Factors Affecting Nonurgent Pediatric Emergency Department Visits and Parental Emergency Overestimation
Conclusions
Nonurgent visits constitute most of the PED admissions. Several factors were found to be associated with nonurgent visits either by causing a direct effect or by indirectly impacting the perceived severity. Health literacy–based interventions targeting common symptoms like fever and especially younger parent groups might be beneficial in lowering the patient burden of PEDs. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - June 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Psychiatric Emergencies in Minors: The Impact of Sex and Age
Conclusions
The young group of children referred for psychiatric emergency consultation comprised relatively more children with behavioral disorders. Decisions to refer them for urgent psychiatric consultation seemed to be influenced by the suspicion of psychotic symptoms or of danger to themselves or others. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - June 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Retiring From Pediatric Emergency Medicine Too Soon?: A Survey to Discover the Reasons and Start a Conversation About Solutions
Conclusions
Perceived basic procedure skills deterioration significantly increased the risk for early retirement. In addition, women were significantly more likely to express intention to retire before the age of 66 years. Further research should be directed toward obtaining more detailed information to develop strategies to retain pediatric emergency medicine physicians in a capacity that benefits the physician, their institution, and their patients. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - June 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Pediatric Emergency Department Testing for Gonorrhea and Chlamydia in Children
This study aimed to describe trends in the utilization of nucleic acid amplification (NAAT) testing for gonorrhea and chlamydia in US pediatric emergency departments. Nucleic acid amplification has been recommended over genital culture by the American Academy of Pediatrics and Centers for Disease Control and Prevention for children evaluated for sexual abuse.
Methods
We conducted a multicenter study of children aged 12 months to 11 years tested for gonorrhea and chlamydia between 2004 and 2018 at 22 hospitals in the Pediatric Health Information System. We included patients diagnosed with maltreatment concerns and/or...
Source: Pediatric Emergency Care - June 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Organophosphate Versus Opioid Poisoning: An Emergency Department Conundrum!
No abstract available (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - May 1, 2022 Category: Emergency Medicine Tags: Letter to the Editors Source Type: research
Intubation During Pediatric Cardiac Arrest in the Emergency Department Is Associated With Reduced First-Pass Success
Conclusions
In this study, we found that pediatric OHCA is associated with reduced FPS in the ED. Although additional studies are needed, rescuers should prioritize restoring effective oxygenation and ventilation and optimizing intubation conditions before an advanced airway attempt. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - May 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Assessment of Iron Status in Adolescents Presenting to the Emergency Department With Heavy Menstrual Bleeding
The objective of this study was to evaluate screening for iron deficiency in adolescents presenting to the emergency department for HMB.
Methods
This is a secondary analysis of a single-center, cross-sectional observational study using retrospective chart review. The study subjects are adolescents ages 11 to 19 years with International Classification of Diseases, Ninth Revision, Clinical Modification/International Classification of Diseases, Tenth Revision, Clinical Modification, codes for HMB who presented to the emergency department at a national tertiary care hospital from 2006 to 2018. Pregnant adolescents with ...
Source: Pediatric Emergency Care - May 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Comparison of Same and Different Level Height Falls on Subsequent Midline Shift in Pediatric Traumatic Brain Injury
Conclusions
In kids with traumatic brain injury, trauma activations due to falls from the same level are associated with a 2.5-fold higher risk of subsequent midline shift, compared with falling from height. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - May 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
AiRDose: Developing and Validating an Augmented Reality Smartphone Application for Weight Estimation and Dosing in Children
Objectives
Inaccurate weight estimation is a contributing factor to medical error in pediatric emergencies, especially in the prehospital setting. Current American Heart Association guidelines recommend the use of length-based weight estimation tools such as the Broselow tape. We developed the AiRDose smartphone application that uses augmented reality to provide length-based weight estimates, as well as medication dosing, defibrillation energy, and equipment sizing recommendations; AiRDose was programmed to use Broselow conversions to obtain these estimates. The primary objective was to compare the length estimated by ...
Source: Pediatric Emergency Care - May 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Predictors of Empiric Antibiotic Use in the Emergency Department in Children Without Urinary Tract Infections
Conclusions
A high number of patients discharged on empiric antibiotics did not meet criteria for a UTI. We did not identify clinically useful factors that predicted prescription of empiric antibiotics for children who do not have a UTI. We believe that unnecessary antibiotic prescriptions could be substantially decreased by decreasing empiric use of antibiotics coupled with reliable follow-up for positive urine cultures. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - May 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Hematemesis in Infants: The First Evidence-Based Score to Predict the Need for Timely Endoscopy
Conclusions
We provided the first objective tool of individual risk assessment for infants with hematemesis, which could be very useful for pediatricians first coming into contact with the patient in the emergency department. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - May 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Longitudinal Trends in Pediatric Return Visits to US Emergency Departments
This study aimed to evaluate trends in pediatric emergency department (ED) 72-hour return visits and factors associated with return visits.
Methods
We performed a cross-sectional study from 2002 to 2018 using the National Hospital Ambulatory Medical Care Survey, a complex survey of nonfederal US ED encounters. Patients 18 years or older were excluded. Our outcome of interest was 72-hour return ED encounter. We assessed changes in proportions of return visits over time using the Spearman rank-correlation test. We performed survey-weighted univariable and multivariable logistic regressions to identify factors associat...
Source: Pediatric Emergency Care - May 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
A Case of Esophageal Duplication Cyst Identified on Cardiac Point-of-Care Ultrasound
We present a case of a 6-year-old boy who presented to the emergency department with worsening abdominal and chest pain, where point-of-care cardiac ultrasound identified a cystic structure in the posterior mediastinum. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - May 1, 2022 Category: Emergency Medicine Tags: Ultrasound Case Review Source Type: research
When Adenosine Does Not Work: Apparent and Real Adenosine-Resistant Tachycardia
No abstract available (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - May 1, 2022 Category: Emergency Medicine Tags: CME Review Article Source Type: research
When Adenosine Does Not Work: Apparent and Real Adenosine-Resistant Tachycardia
Supraventricular tachycardia (SVT) is the most common arrhythmia in the pediatric population. Adenosine is widely accepted as the first-line pharmacological treatment for hemodynamically stable SVT, constituting a class I recommendation in the 2020 American Heart Association guidelines for pediatric life support (2020 American Heart Association Guidelines for cardiopulmonary resuscitation and emergency cardiovascular care). As most pediatric SVTs are dependent on the atrioventricular node (AVN) for their propagation, and adenosine acts primarily on the AVN, adenosine will frequently terminate the arrhythmia. The term “ad...
Source: Pediatric Emergency Care - May 1, 2022 Category: Emergency Medicine Tags: CME Review Article Source Type: research
