Pediatric emergency care
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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.
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Pediatric emergency care · Dec 2014
In Situ Pediatric Trauma Simulation: Assessing the Impact and Feasibility of an Interdisciplinary Pediatric In Situ Trauma Care Quality Improvement Simulation Program.
This study aimed to evaluate the feasibility and measure the impact of an in situ interdisciplinary pediatric trauma quality improvement simulation program. ⋯ An in situ interdisciplinary pediatric trauma simulation quality improvement program resulted in improved validated trauma simulation assessment scores for overall performance, teamwork, and intubation. Participants reported high levels of satisfaction with the program, and debriefing was reported as the most valuable component of the program.
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Pediatric emergency care · Dec 2014
Case ReportsPenetrating foreign body to the cranial vault in a young child.
We present a case of penetrating trauma with a blunt object to the calvarium of a young child. Presentation, emergency room management, radiology, and surgical treatment are illustrated and discussed. It is of utmost importance in these cases to proceed in a way so as to minimize secondary injury that may be caused in removal of the foreign body.
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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.