Pediatric emergency care
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Pediatric emergency care · Jul 2016
Management of Toddler's Fractures in the Pediatric Emergency Department.
To evaluate current practice in treatment of toddler's fractures, as well as subsequent healthcare utilization and complications. ⋯ There is wide variation in management of toddler's fractures within this single tertiary care PED. Given that these fractures are unlikely to displace and that complications of splinting and casting are not insignificant, this study suggests that immobilization may not be necessary for acute management of toddler's fractures.
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Pediatric emergency care · Jul 2016
Essentials of Pediatric Emergency Medicine Fellowship: Part 3: Clinical Education and Experience.
This article is the third in a 7-part series 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 upon program completion. This article focuses on the clinical aspects of fellowship training including the impact of the clinical environment, modalities for teaching and evaluation, and threats and opportunities in clinical education.
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Pediatric emergency care · Jul 2016
Case ReportsLyme Myocarditis Presenting as Chest Pain in an Adolescent Girl.
A previously healthy adolescent girl presented to the emergency department with new onset chest and right upper quadrant abdominal pain. Laboratory studies and imaging were consistent with myocarditis. She developed heart block after admission and required stabilization in the cardiac intensive care unit. Lyme serology returned positive, and her condition was diagnosed as Lyme disease-associated myocarditis.
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Pediatric emergency care · Jul 2016
Case ReportsDelayed Presentation of Jejuno-Jejunal Fistula With Stricture After Physical Child Abuse.
Small intestinal injury is seldom described in the context of child abuse. Signs and symptoms are subtle, often leading to delays in diagnosis. We describe a 3-year-old boy initially admitted with severe blunt abdominal trauma from physical child abuse. ⋯ The child was then hospitalized several times for nonspecific abdominal symptoms until diagnostic laparoscopy discovered a jejunal stricture with a proximal jejuno-jejunal fistula. Symptoms fully resolved after resection. Delayed presentation of small intestinal injury should remain on the differential diagnosis in the evaluation of persistent abdominal symptoms in a child with a prior history of physical abuse, even if imaging studies do not reveal specific abnormalities.