Pediatric emergency care
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Pediatric emergency care · Apr 2012
Case ReportsInfluenza A(H1N1)-associated ischemic stroke in a 9-month-old child.
This study aimed to report a rare clinical course of pandemic influenza A(H1N1) infection, ischemic stroke, in a 9 month-old child. ⋯ Acute viral infection, notably influenza, is associated with increased susceptibility to stroke, and vaccination against influenza may reduce the risk of stroke.
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Pediatric emergency care · Apr 2012
Comparative StudyPrevalence of occult anemia in an urban pediatric emergency department: what is our response?
Treating or referring patients who are found to be anemic during pediatric emergency department (ED) encounters should lead to improved health in children and young adults. Before establishing guidelines how to approach the anemic in the pediatric ED, it is essential to determine the prevalence of anemia in the ED and our response to the presence of anemia. ⋯ Anemia has a high prevalence in this pediatric ED population, especially among females of childbearing age and the uninsured. Pediatric emergency medicine physicians are missing on an opportunity to address a common health problem that is easily corrected with appropriate therapy and outpatient follow-up.
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Pediatric emergency care · Apr 2012
Comparative StudySevere abdominal trauma involving bicycle handlebars in children.
To emphasize the severity of the underlying injury which may not be realized during the initial patient admission to the emergency department. ⋯ Children with an imprint made by the handlebar edge on the abdominal wall or give a clear history of injuries by a bicycle handlebar should be treated with great care. Early computed tomography evaluation may help to reduce the morbidity resulting from the delay in diagnosis of injuries to the internal organs.
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Pediatric emergency care · Apr 2012
Comparative StudyDehydration treatment practices among pediatrics-trained and non-pediatrics trained emergency physicians.
We sought to survey emergency physicians in the United States regarding the management of pediatric dehydration secondary to acute gastroenteritis. We hypothesized that responses from physicians with dedicated pediatric training (PT), that is, board certification in pediatrics or pediatric emergency medicine, would differ from responses of physicians with no dedicated pediatric training (non-PT). ⋯ Contrary to established recommendations for the management of moderately dehydrated children, significantly more PT physicians, compared with non-PT physicians, follow established guidelines.
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Pediatric emergency care · Apr 2012
Case ReportsShould children be SCUBA diving?: Cerebral arterial gas embolism in a swimming pool.
Cerebral arterial gas embolism (CAGE) is a well-known serious complication of self-contained breathing apparatus (SCUBA) diving. Most serious complications of SCUBA diving occur in adults because most of SCUBA divers are adults. ⋯ This case illustrates the potential danger of SCUBA diving for children who lack understanding of the physics of diving as well as the often unappreciated risk of shallow-water SCUBA diving. Our intent is to educate providers of primary care to children, so that they may appropriately advise parents about SCUBA diving, and to educate providers of emergency care to children, so that they will recognize this uncommon but serious emergency condition.