Risk Factors for Ankle Fractures in Asian Adolescents Seen in a Pediatric Emergency Department
In this study, we aimed to describe risk factors associated with simple ankle fractures and ankle fractures that require surgery, among adolescents presenting to the PED with ankle injuries.
Methods
We analyzed a retrospective cohort study of adolescents 12 to 16 years old who presented to our PED with an acute ankle injury and received an ankle radiograph from November 1, 2016, to October 31, 2017. Demographic, anthropometric variables, physical examination findings including those of the Ottawa Ankle Rules were obtained. We recorded any surgical interventions required, as well as follow-up and to return to physica...
Source: Pediatric Emergency Care - December 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Parental Childhood Adversity and Pediatric Emergency Department Utilization: A Pilot Study
Conclusions
Parental ACEs appear to be positively associated with frequency of PED utilization and inversely associated with higher-acuity PED visits and parental resiliency. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - December 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Overutilization of Radiographs for Pulled Elbow Among Orthopedic Surgeons Compared With Pediatricians
Background
Methods
Electronic medical records of the largest health provider in Israel, which provides health services to more than 50% of the population, were reviewed for pulled elbow cases between 2005 and 2020. Patients aged 4.5 months to 7 years were included. Demographic information, the discipline of the treating physician, and acquisition of elbow radiographs were gathered.
Results
A total of 4357 patients, 62.8% girls, were included. The average body mass index was 16.1 (SD, 1.2). Most patients were from communities in the upper half of the socioeconomic status clusters 6 to 10 (64.63%). Most patien...
Source: Pediatric Emergency Care - December 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
No Difference in Mortality and Outcomes After Addition of a Nearby Pediatric Trauma Center
This study evaluated pediatric trauma volume and outcomes at an existing level I (L-I) adult and level II (L-II) PTC after the addition of a new children's hospital L-II PTC within a 2-mile radius, hypothesizing no difference in mortality and complications.
Methods
A retrospective review of patients aged 14 years or younger presenting to a single adult L-I and L-II PTC was performed. Patients from 2015–2016 (PRE) were compared with patients from 2018–2019 (POST) for mortality and complications using bivariate analyses.
Results
Compared with the PRE cohort, there were less patients in the POST cohort (277 ...
Source: Pediatric Emergency Care - December 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Risk Factors of Nonsurgical Management Failure in Pediatric Intussusception Patients With Delayed Presentation
Conclusions
The presence of entrapped fluid between the intussuscepted loops, free peritoneal fluid, and the length of the intussuscepted segments were all associated with USGHR failure in our study. Therefore, determining these predictors may help anticipate failure of reduction. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - December 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Relationship Between Body Temperature and Heart Rate in Children With No Other Apparent Cause of Tachycardia
Conclusions
We created new, age-dependent heart rate percentile curves for body temperature for use in the ED setting. In outpatients, the effect of coexisting factors affecting heart rate, such as crying, may be higher among younger patients. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - December 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Risk Factors for Death and Severe Neurological Sequelae in Childhood Bacterial Meningitis
Conclusions
The present score accurately discriminated the probability of death in children hospitalized with ABM, and it could be a useful tool to select candidates for admission to the intensive care unit and for adjunctive therapy in clinical trials. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - December 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
An Adolescent With Cerebral Thrombosis Successfully Treated With Rivaroxaban
No abstract available (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - November 1, 2022 Category: Emergency Medicine Tags: Letters to the Editors Source Type: research
Acute Emergency Management of Pulmonary Hemorrhage in Children: Rare But Scary
No abstract available (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - November 1, 2022 Category: Emergency Medicine Tags: Letters to the Editors Source Type: research
Epidemiological and Psychopharmacological Study About Off-Label Treatment in Child and Adolescent Psychiatric Emergencies: A Tertiary/Single Center Experience
Conclusions
Off-label drug use in CAPEs is a recurrent clinical practice. An international agreement about off-label drugs is crucial to obtain standard long-term pharmacoepidemiological, safety, and efficacy data. Pharmacological pediatric trials and international guidelines are also required to regulate pharmacological treatments of CAPEs, most of all in emergency settings. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - November 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Emergency Medical Services Provider Acceptance of and Attitudes About Pediatric SimBox Simulations
Conclusion
SimBox simulations are associated with improved self-efficacy of prehospital care providers for care of acutely ill or injured children. The majority promotes SimBox as a learning tool. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - November 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Hypoxia and Polycythemia: A Pediatric Emergency Department Point of Care Ultrasound Diagnosis of Pulmonary Arteriovenous Malformation
Point of care ultrasound (POCUS) can be useful in the differentiation between cardiac and pulmonary etiologies of hypoxia. Here, we present a child with signs of chronic hypoxia, found on POCUS to have multiple pulmonary arteriovenous malformations. A combination of POCUS and history supported a presumptive pediatric emergency department diagnosis of hereditary hemorrhagic telangiectasia. This case is the first case of a pulmonary arteriovenous malformation found on POCUS and reinforces the importance of POCUS as a first-line examination in the evaluation of chronic hypoxia in the pediatric emergency department. (Source: P...
Source: Pediatric Emergency Care - November 1, 2022 Category: Emergency Medicine Tags: Ultrasound Case Review Source Type: research
A Comparison of Temperature Thresholds to Begin Laboratory Evaluation of Well-Appearing Febrile Infants
Objective
Young infants who develop fever are at an increased risk for serious infection. It is unclear, however, what temperature cutoff would be optimal to begin evaluating these infants because some criteria use different thresholds. We sought to determine the percentage of infants presenting to the Emergency Department (ED) with a temperature less than 38.2°C who develop serious infection compared with those with higher temperatures.
Methods
We used a publicly available dataset from the Pediatric Emergency Care Applied Research Network. Patients were included if they were aged 60 days or younger, had a docu...
Source: Pediatric Emergency Care - November 1, 2022 Category: Emergency Medicine Tags: Review Article Source Type: research
Direct Oral Anticoagulant Reversal in the Pediatric Emergency Department
No abstract available (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - November 1, 2022 Category: Emergency Medicine Tags: CME Review Article Source Type: research
Direct Oral Anticoagulant Reversal in the Pediatric Emergency Department
Direct oral anticoagulants have been used in the adult population for years and are being used more frequently in pediatrics. Direct oral anticoagulants are chosen preferentially because they do not require close outpatient monitoring, have an equal or better safety profile, and are easy for patients to take. Warfarin is the previous, more commonly used oral anticoagulant and acts as a vitamin K antagonist. Direct oral anticoagulants mechanism of action is different in that they directly inhibit part of the coagulation cascade accomplishing the same end goal. Given their differing mechanisms, they require alternate medicat...
Source: Pediatric Emergency Care - November 1, 2022 Category: Emergency Medicine Tags: CME Review Article Source Type: research
