Pediatric emergency care
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Pediatric emergency care · Aug 2016
Case ReportsBlunt Intraoral Trauma Resulting in Internal Carotid Artery Dissection and Infarction in a Child.
A 16-month-old child fell forward onto her toothbrush sustaining minor oropharyngeal injury. The following day, she became acutely lethargic with localizing neurologic signs of a cerebrovascular infarct. CTA and MR imaging demonstrated occlusion of the right internal carotid artery with a large right middle cerebral artery territory infarction. ⋯ Pediatric oropharyngeal injuries can rarely be complicated by internal carotid artery injury with dissection, thrombosis, or embolization to the cerebral circulation. For the best outcome, carotid dissection treatment requires prompt diagnosis at the initial onset of neurologic symptoms. However, further research is needed to determine the best management and advanced imaging work-up for neurologically intact children.
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Pediatric emergency care · Aug 2016
Essentials of Pediatric Emergency Medicine Fellowship: Part 4: Beyond Clinical Education.
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 skills beyond clinical training required of pediatric emergency medicine physicians including teaching, leadership, teamwork, and communication.
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Pediatric emergency care · Aug 2016
Randomized Controlled Trial Comparative StudyA Randomized Controlled Trial of Positioning for Lumbar Puncture in Young Infants.
The lateral and sitting positions are those most widely used to perform lumbar puncture (LP) in infants. This study sought to compare LP success rates by position. Secondary outcomes were successful LP on the first attempt and rates of procedural complications. ⋯ Among infants 1 to 90 days of age, this study found no difference in LP success between the lateral and sitting positions.
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Pediatric emergency care · Aug 2016
ReviewPEMNetwork: Barriers and Enablers to Collaboration and Multimedia Education in the Digital Age.
In January 2005, PEMFellows.com was created to unify fellows in pediatric emergency medicine. Since then, the website has expanded, contracted, and focused to adapt to the interests of the pediatric emergency medicine practitioner during the internet boom. This review details the innovation of the PEMNetwork, from the inception of the initial website and its evolution into a needs-based, user-directed educational hub. Barriers and enablers to success are detailed with unique examples from descriptive analysis and metrics of PEMNetwork web traffic as well as examples from other online medical communities and digital education websites.