Pediatric emergency care
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Pediatric emergency care · Feb 2021
Observational StudyImplementing Paper Documentation During an Influenza Surge in a Pediatric Emergency Department.
We hypothesized that a paper documentation and discharge bundle can expedite patient care during an influenza-related surge. ⋯ Implementation of paper charting during an influenza-related surge was associated with shorter physician to discharge times when compared with patient visits documented in the electronic health record. A paper bundle may improve patient throughput and decrease emergency department overcrowding during influenza or coronavirus disease-related surge.
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Pediatric emergency care · Feb 2021
Case ReportsAcute Scrotal Pain and a Different Use of an Old Imaging Method.
The differential diagnosis of scrotal pain in childhood is a challenge for every primary care physician. We report the case of a 5-year-old boy presenting to the emergency department owing to acute left scrotal pain. Ultrasound screening revealed a Morgagni hydatid in the left testis, which was surgically removed. ⋯ Results of histological examination confirmed radiographic evaluation. No similar use of x-rays has been described in literature before, to the best of our knowledge. A brief discussion also follows about Morgagni hydatid in childhood.
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Pediatric emergency care · Feb 2021
Multicenter StudyTrends in Imaging Findings, Interventions, and Outcomes Among Children With Isolated Head Trauma.
The aim was to analyze the impact of decreased head computed tomography (CT) imaging on detection of abnormalities and outcomes for children with isolated head trauma. ⋯ The recent decline in CT scanning in children with isolated head trauma was associated with a reduction in detection of intracranial abnormalities, and a concomitant decrease in interventions, without measurable patient harm.
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Pediatric emergency care · Feb 2021
The Management of Pediatric Genital Injuries at a Pediatric Emergency Department in Japan.
Genital injuries among children are often associated with consumer products or specific activities. There are few descriptive studies from Asia on pediatric genital injuries seen in the emergency department (ED). The aim of this study was to describe the characteristic features of accidental genital injuries among children. ⋯ The characteristics of accidental genital injuries among Japanese children were similar to those of children in other countries. The strategy for preventing genital injuries used in the West might be applicable to the East Asian context.