Do Your Kids Vape?: Investigating Parent Knowledge of Adolescent e-Cigarette Use
Conclusions
It seems guardians are generally aware of their adolescent's e-cigarette use, and both parents and adolescents are aware of the negative side effects of e-cigarettes on health. We did not investigate whether guardians discussed their concerns on e-cigarette usage with their adolescents. It is also unclear what specific health consequences guardians and adolescents are aware of. These may be points of further investigation and intervention. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - June 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Trends Over 2 Decades in Adolescent Suicidal and Recreational Ingestions of Over-the-Counter Coricidin Preparations
We examined trends over time overall and ingestion intent (recreational vs suicidal) using linear regression. We compared patient characteristics, substances ingested, clinical effects and therapies, and outcomes by suicidal versus misuse or recreational intention.
Results
An initial search with the inclusion criteria found 19,213 calls that matched study inclusion criteria. On average, there was a yearly linear increase of 180.0 (95% confidence interval [CI], 136.6–223.3; P (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - June 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Use of Outpatient Opioids Prescribed From a Pediatric Acute Care Setting
Conclusions
Prescribed opioid doses exceeded used doses by a factor of 6. Lower extremity fractures required more doses than other acutely painful conditions. We should consider limiting doses prescribed to decrease excess opioids available for misuse and abuse. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - June 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Value of Temperature for Predicting Invasive Bacterial Infection in Febrile Infants: A Spanish Pediatric Emergency Research Group (RISeuP-SPERG) Study
This study aimed to analyze the prevalence of invasive bacterial infection (IBI) among infants younger than 90 days with fever without source according to the degree of fever.
Methods
We performed a secondary analysis of a multicenter study with 19 participating Spanish pediatric emergency departments that included 3401 febrile infants 90 days or younger.
Results
Prevalence of IBI was 3.2% (5.3% among infants (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - June 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Sledding Accidents at a Level 1 Pediatric Trauma Center Between 2006 and 2016
This study aimed to identify the most common types of injuries associated with sledding accidents and demographic factors related to risk of injury in pediatric patients, and to compare injuries associated with 2 different age groups and sexes.
Methods
This is a retrospective descriptive study of pediatric patients ( (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - June 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Single-Dose Dexamethasone Is Not Inferior to 2 Doses in Mild to Moderate Pediatric Asthma Exacerbations in the Emergency Department
Conclusions
In this single-center, unblinded randomized trial of children and adolescents with mild to moderate acute exacerbations of asthma, there was no difference in the rate of return visits for continued or worsened symptoms between patients randomized to 1 or 2 doses of dexamethasone. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - June 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Identification of Initial and Subsequent Injury in Young Infants: Opportunities for Quality Improvement in the Evaluation of Child Abuse
Objectives
Methods
Six children's hospitals identified infants with an initial injury and recurrent injury over a 1-year period using 2 methods: (1) diagnostic code method — infants 6 months or younger presenting with at least 1 diagnostic code for injury were tracked for 12 months to determine the frequency of recurrent injury, and (2) consult method — all available medical records of children 18 months or younger seen for an inpatient consultation for suspected child abuse were reviewed to identify history of a first injury at 6 months or younger.
Results
Using the diagnostic code method, 682 unique in...
Source: Pediatric Emergency Care - June 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Acute Acalculous Cholecystitis: Think of Hepatitis A Infection and Do Not Underestimate Pain
A 14-year-old adolescent girl presented with severe abdominal pain, tenderness, and guarding in the right upper quadrant associated with nonbilious vomiting, scleral icterus, and fever. Laboratory tests were consistent with acute hepatitis A virus–related cholestatic hepatitis. A point-of-care ultrasound showed mild gallbladder wall thickening with increased color Doppler flow and pericholecystic fluid collection, in the absence of gallstones or biliary ducts dilatation, thus suggesting acute acalculous cholecystitis. Both the clinical symptoms and the point-of-care ultrasound findings completely resolved within 1 week a...
Source: Pediatric Emergency Care - June 1, 2022 Category: Emergency Medicine Tags: Ultrasound Case Review Source Type: research
Pediatric Emergency Medicine Ultrasound Fellowship Programs
No abstract available (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - June 1, 2022 Category: Emergency Medicine Tags: Special Feature Source Type: research
The Initial Approach to the Multisystem Pediatric Trauma Patient
No abstract available (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - June 1, 2022 Category: Emergency Medicine Tags: CME Review Article Source Type: research
The Initial Approach to the Multisystem Pediatric Trauma Patient
Trauma remains the leading cause of morbidity and mortality in children and youth 1 to 19 years old in the United States. Providing timely care with a systematic approach is essential for emergently addressing life-threatening injuries and ongoing assessment. The primary survey is focused on identifying and managing life-threatening injuries. The secondary survey is focused on identifying and managing other important injuries. Over the past decade, there have been important advances in the evidence supporting the management of multisystem trauma in the pediatric patient by the emergency medicine clinician. In addition, the...
Source: Pediatric Emergency Care - June 1, 2022 Category: Emergency Medicine Tags: CME Review Article Source Type: research
Outcomes of Pediatric Patients in Secondary Transport to Tertiary Hospital: A Retrospective Observational Study
Conclusions
In this study, the characteristics of the secondary transport patients and hospital outcomes revealed a heterogeneity in pediatric prehospital transport. It is recommended that the development of pediatric EMS destination guidelines cover children's diverse conditions. Further studies are required, and linkages between prehospital and hospital data will help promote a better understanding of appropriate hospital destinations. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - June 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Emergency Department Visits by Pediatric Patients for Snakebites
Conclusions
Most pediatric snakebites are seen in nontrauma centers and in the South region and are more commonly male. Most patients were discharged from the ED, with a small percentage being admitted or transferred to another facility. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - June 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Impact of a 1-Year Pediatric Emergency Medicine Training Program for International Medical Graduates
Conclusions
Many participants attained leadership positions in PEM in countries outside of North America and/or participated in training program development. There was no significant change in the proportion of participants living in North America at the time of application compared with the time of survey completion. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - June 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
External Validation of the PediBIRN Screening Tool for Abusive Head Trauma in Pediatric Emergency Department Settings
Conclusions
The PediBIRN 4-variable CDR demonstrated AHT screening sensitivity in the pediatric ED equivalent to pediatric intensive care unit and other inpatient settings, but lower specificity. Further study of a simplified 3-variable PediBIRN AHT screening tool for the ED setting is warranted.
The screening performance of the PediBIRN (Pediatric Brain Injury Research Network) abusive head trauma (AHT) 4-variable clinical decision rule (CDR) has been validated in the pediatric intensive care unit setting and in a broader setting of all hospitalized, acutely head-injured children. To further broaden the rule’s cl...
Source: Pediatric Emergency Care - June 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
