Pediatric emergency care
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Pediatric emergency care · May 2016
An Audit of Top Citations Published in Pediatric Emergency Care.
The aim of this study was to identify and compare the 100 articles published in Pediatric Emergency Care (PEC) from its inception in 1985 to date that are most often cited. ⋯ In reviewing the literature and to our knowledge, this study is the first of its kind in the field of pediatric emergency medicine to determine the influence of articles in a journal by evaluating citation number. It identified the 100 articles with the highest number of citations that were utilized in subsequent journal articles and published in PEC since 1985. The clinical relevance of identifying the most popular article topics cited supports the value to the pediatric emergency medicine readership of emphasizing subjects of core curriculum content for further education. In addition, reviewing the literature using PEC as a source for articles published 10 to 15 years ago can be helpful because these articles may be considered benchmark articles that many authors choose to cite, creating an impact in their more recent publications.
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Pediatric emergency care · May 2016
Review Case ReportsThe Seatbelt Syndrome-Do We Have a Chance?: A Report of 3 Cases With Review of Literature.
The seatbelt syndrome represents an injury pattern seen after motor vehicle accidents. It is secondary to either the misplacement of seatbelts over the abdomen or the misuse of the restraint systems. This syndrome is infrequent in the pediatric population and occurs mostly in school-aged children because recommended lap-shoulder belts and booster seats are often not used in this age group, so that the seatbelt lies over the abdomen. ⋯ We report on 3 patients with the seatbelt syndrome and review the literature regarding prevalence, diagnosis, treatment, and prognosis of the different injuries and discuss the diagnostic challenges of intestinal lesions and their management. Following this accident pattern, in hemodynamically stable patients with a normal abdominal computed tomography scan, close surveillance is warranted to rule out intestinal lesions manifesting with progressive peritoneal irritation. In hemodynamically unstable patients, or if there is evidence of free air on the computed tomography scan, emergency abdominal exploration is required.
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Pediatric emergency care · May 2016
ReviewEssentials of Pediatric Emergency Medicine Fellowship: Part 1: An Overview.
This article is the first in a 7-part series (Table 1) that aims to comprehensively describe the current state and future directions of pediatric emergency medicine fellowship training from the essential requirements to considerations for successfully administering and managing a program to the careers that may be anticipated on program completion. This overview article provides a framework for the series.
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Pediatric emergency care · May 2016
Acute Abducens Nerve Paralysis in the Pediatric Emergency Department: Analysis of 14 Patients.
Sixth cranial nerve (SCN) palsy is an uncommon but important neurological problem in patients admitted to pediatric emergency department. The underlying etiology of SCN palsy has a wide range from viral infections to intracranial tumors; therefore, a careful and systematic approach is necessary while examining these patients. ⋯ Other lesions of primary brain tumors causing increased intracranial pressure constitute 50% of the underlying etiology, followed by Guillain-Barre syndrome (14.2%). However, these patients had neurological symptoms signs, in addition to diplopia or SCN paralysis. Patients admitted to pediatric emergency department with acute SCN paralysis should be examined in detail to disclose the underlying etiology especially if they present with additional clinical signs or symptoms.
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Pediatric emergency care · May 2016
Case ReportsPoint-of-Care Ultrasonography for the Rapid Diagnosis of Intussusception: A Case Series.
We present a case series describing an infant and a child who presented with abdominal discomfort and their conditions were diagnosed with intussusception by point-of-care ultrasound. These cases illustrate how point-of-care ultrasound led to the expeditious diagnosis of intussusception.