journal
https://read.qxmd.com/read/38534003/low-acuity-pediatric-emergency-department-utilization-caregiver-motivations
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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
https://read.qxmd.com/read/38471766/methylene-blue-in-metformin-intoxication-not-just-rescue-but-also-initial-treatment
#10
JOURNAL ARTICLE
Banu Katlan
Metformin (MTF) is a widely used oral antidiabetic medication. Regardless the reason, high doses of MTF cause lactic acidosis as a result of its effects on mitochondrial ATP production and no-mediated vascular smooth muscle relaxation. Metformin-associated lactic acidosis can be life-threatening despite all treatments. Methylene blue (MB) has the potential to reverse the toxic effects of MTF through its effects on both the mitochondrial respiratory chain and nitric oxide production. The use of MB in MTF intoxication has only been reported in a limited number of cases...
March 13, 2024: Pediatric Emergency Care
https://read.qxmd.com/read/38471759/emergency-department-sepsis-triage-scoring-tool-elements-associated-with-hypotension-within-24-hours-in-children-with-fever-and-tachycardia
#11
JOURNAL ARTICLE
Alexandra H Baker, Vanessa M Mazandi, Jackson S Norton, Elliot Melendez
OBJECTIVE: Pediatric sepsis screening is becoming the standard of care for children presenting to the emergency department (ED) and has been shown to improve recognition of severe sepsis, but it is unknown if these screening tools can predict progression of disease. The objective of this study was to determine if any elements of a sepsis triage trigger tool were predictive of progression to hypotensive shock in children presenting to the ED with fever and tachycardia. METHODS: This study is a retrospective case-control study of children ≤18 years presenting to an ED with fever and tachycardia, comparing those who went on to develop hypotensive shock in the subsequent 24 hours (case) to those who did not (control)...
March 13, 2024: Pediatric Emergency Care
https://read.qxmd.com/read/38471751/streamlining-telecommunications-center-and-interfacility-patient-throughput-to-a-pediatric-emergency-department-by-utilizing-an-electronic-handoff-a-quality-improvement-initiative
#12
JOURNAL ARTICLE
Thomas P Wolski, Sarah Kunka, Elizabeth Smith, Robert Carter, Prabi Rajbhandari
OBJECTIVE: Effective handoffs are critical for patient safety and high-quality care. The pediatric emergency department serves as the initial reception for patients where optimal communication is crucial. The complexities of interfacility handoffs can result in information loss due to lack of standardization. The aim of our project was a 50% reduction in monthly calls routed through the communication center from 157 to 78, for interfacility transfers to the emergency department from outpatient sites within our organization over a 1-year period, through utilization of an electronic handoff activity...
March 13, 2024: Pediatric Emergency Care
https://read.qxmd.com/read/38471748/presentation-management-and-child-protective-service-reporting-of-children-who-test-positive-for-cannabis-in-an-emergency-room-setting
#13
JOURNAL ARTICLE
Alexandra Dubinin, Mario Bialostozky, Andrew Richardson, Natalie Laub
OBJECTIVES: Rates of cannabis ingestion among young children are increasing. Small studies have evaluated symptomatology of these children. The literature lacks research regarding factors influencing medical management. Our goal was to 1) understand circumstances leading to exposure over time and 2) gain insight into factors that may influence emergency room management and Child Protective Services reporting over time. METHODS: Retrospective cross-sectional study on children younger than 10 years with cannabis-positive urine drug screens in the emergency room setting...
March 13, 2024: Pediatric Emergency Care
https://read.qxmd.com/read/38459619/improved-short-term-prognosis-of-pediatric-partial-thickness-burns-emergency-conservative-debridement-under-topical-anesthesia
#14
JOURNAL ARTICLE
Hailiang Liu, Dongjie Li, Huageng Yuan, Tianjun Sun, PengCheng Li, Zhiwei Cai, Chuan'an Shen
OBJECTIVES: Early wound management for pediatric patients with partial-thickness burns in the emergency department remains debatable. This study aims to evaluate the value of emergency conservative debridement under topical anesthesia in improving short-term prognosis of pediatric partial-thickness burns. METHODS: This retrospective cohort study enrolled children with partial-thickness thermal burns presenting to the emergency department within 6 hours postburn...
March 11, 2024: Pediatric Emergency Care
https://read.qxmd.com/read/38447283/risk-factors-for-blunt-cerebrovascular-injury-in-a-cohort-of-pediatric-patients-with-cervical-seat-belt-sign
#15
JOURNAL ARTICLE
Daniel A Najar, Marylou Cardenas-Turanzas, Jadeyn King, Manish N Shah, Charles S Cox, Irma T Ugalde
BACKGROUND: Three-point seat belt restraints have been attributed to blunt cerebrovascular injury (BVCI), injury to the carotid or vertebral arteries. Although previous studies have not found a seat belt sign to be a significant predictor for BCVI, it is still used to screen patients for BCVI. OBJECTIVE: This study aims to determine risk factors for BCVI within a cohort of patients with seat belt signs. METHODS: We conducted a retrospective cohort study using our institutional trauma registry and included patients younger than 18 years with blunt trauma who both had a computed tomography angiography (CTA) of the neck performed and had evidence of a seat belt sign per the medical record...
March 7, 2024: Pediatric Emergency Care
https://read.qxmd.com/read/38442872/can-ischemia-modified-albumin-be-a-helpful-marker-in-the-diagnosis-and-follow-up-of-childhood-intussusception
#16
JOURNAL ARTICLE
Çelebi Kocaoğlu, Canan Kocaoğlu, Hasan Madenci
OBJECTIVES: Intussusception is the invagination of a proximal segment of the intestine into a more distal segment. The present study aimed to determine the sensitivity of the ischemia-modified albumin (IMA) and the correlation between IMA and the severity of intestinal ischemia in intussusception cases. METHODS: Thirty-six consecutive children aged between 0 and 16 years presenting with the clinical and radiological features of intestinal obstruction caused by intussusception were enrolled in the study...
March 5, 2024: Pediatric Emergency Care
https://read.qxmd.com/read/38412524/pocus-for-infectious-enteritis-a-retrospective-case-series-analysis
#17
JOURNAL ARTICLE
Eric Scheier, Aviad Nachmany
INTRODUCTION: The abdominal pain associated with diarrhea can be difficult to distinguish from appendicitis. We present a case series of all children found on pediatric emergency department point-of-care ultrasound (POCUS) to have right-sided bowel wall edema. METHODS: Over the study period June 2020 through September 2023, POCUS images were collected by a pediatric emergency physician with 6 years of experience with POCUS. Children found to have small bowel wall edema on POCUS were identified, and hospital charts were reviewed...
February 28, 2024: Pediatric Emergency Care
https://read.qxmd.com/read/38412522/factors-influencing-parental-willingness-to-consent-to-a-survey-study-for-patients-in-the-pediatric-emergency-department
#18
JOURNAL ARTICLE
Kayleigh Fischer, Gabriella B Smith, Sofia E Luna, Erica Jamro-Comer, Olivia Leupold, Hamza Ahmed, Shiv Govindji, Fahd Ahmad
OBJECTIVE: To identify factors that impact parental willingness to consent to research studies conducted for their children during visits to pediatric emergency departments (EDs). METHODS: Parents and guardians of children receiving care in our pediatric ED were approached and asked if they would be willing to let their child participate in a research study requiring the child to complete an electronic questionnaire. No such questionnaire existed, however, because the primary purpose was to ascertain the parent's willingness to let their child participate...
February 28, 2024: Pediatric Emergency Care
https://read.qxmd.com/read/38412521/risk-factors-of-convulsions-in-children-with-rotavirus-gastroenteritis-and-construction-of-a-nomogram-prediction-model
#19
JOURNAL ARTICLE
Jing Yang, Weiwei Sun, Shasha Dai
OBJECTIVE: This study aims to investigate and analyze the risk factors of convulsions in children with rotavirus gastroenteritis and to construct a nomogram prediction model. METHODS: A retrospective analysis was performed on 940 cases of pediatric patients with rotavirus gastroenteritis treated in our hospital from December 2017 to December 2022. Based on whether convulsions occurred during hospitalization, patients were divided into the convulsion group (n = 135) and the convulsion-free group (n = 805)...
February 28, 2024: Pediatric Emergency Care
https://read.qxmd.com/read/38412519/long-acting-reversible-contraception-knowledge-among-female-adolescents-presenting-to-a-pediatric-emergency-department
#20
JOURNAL ARTICLE
Morgan S Bowling, Meizhen Yao, Natale Mazzaferro, Patricia Greenberg, Ellen George, Adam Sivitz, Cena Tejani
OBJECTIVES: The objective of this study was to assess awareness and use of long-acting reversible contraception (LARC) among female adolescents presenting to a pediatric emergency department (PED). STUDY DESIGN: During routine presentation to an urban PED in New Jersey, female adolescents, aged 15-19 years, were asked to voluntarily complete an electronic survey about sexual practices and contraception. The PED is in an urban teaching hospital, treating 35,000 children annually...
February 28, 2024: Pediatric Emergency Care
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