Pediatric emergency care
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Pediatric emergency care · Mar 2021
Distinguishing Features of Patients Evaluated for Multisystem Inflammatory Syndrome in Children.
Given the significant overlap of multisystem inflammatory syndrome in children (MIS-C) with other common childhood illnesses presenting to the emergency department, extensive workup of this syndrome has become necessary. Nevertheless, little has been published on the factors differentiating MIS-C from other conditions in the acute care setting. We investigated differences in presentation and laboratory studies between suspected versus confirmed MIS-C patients. ⋯ Higher elevations in key laboratory studies may help to distinguish between MIS-C patients and non-MIS-C patients presenting to the emergency department.
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Pediatric emergency care · Mar 2021
Management and Outcome of Pediatric Patients With Transient Small Bowel-Small Bowel Intussusception.
The aim of this study was to assess the management and outcomes of healthy pediatric patients diagnosed radiologically with transient and benign small bowel-small bowel intussusception (SB-SBI). ⋯ Transient and benign SB-SBIs with reassuring radiologic and clinical features diagnosed in healthy pediatric patients are likely incidentally found and are unlikely to be associated with a pathologic lead point.
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Pediatric emergency care · Mar 2021
Physicians' Risk Tolerance and Head Computed Tomography Use for Pediatric Patients With Minor Head Injury.
Traumatic brain injury is the leading cause of death and disability in children worldwide. The objective of this study was to determine the association between physician risk tolerance and head computed tomography (CT) use in patients with minor head injury (MHI) in the emergency department (ED). ⋯ Individual EP risk tolerance, as measured by RTS, was predictive of CT use in pediatric patients with MHI.
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Pediatric emergency care · Mar 2021
Early Functional Treatment of Proximal Phalanx Fractures in Children: A Case Series Study.
The objective of this study was to assess proper indications a nonsurgical treatment regime for pediatric fractures of the proximal phalanx based on principles of early functional treatment. ⋯ Well-established criteria for surgical treatment of phalangeal fractures exist. However, in our experience, a majority of pediatric fractures of the proximal phalanx can be safely treated nonsurgically with dynamic splinting along with shorter intervals of immobilization of the affected fingers and faster restoration of overall hand function compared to surgical treatment.