric residency and pediatric emergency medicine fellowship training and, if inadequacies exist, work to develop an innovative curriculum for this particular patient population.
-
Pediatric emergency care · Apr 2012
Randomized Controlled Trial Comparative StudyEffect of altitude on cerebral oxygenation during pediatric interfacility transport.
The objectives of this study were to determine the usefulness of cerebral oxygenation monitoring during interfacility helicopter transport of pediatric patients and to determine the effect of changes in altitude during transport on cerebral oxygenation readings in pediatric interfacility transport patients. ⋯ Cerebral oxygenation monitoring, using NIRS technology, can be used as a monitoring tool during pediatric helicopter transport. Cerebral oxygenation may change with acute changes in altitude, especially in pediatric patients requiring high levels of respiratory support. This technology has the potential to be used to monitor tissue oxygenation and possibly guide therapeutic interventions during pediatric transport.
-
Pediatric emergency care · Apr 2012
Multicenter Study Comparative StudyIs spontaneous pneumothorax really a pediatric problem? A national perspective.
Research on spontaneous pneumothorax (SP) has focused on management strategies in adolescents and adults, yet pediatric population-based data are lacking. The objective of this study was to determine the incidence of SP in the pediatric population in different age groups. ⋯ Although uncommon in children, SP appears to be primarily a condition of males and adolescents and appears to be increasing in incidence in this population. According to these data, a large portion of children are being managed without procedural intervention.
-
Pediatric emergency care · Apr 2012
Comparative StudyPrimary cardiac arrest following sport or exertion in children presenting to an emergency department: chest compressions and early defibrillation can save lives, but is intravenous epinephrine always appropriate?
The objective of this study was to describe the characteristics and outcome of pediatric patients presenting to an emergency department (ED) following out-of-hospital primary cardiac arrest (OHPCA), to determine if long-term survival is influenced by specific resuscitation interventions. ⋯ The importance of early chest compressions and defibrillation in collapsed young athletes is highlighted in this report. These interventions can result in full long-term neurological recovery. Use of epinephrine in these patients may be dangerous. We suggest that special consideration should be given to this subgroup of patients in the development of future resuscitation guidelines.