Pediatric Emergency Medicine Journal最新文献_第10页

Damage control resuscitation in children 儿童损伤控制复苏

Pediatric Emergency Medicine Journal Pub Date : 2019-06-30 DOI: 10.22470/PEMJ.2019.00066

Jung Heon Kim, Yura Ko, K. Jung

引用次数: 4

Two cases of pyogenic liver abscess due to Klebsiella pneumoniae in immunocompetent children 免疫功能正常儿童肺炎克雷伯菌所致化脓性肝脓肿2例

Pediatric Emergency Medicine Journal Pub Date : 2019-06-10 DOI: 10.22470/PEMJ.2019.00038

H. D. Shin, Myeong S. Lee, J. Hong, Taehwan Kim, Do Joong Kim, J. Yoo

引用次数: 0

A case of hemophagocytic lymphohistiocytosis caused by an Epstein-Barr virus infection, presenting with unremitting fever and rash 爱泼斯坦-巴尔病毒感染引起的噬血细胞性淋巴组织细胞增多症1例，表现为持续发热和皮疹

Pediatric Emergency Medicine Journal Pub Date : 2019-06-07 DOI: 10.22470/PEMJ.2018.00297

S. Oh, Chan-Young Koh

引用次数: 1

What are the head computed tomography scan rates in children presenting with headache to an Australian community teaching hospital emergency department? 澳大利亚社区教学医院急诊科出现头痛的儿童头部计算机断层扫描率是多少?

Pediatric Emergency Medicine Journal Pub Date : 2019-05-16 DOI: 10.22470/PEMJ.2019.00024

S. Klim, David M Krieser, A. Kelly

引用次数: 0

A rare presentation of Rapunzel syndrome with multiple small bowel intussusceptions Rapunzel综合征合并多发性小肠肠套叠的罕见表现

Pediatric Emergency Medicine Journal Pub Date : 2019-04-30 DOI: 10.22470/PEMJ.2019.00010

K. Min, H. Tchah, Seong Min Kim, J. Choi

引用次数: 1

Comparison of acute phase reactant levels of Kawasaki disease patients who visited with less than 5 days duration of fever and with 5 days or longer 川崎病急性期反应物水平与发热时间少于5天及以上川崎病患者急性期反应物水平的比较

Pediatric Emergency Medicine Journal Pub Date : 2019-04-26 DOI: 10.22470/PEMJ.2018.00304

H. Do, J. Jeong, Dong Hoon Kim, Taeyun Kim, C. Kang, Soo Hoon Lee, Sang Bong Lee

{"title":"Comparison of acute phase reactant levels of Kawasaki disease patients who visited with less than 5 days duration of fever and with 5 days or longer","authors":"H. Do, J. Jeong, Dong Hoon Kim, Taeyun Kim, C. Kang, Soo Hoon Lee, Sang Bong Lee","doi":"10.22470/PEMJ.2018.00304","DOIUrl":"https://doi.org/10.22470/PEMJ.2018.00304","url":null,"abstract":"Purpose : Kawasaki disease (KD) is a common, acute systemic vasculitis in children. Acute phase reactants (APRs) have been used to assist diagnosis, and to predict outcome in children with KD. However, it remains unknown on levels of APRs depending on duration of fever. We aimed to compare APR levels of children with KD who visited with < 5 days duration of fever and with ≥ 5 days. Methods : Children ( ≤ 15 years) with complete KD who visited the emergency department were enrolled from March 2012 through February 2018. The children were divided into the early (fever < 5 days) and late (fever ≥ 5 days) presenters. The baseline characteristics, APR levels, such as platelet count, and outcomes were compared between the 2 groups. Results : A total of 145 children with complete KD were enrolled. Median age was 27.0 (interquartile range [IQR], 12.0-46.5) months, and boys accounted for 60.0%. The early presenters (63 [43.4%]) had a younger age (17.0 [IQR, 7.0-45.0] vs. 32.5 [IQR, 14.0-48.0] months; P = 0.006), shorter duration of fever (3.0 [IQR, 2.0-4.0] vs. 6.0 [IQR, 5.0-7.0] days; P < 0.001), and a lower platelet count (336.7 ± 105.2 [ × 10 3 / μ L] vs. 381.6 ± 121.8 [ × 10 3 / μ L], P = 0.02) than the late presenters. The other APR levels, and frequency of resistance to intravenous immunoglobulin and coronary artery abnormalities showed no differences between the 2 groups. Conclusion : Children with KD who visited with < 5 days duration of fever had a lower platelet count compared to those with ≥ 5 days. No differences were found in the other APR levels and the outcomes. It may be necessary to consider the differences in APR levels depending on duration of fever when treating children with KD.","PeriodicalId":151011,"journal":{"name":"Pediatric Emergency Medicine Journal","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133551236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Management of abdominal pain in pediatric emergency departments 小儿急诊科腹痛的处理

Pediatric Emergency Medicine Journal Pub Date : 2018-12-30 DOI: 10.22470/PEMJ.2018.00311

E. Ryoo

{"title":"Management of abdominal pain in pediatric emergency departments","authors":"E. Ryoo","doi":"10.22470/PEMJ.2018.00311","DOIUrl":"https://doi.org/10.22470/PEMJ.2018.00311","url":null,"abstract":"복통은 소아응급실을 방문하는 가장 흔한 원인 중 하나 로, 한국에서 10세 이상 소아응급환자 주증상의 15% 이상 을 차지한다. 복통 환자에서 가장 중요한 것은 외과복증 을 감별하는 것이며, 더불어 통증에 대한 처치를 하는 것 이 중요하다. 그러나 환자의 나이에 따라 사용할 수 있는 약이 제한적이며, 표준 용량에 맞춰 사용한다고 하더라도 기대한 효과가 발생할지 여부와 부작용 발생에 대한 우려 가 크다. 마약성 진통제를 사용하는 경우, 보호자 입장에 서는 거부감을 느끼고 의료진 입장에서는 통증 감소가 진 단을 방해할 수 있다고 걱정한다. 이 때문에, 응급실에서 복통 환자의 진통요법이나 퇴원 약 처방에 대해 어려움이 있다. 대부분의 문헌은 복통에 대해 응급질환 여부 및 해당 질 환의 진단에 필요한 내용을 주로 다루며, 흔한 비응급질환 인 급성위장염 및 기능성 위장장애의 진통요법을 기술한 경우는 드물다. 본 종설에서는 문헌 고찰을 통해 응급실에 서 흔하게 접하는 급성위장염 및 기능성 위장장애를 중심 으로, 안전하고 효율적인 복통의 처치를 다루고자 한다. 이를 통해 소아응급환자의 복통의 처치, 특히 소아응급실 에서 필요한 효과적이고 효율적인 연구 방향을 제시하고, 한국 실정에 맞는 복통 처치의 지침 개발에 도움을 주고자 한다. 소아응급실에서 복통의 처치","PeriodicalId":151011,"journal":{"name":"Pediatric Emergency Medicine Journal","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127009915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Procedural sedation and analgesia in pediatric emergency department 儿科急诊科的程序性镇静与镇痛

Pediatric Emergency Medicine Journal Pub Date : 2018-12-17 DOI: 10.22470/PEMJ.2018.00290

Do Kyun Kim

引用次数: 3

Factors associated with hospitalization via emergency department in children with acute bronchiolitis 急性毛细支气管炎患儿急诊住院的相关因素

Pediatric Emergency Medicine Journal Pub Date : 2018-11-28 DOI: 10.22470/PEMJ.2018.00234

Tak Lee, Y. Kyong, S. Woo, J. Park, Y. Oh, Hyun Ho Jung, S. Choi

{"title":"Factors associated with hospitalization via emergency department in children with acute bronchiolitis","authors":"Tak Lee, Y. Kyong, S. Woo, J. Park, Y. Oh, Hyun Ho Jung, S. Choi","doi":"10.22470/PEMJ.2018.00234","DOIUrl":"https://doi.org/10.22470/PEMJ.2018.00234","url":null,"abstract":"Purpose: In infants and young children, acute bronchiolitis is a leading cause of hospitalization via emergency departments (EDs). We aimed to investigate factors associated with hospitalization via ED in children with acute bronchiolitis. Methods: We reviewed medical records of children aged 36 months or younger with acute bronchiolitis who visited the ED from January to December 2017. The following clinical data were collected and analyzed: age, sex, premature birth history, symptoms, fever duration, presence of respiratory distress and radiographic lesion, and inflammatory markers. Results: Of 780 children enrolled, 463 (59.4%) were hospitalized via the ED. The factor associated with the hospitalization were age ≤ 12 months (odd ratio [OR], 45.34; confidence interval [CI], 17.50-117.44), fever lasting ≥ 3 days (OR, 13.66; 95% CI, 6.46-28.87), respiratory rate ≥ 24 breaths per minute (OR, 6.88; 95% CI, 4.21-11.26), radiographic lesion (OR, 5.70; 95% CI, 2.62-12.40), and chest retraction (OR, 2.45; 95% CI, 1.11-5.41). Conclusion: In children with acute bronchiolitis who visit EDs, those having younger age, longer fever duration, respiratory distress or radiographic lesion may need hospitalization.","PeriodicalId":151011,"journal":{"name":"Pediatric Emergency Medicine Journal","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128159218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Changes in intravenous hydration frequency and emergency department length of stay after implementation of oral ondansetron therapy in children with dehydration due to acute gastroenteritis 急性胃肠炎脱水患儿口服昂丹司琼治疗后静脉补水频率和急诊住院时间的变化

Pediatric Emergency Medicine Journal Pub Date : 2018-11-28 DOI: 10.22470/PEMJ.2018.00269

Soon Kwang Kwon, H. Yang, M. K. Chae, Yura Ko, J. R. Kwak, Ji Sook Lee

{"title":"Changes in intravenous hydration frequency and emergency department length of stay after implementation of oral ondansetron therapy in children with dehydration due to acute gastroenteritis","authors":"Soon Kwang Kwon, H. Yang, M. K. Chae, Yura Ko, J. R. Kwak, Ji Sook Lee","doi":"10.22470/PEMJ.2018.00269","DOIUrl":"https://doi.org/10.22470/PEMJ.2018.00269","url":null,"abstract":"Purpose: Oral ondansetron is a safe and effective antiemetic drug to facilitate oral rehydration therapy in acute gastroenteritis (AGE) with mild dehydration. We investigated the effect of oral ondansetron therapy on intravenous (IV) hydration frequency and emergency department length of stay (EDLOS) in dehydrated children with AGE. Methods: We reviewed 15,813 children aged 12-60 months with primary diagnosis of AGE who visited a tertiary care university-affiliated hospital emergency department. The enrolled children were divided into the pre(from January 2009 to June 2011) and post(from January 2016 to June 2018) ondansetron groups according to the implementation of oral ondansetron therapy in the emergency department. As primary outcomes, IV hydration frequency, EDLOS, and hospitalization rate were compared between the 2 groups. As secondary outcomes, EDLOS and hospitalization rate were compared between the children in the post-ondansetron group who underwent the therapy, and those who did not. Results: Of 7,990 enrolled children, 3,300 (41.3%) were designated as the post-ondansetron group, and among them 1,093 (33.1%) underwent oral ondansetron therapy. This group showed a lower IV hydration frequency, a shorter median EDLOS compared to the other group (55.8% vs. 61.9%, P < 0.001; 175.0 vs. 223.0 minutes, P < 0.001, respectively), and a higher hospitalization rate (9.9% vs. 7.9%, P < 0.001). The children in the post-ondansetron group who underwent the therapy showed a shorter median EDLOS and a lower hospitalization rate compared to those who did not (142.0 vs. 205.0 minutes, P < 0.001; 2.9% vs. 13.4%, P < 0.001, respectively). Conclusion: Oral ondansetron therapy may reduce IV hydration frequency and EDLOS in dehydrated children with AGE, and can be considered in those having severe vomiting.","PeriodicalId":151011,"journal":{"name":"Pediatric Emergency Medicine Journal","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131144020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0