Pediatric emergency care
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Pediatric emergency care · Jul 2021
Acupuncture as a Nonpharmacologic Treatment for Pain in a Pediatric Emergency Department.
With epidemic opioid deaths and abuse in the United States, government agencies recommend nonpharmacological treatments for pain. However nonopioid treatment options for moderate to severe pain in the pediatric emergency department (PED) are limited. Acupuncture has been shown to be effective for pain. The objective of this study was to evaluate the feasibility of using traditional acupuncture (TA) and battlefield acupuncture (BFA) in the treatment of pain in the PED. ⋯ This study suggests that acupuncture is a potential nonpharmacologic therapeutic option for acute pain management in the PED.
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Pediatric emergency care · Jul 2021
Ocular Point-of-Care Ultrasound: Description of Intermediate Uveitis in an Adolescent Female.
Ocular point-of-care ultrasound has been used to assess for intraocular pathology, including retinal and vitreous detachment. We describe a pediatric patient whose initial point-of-care ultrasound examination appeared to be consistent with bilateral posterior vitreous detachment but who was ultimately diagnosed with intermediate uveitis.
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Pediatric emergency care · Jul 2021
Identifying Risk Factors for Elbow Injury in Children Presenting to the Emergency Department With Distal Forearm Fractures.
Pediatric distal forearm fractures are one of the most common injuries seen in the emergency department. Orthopedic teaching instructs providers to radiograph the joint above and the joint below the fracture site for concurrent injury. Despite this teaching, there is little evidence to suggest that elbow injuries are common in children with distal forearm fractures. Similarly, there are few data that help the clinician predict which children are at higher risk for co-injury. ⋯ Children with distal forearm fractures very rarely have concurrent elbow injuries. These injuries are more likely in younger female children.
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Pediatric emergency care · Jul 2021
Parental Attitudes and Knowledge About Lumbar Puncture in Children.
Lumbar puncture (LP) is fundamental for diagnosis and treatment; however, some parents do not provide consent for their children to undergo the procedure, which can make diagnosis and determination of the optimal treatment difficult. The present study aimed to describe the level of knowledge and attitudes toward LP of parents whose children were scheduled to undergo the procedure. ⋯ We found that most parents had little knowledge about LP, and the most common parental concern was paralysis. Despite this, in our study, only 5% of parents did not consent to LP.