Pain Prevalence Among Children Visiting Pediatric Emergency Departments
Conclusions
Pain is a common symptom among emergency department patients, and its evaluation should therefore be obligatory. We found low interrater agreement on pain levels between patients, professionals, and parents, which confirms how difficult it is to accurately evaluate pain intensity. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - May 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Developing Sustainable Prehospital Pediatric Care in Rwanda
Objective
Unintentional injury is the leading cause of death in children older than 1 year and disproportionately affects pediatric patients in low- and middle-income countries.
Improved prehospital care capacity has demonstrated the ability to improve care and save lives. Our collaboration developed and implemented a sustainable prehospital emergency pediatrics care course (EPCC) for Service d'Aide Medicale Urgente, the public emergency medical service in Rwanda.
Methods
A 1-day context-specific EPCC was developed based on international best practices and local feedback. Two cohorts were created to participa...
Source: Pediatric Emergency Care - May 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Reduction of Waiting Times and Patients Leaving Without Being Seen in the Tertiary Pediatric Emergency Department: A Comparative Observational Study
Conclusions
This new organizational model in the pediatric emergency department could be successfully used to reduce overcrowding, waiting time, and the numbers of patients leaving without being seen. However, more needs to be done by the pediatric services in the community to reduce nonurgent accesses to the emergency department. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - May 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Adolescent Male Receptivity of and Preferences for Sexual Health Interventions in the Emergency Department
Conclusions
Adolescent male ED patients are receptive to ED-based digital sexual health interventions. These identified preferences should be considered when designing future user-informed sexual health interventions for the ED setting. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - May 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Pediatric Transport Safety Collaborative: Adverse Events With Parental Presence During Pediatric Critical Care Transport
Conclusions
This is the first study to compare the effect on adverse event rate and clinically relevant outcomes between transports with and without parental presence during interfacility pediatric critical care transport. Our study found no significant difference in the adverse event rate between transports with and without parental presence. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - May 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Evaluation of Venous-to-Arterial Carbon Dioxide Tension Difference as a Complementary Parameter During Pediatric Septic Shock Resuscitation: A Prospective Observational Study
Objectives
The aim of this study was to evaluate the venous-to-arterial carbon dioxide tension difference during early resuscitation in pediatric septic shock.
Methods
A prospective observational study was conducted in the pediatric intensive care unit of a tertiary care teaching. Children having septic shock aged from 3 to 60 months were studied within the first 24 hours of admission. Central venous and peripheral arterial blood samples for blood gases analysis at time of central venous catheter insertion and after 6 hours were obtained. Central venous carbon dioxide pressure, arterial carbon dioxide pressure, ...
Source: Pediatric Emergency Care - May 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Evaluation of a Pediatric Early Warning Score as a Predictor of Occult Invasive Bacterial Infection in the Pediatric Emergency Department
Conclusions
Subjects with PEWS ≥3 at PED disposition have increased odds of occult IBI; however, PEWS has poor discriminative ability at all cutoffs. We cannot recommend PEWS used in isolation to predict occult IBI. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - May 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Rib Fractures Postcardiac Chest Compressions
No abstract available (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - April 1, 2022 Category: Emergency Medicine Tags: Letters to the Editors Source Type: research
Trend of Emergency Department Accesses for Mental Disorders by Adolescents During the Pandemic Period
No abstract available (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - April 1, 2022 Category: Emergency Medicine Tags: Letters to the Editors Source Type: research
Improving Verbal Handoff for Patients Admitted From the Pediatric Emergency Department to Medical Inpatient Services: A Trainee-Led Quality Improvement Intervention
Conclusions
Trainee-led implementation of handoff standardization increased clinician satisfaction and clinician score of individual handoffs without compromising handoff length. Although feasibility can be a challenge, trainee-led quality improvement is meaningful and should be promoted and valued in graduate medical education, despite limitations. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - April 1, 2022 Category: Emergency Medicine Tags: Original Research-QI Source Type: research
Clinical Characteristics of Acute Hematogenous Osteomyelitis With and Without Subperiosteal Abscesses in the Acute Care Setting
Conclusions
Clinicians in acute care settings should have a high index of suspicion of AHO with SPAs in children with history of fever, decreased range of motion, or elevated laboratory values (white blood cell, absolute neutrophil count, erythrocyte sedimentation rate, and C-reactive protein). In particular, those with a significantly elevated CRP are at a higher risk for having AHO with SPAs in comparison with an uncomplicated AHO. However, with the significant overlap in historical and clinical variables in the initial presentations of children with AHO with and without SPAs, the clinical urgency in obtaining a magn...
Source: Pediatric Emergency Care - April 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Children With a Soft Scalp Hematoma Presenting to the Emergency Department More Than 24 Hours After a Head Injury
Objectives
The soft scalp hematoma is one of the clinical markers used as a predictor for the presence of intracranial injury in children with a head trauma. We evaluated the significance of time presentation in the management of these patients.
Methods
We conducted a retrospective study of children and adolescents aged 0 to (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - April 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Sources of Medications Used by Children and Adolescents for Intentional Ingestion: A Retrospective Chart Review
Conclusions
Intentional ingestions among adolescents most frequently involve medications that are readily available in their homes, and these include both OTC and Rx medications. This study highlights the importance of securing medications at home as a preventative measure and the importance of anticipatory guidance for primary care providers. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - April 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Virtual Interviewing for Pediatric Emergency Medicine Fellowship—A National Survey
Conclusions
Virtual interviews provide cost savings for both applicants and programs. Despite this, both parties prefer a form of in-person interviews. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - April 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Evolving Trends of Button Battery Ingestion in Indian Children at a Tertiary Care Hospital
Conclusions
Button batteries impacted in the esophagus can lead to severe complications including death. There has been an increasing trend in the ingestion of button batteries over the last 4 years. A prompt diagnosis and emergent removal of the battery are crucial to minimize the rate of complications. Symptoms of stridor and dysphagia must be given more attention, and these children are prioritized because they are more prone to have complications. Furthermore, primary prevention and caregiver education should be emphasized, and the need for a legislation to change the policies for securing the batteries in their pr...
Source: Pediatric Emergency Care - April 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
