Pediatric emergency care
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Pediatric emergency care · Apr 2019
Presenting Signs and Symptoms of Pericardial Effusions in the Pediatric Emergency Department.
The primary objective of this study was to describe the frequency of the most common presenting signs and symptoms of pericardial effusions, particularly with relation to the size of the effusion. The secondary objective was to review the final etiology of the pericardial effusion in those patients who had presented to a tertiary care pediatric emergency department. ⋯ This study suggests that the presence of certain symptoms should be associated with a high index of suspicion for pericardial effusion for the pediatric emergency care physician.
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Pediatric emergency care · Apr 2019
Effect of a Training Strategy in Improving Medication Fallacies During Pediatric Cardiopulmonary Resuscitation: A Before-and-After Study From a Developing Country.
This study aims to evaluate the effect of structured training on resident performance in improving medication fallacies during pediatric cardiopulmonary resuscitation (CPR). ⋯ Rates of medication fallacies in pediatric CPR declined with structured training. Documentation fallacies may not be eliminated completely with only 1-time training.
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Pediatric emergency care · Apr 2019
Case ReportsThe Presentation of a Fussy Infant With Bruising: Late-Onset Vitamin K Deficiency Bleeding.
Vitamin K plays an integral role in the clotting cascade. Deficiency, specifically in vulnerable neonates with insufficient stores, can lead to spontaneous bleeding and devastating effects. ⋯ The infant was not a surgical candidate and died shortly thereafter. Laboratory studies confirmed the diagnosis of late-onset vitamin K deficiency bleeding as the cause of hemorrhage and death.
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Pediatric emergency care · Apr 2019
Case ReportsAcute Unilateral Vision Loss in a Female Adolescent Due to Ocular Bartonellosis.
Acute worsening of visual acuity with optic disc edema is commonly assumed to be due to idiopathic intracranial hypertension. Bartonella henselae is an unusual cause to abrupt vision loss that is associated with optic disc edema and exudative macular stars seen on examination. It is an important cause to be aware of because it responds very well to antibiotic treatment. We present a case of a female adolescent with unilateral vision loss cause by cat-scratch neuroretinitis.
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Electrical injuries in swimming pools are an important pediatric public health concern. We sought to (1) improve our understanding of the clinical presentation and outcomes following and (2) describe the epidemiology of swimming pool electrical injuries in the United States. ⋯ Electrical injuries occurring in and around swimming pools remain an important source of morbidity and mortality. Although NEISS monitors sentinel events, current efforts at preventing such cases are less than adequate. All electrical outlets near swimming pools should be properly wired with ground fault circuit interrupter devices. Possible approaches to increasing safe electrical device installation are through strengthening public awareness and education of the potential for injury, as well as changes to current inspection regulations.