journal
https://read.qxmd.com/read/38587067/predictors-of-clinically-important-neuroimaging-findings-in-children-presenting-pediatric-emergency-department
#1
JOURNAL ARTICLE
Emre Gungor, Goknur Haliloglu, Dilek Yalnizoglu, Kader Karli Oguz, Ozlem Teksam
OBJECTIVE: The aim of the study is to evaluate predictors of clinically important neuroimaging results, that is, computed tomography and magnetic resonance imaging in children in an academic pediatric emergency department (PED) from 2015 to 2019. METHODS: This study was conducted in an academic PED. The patient's demographic and clinical characteristics of PED visits and neuroimaging findings requested at the PED were recorded for January 1, 2015, to December 31, 2019...
April 8, 2024: Pediatric Emergency Care
https://read.qxmd.com/read/38587052/the-one-pill-can-kill-myth
#2
JOURNAL ARTICLE
Milton Tenenbein
"One Pill Can Kill" is a meme originating in the 1990s. This construct lists pharmaceuticals that have the alleged potential for fatality after the ingestion of a single pill by a toddler. However, its foundation is fundamentally flawed because it contravenes a basic principle of pediatric pharmacology, allometric scaling. Other than opioids, there are no literature examples of one pill killing a toddler. The negative outcome of the one pill can kill construct is inappropriate management manifested by over-referral of young children by poison centers to emergency departments for care, overly prolonged emergency department observation and needless hospital admissions...
April 8, 2024: Pediatric Emergency Care
https://read.qxmd.com/read/38587011/serial-trauma-abdominal-ultrasound-in-children-staunch-a-pilot-study
#3
JOURNAL ARTICLE
Benjamin K Nti, Nicole Benzoni, Rebecca Starr, Matthew Hays, Dylan Vish, Bradley End, Frances Russell
BACKGROUND: Ultrasound has established utility within pediatric emergency medicine and has an added benefit of avoiding excessive radiation exposure. The serial focused assessment with sonography in trauma (sFAST) examination is a potential alternative to improve pediatric trauma evaluation. We sought to evaluate the accuracy of sFAST in pediatric patients with blunt abdominal trauma. METHODS: We performed a multicenter, retrospective observational study of electronic medical records, trauma registry data, and image archiving records of previous sFAST examinations...
April 8, 2024: Pediatric Emergency Care
https://read.qxmd.com/read/38563828/building-blocks-a-block-by-block-approach-to-better-emergency-care-in-children
#4
JOURNAL ARTICLE
Yair Katzir, Lior Ganor, Ron Berant, Keren Shahar-Nissan
OBJECTIVE: We describe a case series of regional nerve blocks, which comprise an adapted framework for the pediatric emergency setting and were performed by pediatric emergency medicine physicians. METHODS: A case series of 8 different ultrasound-guided nerve blocks and 1 anatomical block, performed in 11 pediatric patients, aged 7 weeks to 17 years. RESULTS: All blocks resulted in adequate analgesia. No procedural complications were observed...
April 2, 2024: Pediatric Emergency Care
https://read.qxmd.com/read/38563823/workplace-violence-in-the-pediatric-emergency-department-a-national-survey-of-physicians-in-the-united-states
#5
JOURNAL ARTICLE
Craig James Huang, Andrew Kamal Boulos, Steven Field, Vincent J Wang, Kenneth Yen
OBJECTIVES: Previous work shows that health care workers, and particularly emergency department (ED) staff, are at an above average risk of workplace violence (WPV), defined as verbal threats or physical violence in the workplace. Previous data suggest that staff of a single pediatric ED frequently feel unsafe. The objective of this study was to conduct the first national survey study to assess the prevalence and incidence of WPV in the pediatric ED. METHODS: In this cross-sectional survey study, a representative sample of US pediatric emergency medicine physicians were invited to participate in a national survey adapted from the previously validated Workplace Violence in the Health Sector questionnaire from the World Health Organization...
April 2, 2024: Pediatric Emergency Care
https://read.qxmd.com/read/38563814/pediatric-epistaxis-effectiveness-of-conservative-management
#6
JOURNAL ARTICLE
Ayalon Hadar, Uri Peleg, Jameel Ghantous, Yehuda Tarnovsky, Adiel Cohen, Jean-Yves Sichel, Pierre Attal
OBJECTIVES: Epistaxis is an emergency medical condition that sometimes requires admission to the emergency department. Pediatric epistaxis differs from epistaxis in the older population in terms of etiology, severity, and management. Our objective was to identify the distinctive features of pediatric epistaxis and determine the appropriate management. METHODS: This was a retrospective study of 231 medical records of children (<18 years old) with epistaxis of a total of 1171 cases in the general population who presented to our medical center's emergency department between 2013 and 2018...
April 2, 2024: Pediatric Emergency Care
https://read.qxmd.com/read/38563812/thrombocytopenia-and-adverse-bleeding-events-in-neonatal-lumbar-punctures-in-the-emergency-department
#7
JOURNAL ARTICLE
Duyen My Le, Robert Vezzetti, Ada Earp, Alexandra Jung, Graham Aufricht
OBJECTIVE: Lumbar punctures are performed as part of a routine evaluation of neonates with fever in the emergency department. Current recommendations regarding performing a lumbar puncture in the presence of thrombocytopenia exist for children with leukemia and other cancers; however, there are no such recommendations for the general neonatal population. This study assesses the frequency of thrombocytopenia and adverse bleeding events in neonates who undergo a lumbar puncture to determine whether a complete blood count, and specifically the platelet count, should be reviewed before performing the lumbar puncture...
April 2, 2024: Pediatric Emergency Care
https://read.qxmd.com/read/38563810/social-care-education-and-training-among-us-pediatric-emergency-medicine-fellowship-programs
#8
JOURNAL ARTICLE
Raymen Rammy Assaf, Ryan David Assaf, Hannah Barber Doucet, Danielle Graff
OBJECTIVE: The aim of the study is to assess the association of social determinants of health (SDOH) education and social needs training on pediatric emergency medicine (PEM) physician perception and practices of social care. METHODS: Data were derived from the 2021 National Social Care Practices Survey of PEM program directors (PDs) and fellows. Ordinal and binary logistic regression modeling were completed for educational/training factors and social care perspective and practice outcomes...
April 2, 2024: Pediatric Emergency Care
https://read.qxmd.com/read/38563806/pediatric-emergency-medicine-and-mentoring-what-women-want
#9
JOURNAL ARTICLE
Kirsten Bechtel, Melissa L Langhan, Deborah Levine, Janice Hanson
BACKGROUND: Women in medicine have reported gender-specific obstacles to career success, such as a dearth of mentors and role models. Pediatric emergency medicine (PEM) is a female-dominated subspecialty of pediatrics yet is still impacted by gender inequality in many areas. No previous study has explored mentoring experiences of women PEM physicians and the impact on their career trajectory. We sought to explore the experiences of female PEM physicians with mentorship to determine aspects of mentoring that were successful or unsuccessful...
April 2, 2024: Pediatric Emergency Care
https://read.qxmd.com/read/38563800/utility-of-synovial-fluid-biomarkers-for-culture-positive-septic-arthritis-in-a-lyme-disease-endemic-region
#10
JOURNAL ARTICLE
Andzelika Dechnik, Caroline G Kahane, Lise E Nigrovic, Todd W Lyons
OBJECTIVE: To evaluate the performance of synovial fluid biomarkers to identify children with culture-positive septic arthritis. METHODS: We identified children 6 months to 18 years old presenting to a single emergency department between 2007 and 2022 undergoing evaluation for septic arthritis defined by having a synovial fluid culture obtained. Our primary outcome was septic arthritis defined by a positive synovial fluid culture. We evaluated the ability of synovial fluid biomarkers to identify children with septic arthritis using area under the receiver operating characteristic curve (AUC) analyses...
April 2, 2024: Pediatric Emergency Care
https://read.qxmd.com/read/38563797/variations-in-management-and-clinical-outcomes-for-children-with-diabetic-ketoacidosis-in-an-academic-pediatric-versus-community-emergency-department-setting
#11
JOURNAL ARTICLE
John Nathan Freeman, Callie Giroux, Timothy King, Christina Marbrey, Matthew Maready, Simeen Pasha, Justin Davis
OBJECTIVES: Our objectives were to characterize variations from standardized, evidence-based guidelines in the management of pediatric patients with diabetic ketoacidosis (DKA) based on initial presentation to a tertiary pediatric emergency department (PED) versus a community emergency department (OSH) and compare clinical outcomes. METHODS: We conducted a retrospective study on children 18 years and younger with DKA who presented to an OSH or PED over a 3-year period...
April 2, 2024: Pediatric Emergency Care
https://read.qxmd.com/read/38534003/low-acuity-pediatric-emergency-department-utilization-caregiver-motivations
#12
JOURNAL ARTICLE
Lisa Ziemnik, Noah Parker, Kyra Bufi, Kristen Waters, Jacob Almeda, Adrienne Stolfi
OBJECTIVES: Proper emergency department (ED) utilization is a hallmark of population health. Emergency department overcrowding due to nonurgent visits causes increased stress to healthcare staff, higher costs, and longer wait times for more urgent cases. This study sought to better understand post pandemic reasons caregivers have when bringing in their children for nonurgent visits and devise effective interventions to improve caregiver choice for non-ED care for nonurgent conditions...
March 27, 2024: Pediatric Emergency Care
https://read.qxmd.com/read/38498934/molecular-point-of-care-testing-in-the-emergency-department-for-group-a-streptococcus-pharyngitis-a-randomized-trial
#13
JOURNAL ARTICLE
Carson Gill, Clement Chui, David M Goldfarb, Garth Meckler, Quynh Doan
OBJECTIVES: To compare clinical and health systems outcomes of rapid molecular testing versus throat culture recovery for the management of group A Streptococcus (GAS) pharyngitis in a pediatric emergency department (PED). METHODS: We conducted a single-center randomized trial of children (3-17 years) presenting to a PED with suspected GAS pharyngitis. A single dual-headed throat swab was collected, and participants were randomized to 1 of 2 parallel treatment groups with 1:1 allocation: point-of-care (POC) nucleic acid amplification testing or standard throat culture...
March 18, 2024: Pediatric Emergency Care
https://read.qxmd.com/read/38498930/the-barriers-to-recognizing-and-reporting-child-physical-abuse-by-emergency-physicians-and-associated-factors
#14
JOURNAL ARTICLE
Dongwoo Lee, Jin Hee Lee, Young Ho Kwak, Dongbum Suh, Hyuksool Kwon, Do Kyun Kim, Jin Hee Jung, Joong Wan Park, Ha Ni Lee, Jin Hee Kim
BACKGROUND: Although the reporting rate of child abuse is increasing every year, the child abuse detection rate is 3.81% as of 2019 in Korea, which is significantly lower than that of developed countries for child rights. OBJECTIVE: We investigated the associated factors with barriers that emergency physicians face in recognizing and reporting cases of child abuse. METHODS: From May to July 2022, 240 emergency physicians working in the 15 emergency department were asked to participate in the survey via email...
March 18, 2024: Pediatric Emergency Care
https://read.qxmd.com/read/38478927/characteristics-and-risk-factors-of-central-nervous-system-infection-in-children-with-febrile-seizures
#15
JOURNAL ARTICLE
Daniel Almeida do Valle, Luisa Carolina Vinhal Costa, Amanda Perin Fregonese, Dannyelle Heloize Leite da Silva, Giovana Kellen Souza Maldonado, Letícia Tozzini Tavares da Silva, Mylena da Silva Couto
OBJECTIVE: The aim of the present study is to evaluate the necessity of performing lumbar puncture in patients experiencing febrile seizures, considering the epidemiology specific to Brazil. METHODS: A retrospective cross-sectional study was performed from January 2017 to December 2021. RESULTS: A total of 469 children with seizure and fever were analyzed. The identified event was the first in 65.9% (n = 309). A total of 54.2% (n = 254) of patients had a simple febrile seizure...
March 14, 2024: Pediatric Emergency Care
https://read.qxmd.com/read/38471774/myocarditis-a-helpful-algorithm-to-overcome-diagnostic-challenges-in-the-pediatric-population
#16
JOURNAL ARTICLE
Nitzan Knoler, Hanna Krymko, Leonel Slanovic, Michael Grunseid, Nave Paran, Lior Hassan, Aviva Levitas
OBJECTIVES: This study was designed to investigate clinical differences between pediatric patients who presented with chest pain, tachycardia, and/or tachypnea who subsequently were or were not diagnosed with myocarditis. The results were used to develop a decision tree to aid in rapid diagnosis of pediatric myocarditis. METHODS: A retrospective case-control study was performed using the electronic medical records of children aged 0 to 18 years between the years 2003 and 2020 with a complaint of chest pain, tachycardia, and/or tachypnea...
March 13, 2024: Pediatric Emergency Care
https://read.qxmd.com/read/38471773/comment-on-mpox
#17
JOURNAL ARTICLE
Hinpetch Daungsupawong, Viroj Wiwanitkit
No abstract text is available yet for this article.
March 13, 2024: Pediatric Emergency Care
https://read.qxmd.com/read/38471771/acute-suppurative-perichondritis-after-helix-piercing-in-a-child
#18
JOURNAL ARTICLE
Emine Çiğdem Özer, Gülhadiye Avcu, Asli Arslan, Coşkun Ekemen, Zumrut Sahbudak Bal
No abstract text is available yet for this article.
March 13, 2024: Pediatric Emergency Care
https://read.qxmd.com/read/38471768/central-line-repair-in-pediatric-patients-in-the-pediatric-emergency-department-by-emergency-physicians-a-single-center-experience
#19
JOURNAL ARTICLE
Aluma Baer, Giora Weiser
INTRODUCTION: Central venous catheters are more common with advanced treatments for a variety of conditions. These catheters may need to be repaired after local damage. This has been performed by those more involved with catheter placement such as pediatric surgeons and interventional radiologists. Gastroenterologists who treat many of these patients have also been involved with catheter repair. Repair by pediatric emergency physicians has not been explored. Such repairs by the emergency physician may be time saving and avoid unnecessary admissions...
March 13, 2024: Pediatric Emergency Care
https://read.qxmd.com/read/38471767/early-diagnosis-of-rare-diaphragmatic-synovial-sarcoma-in-a-pediatric-patient-with-epigastric-pain-using-point-of-care-ultrasound
#20
JOURNAL ARTICLE
Katie Rong, Amanda Good, Henry Chicaiza, Ruchika Mohla Jones
Synovial cell sarcoma is a rare mesenchymal tumor that typically originates from the soft tissues of the extremities of young adults. Only 3 cases of primary diaphragmatic synovial cell sarcoma have been described in the literature: 2 in adult males and 1 in a 12-year-old pediatric patient.1-3 When this tumor is found in the mediastinum or pericardial region, prognosis is historically poor because of the advanced disease stage at time of diagnosis. The surgical course and pathology have been described in this 12-year-old boy...
March 13, 2024: Pediatric Emergency Care
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