Pediatric emergency care
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Pediatric emergency care · Dec 2021
Performance of the BIG Score in Predicting Mortality in Normotensive Children With Trauma.
Children have a larger reserve for traumatic hemorrhagic shock, requiring a score that uses physiologic variables other than hypotension. Recently, the BIG score comprising admission base deficit, international normalized ratio, and the Glasgow Coma Scale has been reported to predict traumatic mortality. We aimed to validate the performance of the BIG score in mortality prediction of normotensive children with trauma. ⋯ The BIG score can predict mortality with excellent accuracy in normotensive children with trauma.
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Pediatric emergency care · Dec 2021
Randomized Controlled TrialThe Feasibility of Using Comic-Based Concussion Discharge Instructions: Gauging Likeability and Knowledge Improvement Among Adolescents and Parents.
The objective of this study was to evaluate feasibility of supplementing emergency department (ED) concussion discharge instructions for adolescents and parents with a newly created educational comic and a publicly available comic-based video at an outpatient sports neurology clinic. ⋯ Patients showed increased concussion knowledge using the favorably endorsed comic-based discharge instructions. Using comic-based supplemental discharge tools may optimize concussion education for adolescents.
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Pediatric emergency care · Dec 2021
A Paper-Based Car Seat Safety Educational Intervention in the Pediatric Emergency Department.
Motor vehicle crashes are a leading source of pediatric morbidity and mortality in children younger than 13 years. Proper car seat safety device (CSD) markedly reduces mortality, but the majority of families misuse them. Emergency department (ED)-based educational interventions can improve knowledge patient regarding proper CSD use but historically have been resource intensive. Our study evaluated the utility of a novel educational intervention in improving patient knowledge of proper CSD use and in evaluating for proper CSD installation. ⋯ A paper-based educational intervention in the pediatric ED is well received by parents, may improve patient knowledge surrounding proper CSD use, and encourages some families to get their CSDs checked for proper installation.
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Pediatric emergency care · Dec 2021
Case ReportsChromhidrosis: An Unusual Cause of Skin Discoloration.
Chromhidrosis is a rare condition characterized by the secretion of colored sweat. We report a case of a preadolescent healthy girl presenting with acute, recurrent blue discoloration of her armpits. The blue discoloration can be wiped off but recurs. As providers, it is useful to be familiar with this diagnosis and course of disease.
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Pediatric emergency care · Dec 2021
Factors Associated With Increased Risk of Pediatric Orbital Cellulitis-Who Should Be Scanned?
Evaluation of a child with POC/OC is complicated due difficulties in physical examination and risks of imaging by computed tomography. ⋯ Differentiation between POC/OC is cardinal. This study highlights the importance of ancillary laboratory tests especially C-reactive protein in the assessment of infections of the eye.