Pediatric emergency care
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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
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
Case ReportsThe 2012 PEMpix Photograph Competition Award Winner: Making a Case for Pringles-Flavored Carrots.
This is a case report of a 14-year-old boy with autism who presented with photophobia. Physical examination was significant for bilateral corneal ulcers. Differential diagnosis of this chief complaint and the management of the suspected condition are discussed. This case was presented at the Section of Emergency Medicine Meeting at the National Conference and Exhibition of the American Academy of Pediatrics in 2012 and was awarded first place in the PEMpix photograph competition.
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Pediatric emergency care · Dec 2014
Comparative StudyTemporal Artery Thermometry in Children Younger Than 5 Years: A Comparison With Rectal Thermometry.
Temporal artery (TA) thermometry has come as one of the new methods for temperature measurement, especially in children in whom accurate temperature monitoring can save lives. The device which is convenient and simple to use is yet to gain popularity in several parts of the world, as there are conflicting reports of its accuracy. This study compares the accuracy of the TA thermometry in children younger than 5 years using the rectal thermometry as the gold standard. ⋯ Temporal artery thermometer is not accurate enough for the measurement of core body temperature in children younger than 5 years. However, it may be used as a tool for screening for fever in very busy clinics and emergency room at a fever cutoff of 37.7°C.
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Pediatric emergency care · Dec 2014
Clinical TrialSonographic Baseline Physeal Plate Width Measurements in Healthy, Uninjured Children.
There are limited data on the sonographic evaluation of normative physeal plate measurements in healthy, uninjured children. ⋯ This pilot study demonstrated that there was no statistically significant difference in physeal plate widths between contralateral extremities and the degree of variation between contralateral extremities was minimal. Results of this study elucidate normative physeal plate variance in healthy children and demonstrate that mean physeal plate measurements and absolute differences are narrow. This study suggests that sonographic detection of significant disparities in physeal plate widths of injured children may have the potential for earlier detection of Salter-Harris injuries with subsequent appropriate referral and management.