Pediatric emergency care
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Pediatric emergency care · Jun 2014
Use of Adenosine in the Treatment of Supraventricular Tachycardia in a Pediatric Emergency Department.
Supraventricular tachycardia (SVT) is the most frequent arrhythmia requiring treatment in childhood, with an estimated incidence of 1/100 to 1/250 children. The treatment of choice of the acute event is intravenous adenosine. This study aimed to determine if doses of adenosine higher than previously described are needed to successfully revert SVT in children. ⋯ Most of the patients with SVT episodes require treatment with more than 1 dose of adenosine. Doses higher than the usually described in the guidelines are necessary to revert SVT. Most patients can be discharged home from the emergency department, without the need of hospital admission.
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Pediatric emergency care · Jun 2014
Case ReportsHemoperitoneum: an unusual presentation of chronic granulocytic leukemia in a pediatric patient.
Chronic granulocytic leukemia (CGL) is a rare hematologic disease in pediatric patients. It usually presents with insidious symptoms. However, some cases may have an atypical presentation. ⋯ Pathology revealed a CGL-infiltrated ovary. The patient is currently stable, has finished adjuvant chemotherapy, and is at 24 months of follow-up. To our knowledge, this is the first report of such a case.
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Pediatric emergency care · Jun 2014
Serum Ischemia-Modified Albumin Levels in Children With Epileptic Seizures.
The aim of the present study was to determine the level of ischemia-modified albumin (IMA) in children with epileptic seizures (ESs) and its relation with the seizure duration. ⋯ Increased IMA levels after seizures suggest that IMA assay during seizure may be useful for predicting the diagnosis and severity of convulsion.
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Pediatric emergency care · Jun 2014
Case ReportsA rare case of penetrating brain injury by crossbow in a 22-month-old child.
Nonmissile penetrating brain injuries are exceedingly uncommon among civilian population and are most often associated with inflicted injury. They show specific characteristics different from that of missile wounds. ⋯ We document neuroimaging studies and review the management concerning this pathology. To our knowledge, this is the youngest survived case of penetrating brain injury by a crossbow with such radiological findings reported in the literature.
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Pediatric emergency care · Jun 2014
Treating Psychiatric Emergencies in Incarcerated Minors in the Emergency Department: What Is the Cost and What Is Their Disposition?
Although mental health disorders are common among incarcerated minors, psychiatric urgencies and emergencies often cannot be treated in juvenile detention facilities, necessitating emergency department (ED) transfers. The cost of this ED care has not been well studied. ⋯ We describe the magnitude and cost associated with addressing psychiatric emergencies in a juvenile correctional system relying on transport of patients to an ED for acute psychiatric evaluation and treatment. Further research is needed to determine if costs could be decreased by increasing psychiatric resources in juvenile detention centers.