Pediatric emergency care
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Pediatric emergency care · May 2014
Review Observational StudyA Prospective Study of Pediatric Hand Fractures and Review of the Literature.
Hand fractures represent a leading cause of morbidity in children. However, little information exists correlating the mechanisms and environment of injury with outcomes and treatments. We examine the demographics, etiology, anatomic location, mechanism, and management of pediatric hand fractures in our center's hand unit. ⋯ The pattern of pediatric hand fracture in different age groups is highlighted in this article. The observations from this study will hopefully encourage further review with a larger cohort and a focus on preventative measures for pediatric hand fractures.
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Pediatric emergency care · May 2014
Review Case ReportsIntra-articular Lidocaine for Reduction of Shoulder Dislocation.
Anterior shoulder dislocation is the most common joint dislocation seen in the emergency department. Although emergency medicine providers use several techniques for reduction, each method is associated with potential discomfort for the patient. ⋯ Intra-articular injection of lidocaine has demonstrated efficacy in reduction of pain and facilitation of shoulder reduction compared with analgesia and sedation. Intra-articular lidocaine may also reduce time to successful reduction of shoulder dislocations.
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Pediatric emergency care · May 2014
Case ReportsRapunzel Syndrome: Diagnosis via Radiograph and History.
Rapunzel syndrome is defined as a gastric trichobezoar with a tail that extends distally into the small intestine. It is extremely rare and found more often in premenarchal girls with psychiatric comorbidities. Symptoms can be vague and linger for years. ⋯ The standard imaging modality of choice to make a presurgical diagnosis is via computed tomography (CT) scan of the abdomen. However, the risk of radiation-induced malignancy associated with a CT scan is an important consideration when managing children. We report a case of Rapunzel syndrome in a 6-year-old girl who was diagnosed presurgically without the use of a CT scan.
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Pediatric emergency care · May 2014
Case ReportsCarnitine Palmitoyl Transferase II Deficiency in an Adolescent Presenting With Rhabdomyolysis and Acute Renal Failure.
The most common cause of recurrent rhabdomyolysis in childhood is inherited metabolic disorders. Carnitine palmitoyl transferase II (CPT II) deficiency is a lipidosis and is a common cause of inherited recurrent myoglobinuria. ⋯ The severity of attacks is highly variable and some of these attacks may be complicated by acute renal failure. We report a case of a 13-year-old girl with recurrent rhabdomyolysis due to CPT II deficiency whose last attack was complicated by acute renal failure.
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Pediatric emergency care · May 2014
Observational StudyCompliance of Colleges and Universities in the United States With Nationally Published Guidelines for Emergency and Disaster Preparedness.
The aim of this study was to determine the compliance of colleges and universities in the United States with nationally published guidelines by the Federal Emergency Management Agency and the U.S. Department of Education for emergency and disaster preparedness at institutions of higher education. ⋯ Although most of the institutions in our study reported having an emergency and disaster plan based on national recommendations, areas for improvement were identified.