Pediatric emergency care
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Pediatric emergency care · Mar 2017
Case ReportsDiagnosis of an Intraventricular Cyst Using Point-of-Care Cranial Ultrasound in the Pediatric Emergency Department.
A 2-month-old previously healthy male infant presents with 2 days of unusual eye movements and increased fatigue. During evaluation in the pediatric emergency department, point-of-care cranial ultrasound identified a cyst-like mass. Subsequent magnetic resonance imaging confirmed the presence of a cyst within the third ventricle causing obstructive hydrocephalus.
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Pediatric emergency care · Mar 2017
Case ReportsChest Pain in the Setting of Altered Mental Status.
We report on a young adult female presenting with altered mental status and chest pain. Timely review of her electronic medical record revealed a history of panhypopituitarism with poor medication adherence, although this was unknown at the time of her initial evaluation. ⋯ She was discharged home on hospital day 4, with normalization of her diminished left ventricular ejection fraction at her 1-month follow-up. Although panhypopituitarism and cardiac tamponade are rare diagnoses, we highlight the management of severe hypothyroidism, the importance of early administration of hydrocortisone for panhypopituitarism, and the need for aggressive volume expansion to maintain preload in cardiac tamponade.
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Pediatric emergency care · Mar 2017
Teaching Splinting Techniques Using a Just-in-Time Training Instructional Video.
Splinting is a multistep procedure that is seldom performed by primary care physicians. Just-in-time training (JITT) is an emerging teaching modality and can be an invaluable asset for infrequently performed procedures or in locations where teaching resources and trained professionals are limited. Our objective was to determine the utility of JITT for teaching medical students the short-arm (SA) volar splinting technique. ⋯ In comparison with reading standard textbooks, watching a brief JITT instructional video before splinting yielded faster learning times combined with more successful procedural skills. The use of a JITT instructional video may have potential applications, including globally, as an alternative resource for teaching and disseminating procedural skills, such as SA volar splinting.
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Pediatric emergency care · Mar 2017
Case ReportsPediatric Acute Ischemic Cerebral Vascular Accidents: A Case Report.
An 8-year-old girl presented to the pediatric emergency department (ED) with left-sided weakness. Workup consisted of labs and imaging including magnetic resonance imaging showing an acute ischemic stroke. ⋯ Current recommendations include treatment with unfractionated heparin or low-molecular-weight heparin (LMWH) with subsequent daily aspirin prophylaxis. Further large scale studies are needed to produce protocols and generalizable treatment plans.