Pediatric emergency care
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Pediatric emergency care · Dec 2014
Case ReportsConcentrated liquid detergent pod ingestion in children.
Concentrated liquid detergent pods are an emerging public health hazard, especially in pediatric patients. Ingestion is a more common route of exposure for liquid detergent pods compared with non-pod detergents and it tends to be associated with more severe adverse effects. ⋯ The cases highlight the dangers of concentrated liquid detergent pod ingestion. To help prevent further life-threatening injuries, there is a need for more consumer information and provider knowledge about the potential adverse complications.
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Pediatric emergency care · Dec 2014
Comparative StudyComparison of Electrocardiographic Characteristics of Adults and Children for Automated External Defibrillator Algorithms.
Accurate rhythm identification is vital for appropriate shock delivery during pediatric resuscitation with an automated external defibrillator. Currently, extensive testing of pediatric algorithms is recommended. The aims of our study were to determine age-related differences in electrocardiographic (ECG) tracings in children and adults and to determine if differences warrant evaluating each algorithm against pediatric rhythms. ⋯ When NSR between adults and children was compared, adults proved to have a faster conduction velocity. There was no difference in conduction velocity of SVT or VT between children and adults. We conclude that common rhythms in pediatric patients have differing characteristics, which may affect the accuracy of an automated external defibrillator algorithm, and that specific testing with tracings obtained from children is warranted.
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Pediatric emergency care · Dec 2014
Randomized Controlled Trial Multicenter StudyEducating Health Care Professionals on Human Trafficking.
The US Department of State estimates that there are between 4 and 27 million individuals worldwide in some form of modern slavery. Recent studies have demonstrated that 28% to 50% of trafficking victims in the United States encountered health care professionals while in captivity, but were not identified and recognized. This study aimed to determine whether an educational presentation increased emergency department (ED) providers' recognition of human trafficking (HT) victims and knowledge of resources to manage cases of HT. ⋯ A brief educational intervention increased ED provider knowledge and self-reported recognition of HT victims.
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Pediatric emergency care · Dec 2014
ReviewImaging, clearance, and controversies in pediatric cervical spine trauma.
Diagnosing cervical spine injury in children can be difficult because the clinical examination can be unreliable, and evidence-based consensus guidelines for cervical spine injury evaluation in children have not been established. However, the consequences of cervical spine injuries are significant. ⋯ Herein, we review the epidemiology and unique anatomical features of pediatric cervical spine injury. In addition, we will summarize current practice for clearance and imaging of the pediatric cervical spine in trauma.
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Pediatric emergency care · Dec 2014
Parental Cannabis Abuse and Accidental Intoxications in Children: Prevention by Detecting Neglectful Situations and At-Risk Families.
Cannabis intoxication in toddlers is rare and mostly accidental. Our objectives were to focus on the characteristics and management of children under the age of 6 years who were admitted to our emergency department with cannabis poisoning reported as accidental by parents, and to point out the need to consider accidental cannabis ingestions as an indicator of neglect. ⋯ Cannabis intoxication in children should be reported to child protection services with the aim of prevention, to detect situations of neglect and at-risk families. Legal action against the parents may be considered. Accidental intoxication and caring parents should be no exception to this rule.