Focused Cardiac Ultrasound Findings in Children Presenting With Shock to a Tertiary Care Hospital in Rwanda
Conclusions
In children presenting with signs and symptoms of shock in SSA, one could perform a screening FOCUS to distinguish between hypovolemic and cardiogenic shock. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - April 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Disparities in Pediatric Emergency Department Length of Stay and Utilization Associated With Primary Language
Objective
The aim of the study was to investigate the association between primary language and length of stay (LOS) in the pediatric emergency department (ED) within the context of known disparities impacting healthcare experiences and outcomes for patients with language barriers.
Methods
We conducted a retrospective cohort study of consecutive encounters of patients presenting to, and discharged from, an urban pediatric ED from May 2015 through April 2018. Encounters were grouped into English primary language (EPL), Spanish (SPL), and other (OPL). Mean LOS comparisons were stratified by Emergency Severity Index...
Source: Pediatric Emergency Care - April 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Incidence of Neck Pain in Patients With Concussion in a Pediatric Emergency Department
Conclusions
Neck pain is a common symptom in pediatric patients with mTBI, although it was more likely in older patients and those presenting with acceleration/deceleration mechanisms. Although patients with neck pain were more likely to receive a referral and follow-up with neurosurgery, they were not more likely to have concussion-related follow-up visits. Indeed, most patients had no follow-up visits related to their concussion, which supports the notion that concussion is a self-limiting condition. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - April 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
A Bibliometric Analysis of Global Pediatric Emergency Medicine Research Networks
Conclusions
This study is the first bibliometric analysis of publications from PEM research networks that collaborate globally. Exploring the relationships of numerical bibliometric indicators and visualizations of productivity will benefit the understanding of the generation, reach, and dissemination of PEM research within the global research community. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - April 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Did Emergency Department Visits in Infants and Young Children Increase in the Last Decade?: An Ontario, Canada Study
This study included an average of 911,566 children from 2008 to 2018. All-cause ED visit rates increased by 28.2% from 2008 to 2018 (43.24–55.42 per 100, SDIF>0.1). Respiratory diseases were consistently the top cause of ED visits, and contributed to 1 in 3 ED visits in 2018. These respiratory conditions include asthma, asthma-related diseases (bronchiolitis, bronchitis, influenza, and pneumonia), and other respiratory diseases. Respiratory ED visit rates increased by 32.8% from 2008 to 2018 (11.51–15.28 per 100, SDIF 0.1) increase among children younger than 1 year. There was a 78.0% increase in ED visits for bronchio...
Source: Pediatric Emergency Care - April 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Tibial Intraosseous Administration of Epinephrine Is Effective in Restoring Return of Spontaneous Circulation in a Pediatric Normovolemic But Not Hypovolemic Cardiac Arrest Model
Objective
We compared the efficacy of tibial intraosseous (TIO) administration of epinephrine in a pediatric normovolemic versus hypovolemic cardiac arrest model to determine the incidence of return of spontaneous circulation (ROSC) and plasma epinephrine concentrations over time.
Methods
This experimental study evaluated the pharmacokinetics of epinephrine and/or incidence of ROSC after TIO administration in either a normovolemic or hypovolemic pediatric swine model.
Results
All subjects in the TIO normovolemia cardiac arrest group experienced ROSC after TIO administration of epinephrine. In contrast, su...
Source: Pediatric Emergency Care - April 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Pediatric Emergency Medicine Fellowship Programs
No abstract available (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - April 1, 2022 Category: Emergency Medicine Tags: Special Feature Source Type: research
Point-of-Care Ultrasound Identification of Portal Vein Thrombosis in a Pediatric Patient
We describe the case of a pediatric patient who presented to the pediatric emergency department with acute abdominal pain, in whom point-of-care ultrasonography helped expedite the diagnosis of acute portal vein thrombosis and liver abscess. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - April 1, 2022 Category: Emergency Medicine Tags: Ultrasound Case Review Source Type: research
Acute Hydroxychloroquine Overdose: A Review of Published Pediatric Cases With Confirmed Hydroxychloroquine Exposure
Conclusions
Management of acute hydroxychloroquine overdose in children should be symptomatic and tailored to observed clinical manifestations. There is a need for additional investigations to better understand the impact and effectiveness of various treatment options. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - April 1, 2022 Category: Emergency Medicine Tags: Review Article Source Type: research
Human Trafficking: When to Suspect in the Pediatric Emergency Department?
No abstract available (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - April 1, 2022 Category: Emergency Medicine Tags: CME Review Article Source Type: research
Human Trafficking: When to Suspect in the Pediatric Emergency Department?
Human trafficking, which includes sexual exploitation and forced labor, affects youth throughout the world. Victims are subject to coercion, exploitation, and repeated trauma. Given the secretive nature of this abuse, it can be difficult to identify victims. Past experience shows that most victims interact with the healthcare system at some time while they are in the control of a trafficker, providing an opportunity for healthcare providers to identify, support, and intervene. In this CME review article, we describe human trafficking, its estimated prevalence, and the identification, evaluation, and management of patients ...
Source: Pediatric Emergency Care - April 1, 2022 Category: Emergency Medicine Tags: CME Review Article Source Type: research
Pediatric Emergency Medicine Fellowship Procedural Sedation Training: Consensus Educational Guidelines
Conclusions
Implementation and utilization of a standardized PPS curriculum as outlined in this educational guideline will equip PEM fellows with a comprehensive PPS knowledge base. Pediatric emergency medicine fellows should graduate with the competence and confidence to deliver safe and effective PPS care. Future study after implementation of the guideline is warranted to determine its efficacy. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - April 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Improving the Flow: Optimization of Available Triage Standing Medication Orders in the Pediatric Emergency Department
Background
Emergency department (ED) overcrowding has led to longer waits for patients to be seen, treated, and released. This has been coupled with an increased number of patients who leave without ever being seen by an ED provider. Improving patient throughput and decreasing ED patient length of stay while continuing to provide high-quality care is of paramount importance. Optimization of available standing orders for fever, pain, and/or nausea and vomiting at the time of nurse triage may offer an opportunity to improve patient outcomes, decrease time to medication (TTM) administration for ill and injured patients, a...
Source: Pediatric Emergency Care - April 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
National Trends in Emergency Department Visits for Child Maltreatment, 2007–2014
Conclusions
The Nationwide Emergency Department Sample data set is a valuable surveillance tool for examining trends in child maltreatment. Future studies should explore what factors may explain variations in child maltreatment over time to best develop prevention strategies. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - April 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Comparing Firearm and Stabbing Injuries in the Pediatric Trauma Population Using Propensity Matching
Conclusions
Pediatric victims of firearm violence were more likely to die or need additional care outside the home than victims of other types of penetrating injury when accounting for confounding characteristics to minimize bias. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - April 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
