Unusual Presentations of Childhood Systemic Lupus Erythematosus to the Emergency Department: Erratum
No abstract available (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - September 1, 2022 Category: Emergency Medicine Tags: Erratum Source Type: research
SARS-CoV-2 With Concurrent Respiratory Viral Infection as a Risk Factor for a Higher Level of Care in Hospitalized Pediatric Patients
This study was performed to evaluate if the presence of concurrent respiratory viral infections in pediatric patients admitted to the hospital with SARS-CoV-2 was associated with an increased rate of ICU level of care.
Design
A multicenter, international, noninterventional, cross-sectional study using data provided through The Society of Critical Care Medicine Discovery Network Viral Infection and Respiratory Illness Universal Study database.
Setting
The medical ward and ICU of 67 participating hospitals.
Patients
Pediatric patients younger than 18 years hospitalized with SARS-CoV-2.
Interventions
...
Source: Pediatric Emergency Care - September 1, 2022 Category: Emergency Medicine Tags: Special Feature Source Type: research
A Rare Cause of Shock in a Child Diagnosed by Point-of-Care Ultrasound
We describe a case where point-of-care ultrasound was used to evaluate a child who presented with nonspecific abdominal pain leading to the diagnosis of this rare cardiac condition and life-saving surgical treatment. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - September 1, 2022 Category: Emergency Medicine Tags: Ultrasound Case Review Source Type: research
Emerging Trends in Smartphone Photo Documentation of Child Physical Abuse
Photo documentation of injuries on children is universally recommended in cases of suspected child physical abuse. As technology improves, the ability to document physical examination findings through smartphone photography is increasingly accessible and practical. The quality of images captured on smartphones now rivals traditional photography and the integration of photo capture within the electronic medical record has led to a variety of fields adopting smartphone photo documentation for diagnosis, consult, and follow-up. However, in cases of child physical abuse, practitioners have been hesitant to adopt smartphones as...
Source: Pediatric Emergency Care - September 1, 2022 Category: Emergency Medicine Tags: Review Article Source Type: research
Anaphylaxis in Children
No abstract available (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - September 1, 2022 Category: Emergency Medicine Tags: CME Review Article Source Type: research
Anaphylaxis in Children
Anaphylaxis is a potentially life-threatening event in children, commonly encountered in the prehospital and emergency department settings. Recently published clinical guidelines emphasize early recognition of anaphylaxis and administration of epinephrine as the mainstay of management. Literature regarding adjuvant therapies, biphasic reactions, observation times, and disposition of patients with anaphylaxis remains controversial. In this article, we will review the background and pathophysiology of anaphylaxis, as well as the diagnostic approach, management, and future directions of anaphylaxis in children. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - September 1, 2022 Category: Emergency Medicine Tags: CME Review Article Source Type: research
C-Reactive Protein and the Outcome of a Pediatric Emergency Department 7 Days Revisit
Conclusions
The intensity of the inflammatory response, as expressed by the high concentrations of CRP in children, does not seem to predict the outcome at a repeat PED visit within 7 days. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - September 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Addition of Midthigh Circumference Improves Predictive Ability of Broselow Tape Weight Estimation
Conclusions
The inclusion of MTC with BT resulted in a more accurate weight prediction in children especially greater than 2 years old. Midthigh circumference model using CDC-defined method was slightly better predictor of actual weight than visual approximation. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - September 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Accuracy and Interrater Reliability of Point-of-Care Ultrasonography Image Interpretation for Intussusception
Conclusions
Expert POCUS reviewers demonstrate high accuracy and moderate interrater reliability when identifying intussusception via image interpretation and perform better than novice reviewers. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - September 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
0.45% Versus 0.9% Saline in 5% Dextrose as Maintenance Fluids in Children Admitted With Acute Illness: A Randomized Control Trial
This study was planned to compare 0.45% and 0.9% saline in 5% dextrose at standard maintenance rates in hospitalized children aged 3 months to 12 years.
Objective
Primary objective was to study change in serum sodium level at 24 hours in children receiving total IV fluid maintenance therapy as 0.45% or 0.9% normal saline in 5% dextrose. Secondary objectives of this study were to estimate change in serum sodium levels from the baseline to 48 or 72 hours, if IV fluids were continued, and to find incidence of hyponatremia and hypernatremia after administering these 2 types of maintenance fluids.
Methods
This stu...
Source: Pediatric Emergency Care - September 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Low Relevancy of Outcome Measurements of Studies of Pediatric Pain in the Emergency Department
Conclusion
Half of the interventions decreased pain in children in the ED. However, most studies did not aim at complete pain relief. Even in intervention groups with statistically significant decrease in pain, children still had pain. Children in the ED deserve better.
Complete pain relief should be the goal of any intervention for these children in the ED.
Studies on pain treatment in the ED should have complete pain relief as primary end point. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - September 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Outcomes of Single-Dose Empirical Antibiotic Treatment in Children With Suspected Sepsis Implemented in the Emergency Department
Objectives
Implementing a single-dose empirical antibiotic (SDEA) strategy at the emergency department (ED) in children with suspected sepsis may improve outcomes. We aim to evaluate the outcomes of the SDEA strategy for children with suspected sepsis at the ED in a tertiary care center in Bangkok.
Methods
Children who met the predefined checklist screening criteria for suspected sepsis were administered single-dose intravenous cefotaxime 100 mg/kg, or meropenem 40 mg/kg if they were immunocompromised or recently hospitalized. The medical records of children diagnosed with sepsis and septic shock caused by bacte...
Source: Pediatric Emergency Care - September 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
A Multistate Survey of Pediatric Emergency Care Coordinator Activities
Conclusions
Most PECCs report participating in the suggested National Pediatric Readiness Program tasks, although there was variation by state. Future directions for this work include assessing the association between PECC tasks and patient outcomes. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - September 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Survival Rates After Pediatric Traumatic Out-of-Hospital Cardiac Arrest Suggest an Underappreciated Therapeutic Opportunity
Objectives
Children with traumatic arrests represent almost one third of annual pediatric out-of-hospital cardiac arrests (OHCAs). However, traumatic arrests are often excluded from study populations because survival posttraumatic arrest is thought to be negligible. We hypothesized that children treated and transported by emergency medical services (EMS) personnel after traumatic OHCA would have lower survival compared with children treated after medical OHCA.
Methods
We performed a secondary, observational study of children younger than 18 years treated and transported by 78 EMS agencies in southwestern Pennsyl...
Source: Pediatric Emergency Care - September 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Children Magnetic Resonance—Can I Use Only Your Nose for Sedation?
No abstract available (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - August 1, 2022 Category: Emergency Medicine Tags: Letters to the Editors Source Type: research
