Interrater Reliability of the Pediatric Asthma Score
Conclusions
In this study, total PAS score demonstrated a moderate and acceptable level of IRR with a poor discriminative ability to determine the need for hospital admission at the time of ED triage. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - April 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Point-of-Care Ultrasound Diagnosis of Achilles Tendon Rupture in Pediatric Patients
Achilles tendon injuries are common in the adolescent population, particularly in individuals who participate in sports. The diagnosis of Achilles tendon rupture can be missed on clinical examination in 20% to 30% of patients. In the adult literature, there are several case reports describing the diagnosis of Achilles tendon rupture by point-of-care ultrasound POCUS. There is currently no literature examining POCUS for the diagnosis of Achilles tendon rupture in pediatric patients. This case series describes 2 pediatric patients who were diagnosed with Achilles tendon rupture by POCUS. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - March 1, 2022 Category: Emergency Medicine Tags: Ultrasound Case Reviews Source Type: research
Pediatric Ovarian Torsion on Point-of-Care Ultrasound: A Case Series
No abstract available (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - March 1, 2022 Category: Emergency Medicine Tags: Ultrasound Case Reviews Source Type: research
Improving Emergency Department Use of Safety-Net Antibiotic Prescriptions for Acute Otitis Media
Conclusions
Safety-net antibiotic prescriptions in conjunction with parent education was effective in reducing the use of immediate antibiotic prescriptions in children with AOM in 2 pediatric EDs. Offering a SNAP can reduce unnecessary use of antibiotics, which in turn may decrease antibiotic-related adverse events and antibiotic resistance. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - March 1, 2022 Category: Emergency Medicine Tags: Original Research-QI Source Type: research
Responding to a Behavioral Health Crisis: Applying a New Care Model in the Emergency Department
Conclusions
A multifaceted approach allowed our ED to successfully respond to an unexpected surge of BH patients. Other institutions may be able to apply a population health and quality improvement approach when addressing the rising prevalence of ED BH visits. Future studies and practices should explore the optimal role of the acute care setting in the continuum of care of these patients. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - March 1, 2022 Category: Emergency Medicine Tags: Original Research-QI Source Type: research
Scalp Staples Placed in a Pediatric Emergency Department: Feasibility and Benefits of Home Removal
Conclusions
Caregivers who were taught how to remove their child's scalp staples in the PED before discharge were highly successful at home. Ninety-three percent of enrolled patients had their staples completely removed and no complications were reported. Benefits included avoiding lost wages, lost time attending a follow-up clinic, and lost time from school. Staple removal is a simple technique that can easily be taught to caregivers in a matter of minutes and lead to greater patient and parent satisfaction. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - March 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Traumatic Brain Injury in Children: Glial fibrillary Acidic Protein and Clinical Outcomes
Conclusions
GFAP identifies children with TBI, even at the milder end of the spectrum, and is strongly associated with postinjury vomiting. It may be a useful marker of pediatric TBI; however, sampling is time critical. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - March 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Concussion Referral and Practice Patterns by Pediatric Emergency Medicine Providers
Conclusions
Although most PEM providers reported significant experience and confidence in managing pediatric concussion, standardized assessment tools were infrequently used. Most were likely to use a risk stratification tool to assist in specialty referral. Future studies should assess the ability of targeted referral strategies to improve recovery for concussed youth. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - March 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Suicide Screening in a Large Pediatric Emergency Department: Results, Feasibility, and Lessons Learned
Conclusions
In addition to findings, implications, feasibility, and lessons learned are discussed for other institutions or departments considering implementation of a widespread screening.
Highlights:
• Suicide screenings were implemented in a large pediatric emergency department.
• One in 5 endorsed suicidal ideation or behavior regardless of presenting problem.
• Feasibility and lessons learned are discussed for others hoping to implement a widespread screening.
Suicide is a leading cause of death among children and adolescents, and research has shown a significant increase in the rates of emerg...
Source: Pediatric Emergency Care - March 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Applying the Ottawa Ankle Rules in a Pediatric Emergency Department
Conclusions
The OARs are an important clinical instrument with a high sensitivity and negative predictive value, which allows clinicians to avoid unnecessary exposure to radiation without missing clinically relevant fractures. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - March 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Does Postmortem Imaging Provide Additional Findings After Unexpected Deaths in Infants and Children?
Conclusions
The American Academy of Pediatrics recommendations of performance of a skeletal survey and an autopsy were not adhered to after all infant deaths. PMI is useful in identification of additional findings in children 2 years or younger, especially those concerning for physical abuse in infants with a negative physical examination.
The yield of postmortem imaging (PMI) after sudden unexpected deaths in children has not been well studied. Findings consistent with physical abuse detected on PMI may alert the physician to this diagnosis before the autopsy results. Our objectives are to describe the PMI performe...
Source: Pediatric Emergency Care - March 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Initial Fluid Balance Associated Outcomes in Children With Severe Sepsis and Septic Shock
This study aimed to clarify the possible association of initial 24 hours' fluid balance with poor outcomes in pediatric patients with sepsis.
Methods
Retrospective data analysis included pediatric patients admitted with suspected or proven sepsis or septic shock to pediatric intensive care unit (PICU) of a tertiary care teaching hospital in Saudi Arabia.
Results
The study included 47 patients; 13 (28%) died, and mortality rate was significant in children with neurologic failure (P (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - March 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Recommendations on the Management of Interhospital Transport of Pediatric Patients With Mediastinal Mass
Conclusions
Children with mediastinal mass are at risk of life-threatening cardiorespiratory compromise. Pretransport assessment, planning, and stabilization along with clear management plans for deterioration during transport are crucial especially for patients who are symptomatic at time of presentation, to reduce risks associated with delays in arriving at the specialist point of care for definitive treatment. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - March 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
A Goat Cadaver as a Cost-effective Resource for Teaching Emergency Medicine Procedures in Kijabe, Kenya
Conclusions
A goat cadaver is a cost-effective resource not often considered that can be adequately used to teach several emergency medicine skills by simulation. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - March 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Neonatal COVID and Familial Hemophagocytic Lymphohistiocytosis
No abstract available (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - March 1, 2022 Category: Emergency Medicine Tags: Letters to the Editors Source Type: research
