journal
https://read.qxmd.com/read/37751531/first-pass-success-of-intubations-using-video-versus-direct-laryngoscopy-in-children-with-limited-neck-mobility
#1
JOURNAL ARTICLE
Dilruba Khanam, Elizabeth Schoenfeld, Julien Ginsberg-Peltz, Lucienne Lutfy-Clayton, David A Schoenfeld, Blake Spirko, Calvin A Brown, Akira Nishisaki
OBJECTIVE: It is not clear whether video laryngoscopy (VL) is associated with a higher first-pass success rate in pediatric patients with limited neck mobility when compared with direct laryngoscopy (DL). We sought to determine the association between the laryngoscopy method and first-pass success. METHODS: In this retrospective cohort study, we examined intubation data extracted from 2 prospectively collected, multicenter, airway management safety databases (National Emergency Airway Registry and the National Emergency Airway Registry for children), obtained during the years 2013-2018 in the emergency department...
September 27, 2023: Pediatric Emergency Care
https://read.qxmd.com/read/37725768/pediatric-rattlesnake-envenomations-treated-with-crotalidae-equine-immune-f-ab-%C3%A2-antivenom-a-3-year-retrospective-observational-analysis
#2
JOURNAL ARTICLE
Justin A Seltzer, Garret A Winkler, Nathan A Friedman, Henrik Galust, Jeremy Hardin, Priya Srihari, Sam Ontiveros, Bryan Corbett, Richard F Clark
OBJECTIVES: Rattlesnake envenomations are uncommon, and the majority occur in adults. Although Crotalidae equine immune F(ab')₂ antivenom (F(ab')₂AV; trade name ANAVIP) was introduced in 2018, no pediatric specific studies of F(ab')₂AV have been reported to date. The objective of this study was to evaluate the clinical performance and adverse effects of F(ab')₂AV in children. METHODS: A single-center, retrospective chart review was performed on patients with rattlesnake envenomation presenting to a children's hospital between October 2018 and August 2022...
September 19, 2023: Pediatric Emergency Care
https://read.qxmd.com/read/37725763/evaluation-of-physicians-knowledge-about-honey-sucralfate-treatments-in-children-with-button-battery-ingestion
#3
JOURNAL ARTICLE
Ayla Akca Caglar, Oksan Derinoz Guleryuz, Songül Tomar Güneysu, Özlem Çolak
OBJECTIVES: Ingestion of button batteries (BBs) causes serious mortality and morbidity. We aimed to evaluate the knowledge level of physicians working in pediatric emergency departments about the updated guidelines for BB ingestion and whether they used honey and sucralfate, which have proven positive effects in preventing mucosal damage, in their daily practice. METHODS: A "Google Form" questionnaire was prepared and used to evaluate the approach of physicians who worked in pediatric emergency department with questions about pediatric patients who were admitted with the suspicion of BB swallowing...
September 19, 2023: Pediatric Emergency Care
https://read.qxmd.com/read/37725762/actions-to-avoid-in-pain-management-and-sedoanalgesia-procedures-in-pediatric-emergencies
#4
JOURNAL ARTICLE
Parisá Khodayar-Pardo, María Concepción Miguez-Navarro, Irene Martín Espín
OBJECTIVES: The aim of this study was to show the process of elaboration and the results obtained of the list of "do not do" recommendations for pain management and sedoanalgesia procedures in pediatric patients within the Working Group on Analgesia and Sedation of the Spanish Society of Pediatric Emergencies (Grupo de Trabajo de Analgesia y Sedación de la Sociedad Española de Urgencias de Pediatría [GTAS-SEUP]). METHODS: The process of drawing up the list was carried out in 3 phases: (1) "brainstorming," open to all members of the GTAS-SEUP; (2) selection of recommendations, after a modified Delphi methodology; and (3) drafting and consensus of the final document...
September 19, 2023: Pediatric Emergency Care
https://read.qxmd.com/read/37678275/test-characteristics-of-cardiac-point-of-care-ultrasound-in-children-with-preexisting-cardiac-conditions
#5
JOURNAL ARTICLE
Robert M Hoffmann, Jeffrey T Neal, Piyawat Arichai, Cynthia A Gravel, Mark I Neuman, Michael C Monuteaux, Jason A Levy, Andrew F Miller
OBJECTIVE: The aim of the study is to assess diagnostic performance of cardiac point-of-care ultrasound (POCUS) performed by pediatric emergency medicine (PEM) physicians in children with preexisting cardiac disease. METHODS: We evaluated the use of cardiac POCUS performed by PEM physicians among a convenience sample of children with preexisting cardiac disease presenting to a tertiary care pediatric ED. We assessed patient characteristics and the indication for POCUS...
September 7, 2023: Pediatric Emergency Care
https://read.qxmd.com/read/37678218/outcome-of-emergency-blood-transfusion-in-children-seen-at-a-tertiary-children-s-hospital-in-freetown-a-descriptive-cross-sectional-study
#6
JOURNAL ARTICLE
Paul Ehiabhi Ikhurionan, Nellie V T Bell, Gabriel Egberue Ofovwe
OBJECTIVE: This study sought to describe the prevalence and clinical outcome after emergency blood transfusion among children presenting with severe anemia in a tertiary children's hospital in Sierra Leone. METHOD: This was a retrospective study of 395 children who received emergency blood transfusion at the Ola During Children's Hospital in Freetown. Association between mortality and sociodemographic and clinical factors was assessed using χ2 test. Statistical significance was set at P < 0...
September 5, 2023: Pediatric Emergency Care
https://read.qxmd.com/read/37665977/a-call-for-immediate-action-in-the-emergency-department-reduce-or-eliminate-use-of-nitrous-oxide-to-lessen-the-environmental-impact-of-care
#7
JOURNAL ARTICLE
Emine Tunc, Julie C Brown, Elizabeth E Hansen
No abstract text is available yet for this article.
September 5, 2023: Pediatric Emergency Care
https://read.qxmd.com/read/37665973/beyond-complete-blood-cell-count-parameters-factors-predicting-severity-in-children-with-carbon-monoxide-poisoning
#8
JOURNAL ARTICLE
Yalcin Golcuk, Serkan Ergözen, Burcu Kaymak Golcuk
No abstract text is available yet for this article.
September 5, 2023: Pediatric Emergency Care
https://read.qxmd.com/read/37665971/the-de-implementation-of-bronchiolitis-medications-is-it-time-for-a-moratorium
#9
JOURNAL ARTICLE
Larry B Mellick
No abstract text is available yet for this article.
September 5, 2023: Pediatric Emergency Care
https://read.qxmd.com/read/37665968/the-difference-in-time-to-discharge-between-daytime-and-nighttime-administration-of-ketamine-in-children
#10
JOURNAL ARTICLE
Kang Choi, Woosung Yu
OBJECTIVE: The objective of this study was to compare the time to discharge between daytime and nighttime ketamine administration to children undergoing primary facial repair in the emergency department (ED). METHODS: This retrospective, cross-sectional study was performed in a sample of children aged younger than 18 years and requiring sedation for primary facial repair in 2019. Children who received ketamine for reasons other than facial repair were excluded. All patients were initially injected with 4 mg/kg of ketamine intramuscularly and additionally injected if sedation failed...
September 5, 2023: Pediatric Emergency Care
https://read.qxmd.com/read/37665966/seize-the-opportunity-increasing-the-hiv-screening-rate-in-adolescents-presenting-to-a-community-pediatric-emergency-department
#11
JOURNAL ARTICLE
Rashida M Shakir, Samir Doshi, Samantha Blakeslee, Morgan Jessee
OBJECTIVES: Our objective was to increase human immunodeficiency virus (HIV) screening in adolescents presenting to our community pediatric emergency department with symptoms suggestive of a sexually transmitted infection (STI) and who were being tested for gonorrhea and chlamydia. Specifically, we aimed to increase the monthly average proportion of adolescents concurrently screened for HIV in this target group from 11% to 50% in 6 months. METHODS: We identified barriers to HIV screening, focusing on physician-related challenges and adolescents' concerns about confidentiality...
September 5, 2023: Pediatric Emergency Care
https://read.qxmd.com/read/37665962/retrospective-evaluation-of-poisoning-cases-followed-up-in-pediatric-intensive-care-unit-a-12-year-experience-in-a-single-center
#12
JOURNAL ARTICLE
Merve Boyraz, Edin Botan, Servet Yuce, Şeyma Erdem Torun
OBJECTIVES: Poisonings constitute an important part of preventable morbidity and mortality in pediatric intensive care units (PICUs) and hospitalizations. However, information on poisoning requiring intensive care is limited. This study aimed epidemiological evaluation of poisoning cases treated in the PICU in a single center. METHODS: The records of 504 patients admitted to the PICU due to acute poisoning between 2010 and 2022 were retrospectively reviewed. Data were evaluated using descriptive methods and the χ2 test, and statistical differences with P value <0...
September 5, 2023: Pediatric Emergency Care
https://read.qxmd.com/read/37665790/clinical-outcomes-of-children-with-covid-19-by-sars-cov-2-strain-a-cohort-study
#13
JOURNAL ARTICLE
Lauren M Klingensmith, Swati Goel, Vinay N Kampalath, Keri A Cohn
OBJECTIVE: We sought to investigate the disease outcomes and predictors of severe outcomes among children infected with the Delta variant of SARS-CoV-2 compared with pre-Delta strains. METHODS: Single-center retrospective cohort study in an emergency department located within an urban academic children's hospital. Patients included children (0-18 years) who tested positive for SARS-CoV-2. Main outcomes measured include need for hospital admission or COVID-directed therapies...
September 5, 2023: Pediatric Emergency Care
https://read.qxmd.com/read/37665788/successful-outcome-of-manual-testicular-detorsion-using-point-of-care-ultrasound-guidance-a-clinical-experience
#14
JOURNAL ARTICLE
Chien-Te Hsu, Po-Wei Chiu
Testicular torsion is a surgical emergency. It obstructs the blood supply to the testes, leading to testicular ischemia and necrosis. It presents with a sudden onset of severe unilateral testicular pain associated with nausea/vomiting, swollen scrotum, and high-riding testicles with an absent cremasteric reflex and negative Prehn sign. Prompt diagnosis of ischemic testicles using ultrasonography is challenging for emergency physicians. Color Doppler ultrasound may reveal a relative decrease or absence of blood flow in the affected testicle...
September 5, 2023: Pediatric Emergency Care
https://read.qxmd.com/read/37665787/virtual-coaching-and-the-reduction-of-radial-head-subluxation-a-case-series
#15
JOURNAL ARTICLE
Paul Istasy, Tim P Lynch, Kristine Van Aarsen, Krista E Helleman, Marcia L Edmonds
OBJECTIVES: After the establishment of the virtual pediatric emergency medicine clinic at our institution, we noted that several physicians independently began to instruct caregivers virtually on reducing a radial head subluxation. We thus conducted a case series to investigate the number, success, and follow-ups for the virtual reduction of radial head subluxation. METHODS: The electronic medical records at our institution were searched from the inception of the virtual clinic in May 2020 until August 2022 (inclusive), for visits and discharge diagnosis containing the word "elbow" or "arm...
September 5, 2023: Pediatric Emergency Care
https://read.qxmd.com/read/37665784/impact-of-using-a-precompleted-consent-form-for-procedural-sedation-in-the-pediatric-emergency-department
#16
JOURNAL ARTICLE
Nichole McCollum, Olivia Silva, Laura Sigman, Kristen Breslin, Jaclyn Kline
OBJECTIVES: This study aimed to compare elements discussed during the consent process for procedural sedation in the pediatric emergency department to documentation and parental recall before and after implementation of a standardized consent form. METHODS: This is a mixed-methods study combining retrospective electronic record review and cross-sectional surveys of providers and parents after consent for procedural sedation. Surveys were obtained before and after implementation of a precompleted consent form...
September 5, 2023: Pediatric Emergency Care
https://read.qxmd.com/read/37650818/characteristics-of-pediatric-emergency-department-presentations-of-anaphylaxis-in-spain
#17
JOURNAL ARTICLE
Mikel Olabarri, Nuria Sanz, Sebastià Gonzalez-Peris, Paula Vazquez, Aranzazu Gonzalez-Posada, Nuria Diez, Ana Vinuesa, Javier Benito, Santiago Mintegi
OBJECTIVE: This study aimed to identify the triggers of pediatric anaphylaxis in Spain and to analyze the circumstances of the episode. METHODS: Planned secondary analysis of a prospective observational multicenter study endorsed by the Spanish Society of Pediatric Emergencies including children aged younger than 18 years diagnosed with anaphylaxis in 7 Spanish pediatric emergency departments (EDs) between 2016 and 2018. We analyzed factors related to the anaphylaxis episode and its management...
September 1, 2023: Pediatric Emergency Care
https://read.qxmd.com/read/37643350/potential-predictors-of-severe-and-recurrent-pancreatitis-in-children-a-single-center-experience
#18
JOURNAL ARTICLE
Hyun Jin Kim
OBJECTIVES: Severe pancreatitis often requires intensive care; therefore, early detection is important. This study aimed to evaluate the possible predictors of pancreatitis severity in children. Furthermore, we evaluated the prevalence of pancreatitis recurrence and related factors. METHODS: We retrospectively analyzed the medical records of patients aged younger than 18 years who were diagnosed with acute pancreatitis between January 2017 and June 2022. Acute pancreatitis was diagnosed and classified based on the revised Atlanta criteria...
August 30, 2023: Pediatric Emergency Care
https://read.qxmd.com/read/37624776/factors-determining-testicular-torsion-and-consequent-orchiectomy-in-pediatric-patients-presenting-with-scrotal-pain
#19
JOURNAL ARTICLE
Chen-Wei Yen, Yi-Jung Chang, Yung-Ching Ming, Chun-Chun Gau, Chang-Teng Wu, Jung Lee
OBJECTIVE: Factors associated with testicular torsion (TT) and consequent orchiectomy in patients presenting to pediatric emergency departments (PEDs) with scrotal pain (SP) are not well described. We report the factors predicting TT and consequent orchiectomy in children with SP. METHODS: The data on patients (aged ≤18 years) who presented with SP to PEDs at 4 branches of the Chang Gung Hospital through 10 years were analyzed. RESULTS: In all, 256 pediatric patients presented with SP...
August 25, 2023: Pediatric Emergency Care
https://read.qxmd.com/read/37616570/applying-topical-anesthetic-on-pediatric-lacerations-in-the-emergency-department-a-quality-improvement-project
#20
JOURNAL ARTICLE
Nagham Faris, Mohamad Mesto, Sandra Mrad, Ola El Kebbi, Noor Asi, Rasha D Sawaya
OBJECTIVES: Caring for pediatric lacerations in the emergency department (ED) is typically painful because of irrigation and suturing. To improve this painful experience, we aimed to increase the use of a topical anesthetic, Eutectic Mixture of Local Anesthetics (EMLA) on eligible pediatric lacerations with an attainable, sustainable, and measurable goal of 60%. The baseline rate of applying topical anesthetic to eligible lacerations was 23% in our ED. We aimed to increase the use of topical anesthetics on eligible pediatric lacerations to a measurable goal of 60% within 3 months of implementing our intervention...
August 25, 2023: Pediatric Emergency Care
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