Clinical Profile, Etiology, and Management Outcomes of Pediatric Ocular Trauma in Saudi Arabia
Conclusions
Despite proper management, children in this study sustained significant permanent visual loss secondary to ocular trauma. Public health efforts in Saudi Arabia are needed to reduce preventable injury-related childhood blindness. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - October 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Describing the Patient Population of a Pediatric Emergency Department Based on Visit Frequency
Objective
A small number of children in the United States use a disproportionate share of emergency healthcare services. Our study objective was to examine characteristics associated with frequent pediatric emergency department (PED) utilization.
Methods
A retrospective cohort-sequential study of patients seen in the PED of an urban children's hospital was conducted. Patients were categorized into 2 groups: infrequent users ( (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - October 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Comparison of Targeted and Routine Adolescent HIV Screening in a Pediatric Emergency Department
Objectives
The aims of the study were (1) to compare targeted and routine HIV screening in a pediatric emergency department (PED) and (2) to compare provider documented HIV risk assessment with adolescent perception of HIV risk assessment conducted during the PED visit.
Methods
This prospective study ran concurrent to a PED routine HIV screening pilot. Adolescents could be tested for HIV by the PED provider per usual care (targeted testing); if not tested, they were approached for the routine screening pilot. A subset of adolescents completed a questionnaire on HIV risk. χ2 analysis compared adolescents with ta...
Source: Pediatric Emergency Care - October 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Characteristics of Pediatric Nasal Foreign Body Cases That Required Multiple Removal Procedures: A Single Tertiary Medical Center Cross-Sectional Study
This study aimed to reveal the characteristics of pediatric nasal foreign body cases that required multiple removal procedure and to investigate the appropriate removal method for each shape of foreign body.
Methods
We retrospectively reviewed patients who visited a pediatric emergency department because of nasal foreign body from November 1, 2018, to October 31, 2020. We compared the characteristics of patients, foreign bodies, and treatment between the success and failure groups in the first removal procedure. Moreover, we described the detail of patients in the failure group. We also showed final successful remov...
Source: Pediatric Emergency Care - October 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Effectiveness of a Reliable Toxicological Analysis for a Correct Diagnosis of Acute Intoxication in Pediatrics: 2-Year Experience of an Analytical Toxicological Laboratory
Conclusions
An analytical approach critically designed to minimize misinterpretation of laboratory data and able to provide reliable results for a wide number of substances in a time compatible with the urgency represents a useful support for a correct diagnosis of intoxication in pediatrics. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - October 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Dissemination and Use of Point-of-Care Ultrasound by Pediatricians in Europe: A Research in European Pediatric Emergency Medicine Network Collaborative Survey
Conclusions
The dissemination of pediatric POCUS in the European and Israeli centers we surveyed is limited, and its applications are largely restricted to the Focused Assessment with Sonography in Trauma examination. This is likely related to lack of training programs. In contrast, the potential value of use of POCUS in PEM practice is recognized by the majority of respondents. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - October 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Adolescent Substance Use Disorder Diagnosis Correlates With Hospitalization After an Emergency Department Visit
This study used a retrospective cohort design of adolescents (aged 15–21 y; n = 14,852) treated in the ED and compared the risk of hospitalization within 90 days.
Results
A substance use disorder diagnosis in the ED more than doubled the risk of 90-day hospitalization (5.4% vs 2.38%; P (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - October 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Diagnostic Yield of Cardiac Biomarker Testing in Predicting Cardiac Disease and Multisystem Inflammatory Syndrome in Children in the Pandemic Era
Conclusions
Children with elevated cardiac biomarkers have increased odds of a cardiac diagnosis or MIS-C and warrant workup regardless of indication for testing. Although a negative hsTropT may reassure providers, further investigation is critical in developing algorithms to reliably exclude cardiac disease. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - October 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Cyclic Vomiting Syndrome in the Emergency Department: A 10-Year Review of Clinical Presentation and Management
Conclusions
An ambiguous presentation makes the identification and consistent management of CVS in the ED difficult. Physicians should consider CVS for patients who present multiple times with unremitting vomiting to ensure appropriate referral for diagnosis and prophylactic treatment. Future studies are warranted to evaluate anticipatory processing and treatment of the “high-intensity patients” who account for much of the clinical morbidity and resource utilization. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - October 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Diagnosis of Internal Jugular Vein Septic Thrombophlebitis by Point-of-Care Ultrasound
We present a case where point-of-care ultrasound was used to diagnose septic thrombophlebitis of the internal jugular vein and expedite appropriate therapy. We further review the technique and literature for ultrasound diagnosis of venous thrombosis and associated thrombophlebitis. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - October 1, 2022 Category: Emergency Medicine Tags: Ultrasound Case Review Source Type: research
Sepsis in Children in Latin America: Gaps, Inequities, and Improvement Strategies
Pediatric sepsis is a worldwide public health issue because of its high mortality rate, which increases even more in low-income countries. In this article, we review the Latin American background, the burdens of pediatric sepsis in Latin America, and the Caribbean, as well as some strategies that could help improve the outcomes of sepsis in these regions from a public health view. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - October 1, 2022 Category: Emergency Medicine Tags: Review Article Source Type: research
Fever and Knee Effusion in the Pediatric Patient
No abstract available (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - October 1, 2022 Category: Emergency Medicine Tags: CME Review Article Source Type: research
Fever and Knee Effusion in the Pediatric Patient
The pediatric patient with fever and knee effusion is always a cause for clinical concern. A thorough history and physical examination is required to guide appropriate diagnostic evaluation and management. Although pediatric knee effusions are common in the setting of trauma, the presence of fever should prompt consideration of infectious, rheumatologic, vasculitic, and malignant etiologies. This review covers the key components of the history, physical examination, diagnostic strategies, common etiologies, and initial management of the pediatric patient with fever and knee effusion. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - October 1, 2022 Category: Emergency Medicine Tags: CME Review Article Source Type: research
Reducing Phlebotomy, Length of Stay, Cost: Development of a Blunt Abdominal Trauma Pathway in a Level I, Pediatric Trauma Center
Objectives
Blunt abdominal trauma (BAT) is a leading cause of morbidity in children with higher hemodynamic stabilities when compared with adults. Pediatric patients with BAT can often be managed without surgical interventions; however, laboratory testing is often recommended. Yet, laboratory testing can be costly, and current literature has not identified appropriate pathways or specific tests necessary to detect intra-abdominal injury after BAT. Therefore, the present study evaluated a proposed laboratory testing pathway to determine if it safely reduced draws of complete blood counts, coagulation studies, urinalysis...
Source: Pediatric Emergency Care - October 1, 2022 Category: Emergency Medicine Tags: Original Research-QI Source Type: research
Motor Vehicle Collision and Acute Kidney Injury in Children
Objective
Our study aimed to determine the prevalence of acute kidney injury (AKI) in pediatric patients who sustained trauma due to motor vehicle collision (MVC) and identify factors associated with its development.
Methods
We retrospectively reviewed the clinical information and laboratory tests of pediatric patients who were admitted because of MVC from January 2014 to April 2021. The occurrence of AKI was our primary outcome, which was defined by the Kidney Disease Improving Global Outcomes criteria. A serum creatine kinase (CK) level of 1000 IU/L or greater was defined as rhabdomyolysis.
Results
Sixt...
Source: Pediatric Emergency Care - October 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
