{"title":"A non-invasive and simple method of rescuing an entrapped tongue from a glass water bottle for a small state hospital: a case report","authors":"H. Oral, L. Mert, Bora Köktürk","doi":"10.22470/pemj.2023.00717","DOIUrl":"https://doi.org/10.22470/pemj.2023.00717","url":null,"abstract":"","PeriodicalId":151011,"journal":{"name":"Pediatric Emergency Medicine Journal","volume":"9 3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133259272","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}
Youn Shin Jung, Yunha Choi, Jihyun Ha, E. Yoo, S. Paek, Mo Kyung Jung
{"title":"A 14-year-old male with rhabdomyolysis associated with psychogenic polydipsia and hyponatremia","authors":"Youn Shin Jung, Yunha Choi, Jihyun Ha, E. Yoo, S. Paek, Mo Kyung Jung","doi":"10.22470/pemj.2023.00773","DOIUrl":"https://doi.org/10.22470/pemj.2023.00773","url":null,"abstract":"","PeriodicalId":151011,"journal":{"name":"Pediatric Emergency Medicine Journal","volume":"146 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115740232","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}
{"title":"Coronavirus disease 2019-associated acute necrotizing encephalopathy in a 9-year-old boy","authors":"Ock-Bin Im, Min‐Jee Kim, M. Yum, W. Jhang","doi":"10.22470/pemj.2023.00724","DOIUrl":"https://doi.org/10.22470/pemj.2023.00724","url":null,"abstract":"","PeriodicalId":151011,"journal":{"name":"Pediatric Emergency Medicine Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130291182","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}
{"title":"A case of multisystem inflammatory syndrome in children associated with coronavirus disease 2019, presenting as unremitting fever, vomiting, and rash","authors":"Chan-Young Koh","doi":"10.22470/pemj.2023.00766","DOIUrl":"https://doi.org/10.22470/pemj.2023.00766","url":null,"abstract":"","PeriodicalId":151011,"journal":{"name":"Pediatric Emergency Medicine Journal","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127147821","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}
{"title":"Impact of non-pharmaceutical interventions on the rate of respiratory viruses other than severe acute respiratory syndrome coronavirus 2 in the coronavirus disease 2019 pandemic","authors":"Ho Jun Yoon, Young-Min Jo","doi":"10.22470/pemj.2023.00710","DOIUrl":"https://doi.org/10.22470/pemj.2023.00710","url":null,"abstract":"Purpose: We aimed to evaluate the impact of non-pharmaceutical interventions (NPIs) on the transmission of respiratory viruses other than severe acute respiratory syndrome coronavirus 2 among children during the coronavirus disease 2019 pandemic.Methods: We analyzed the clinical and polymerase chain reaction (PCR) findings using electronic medical records of children (< 18 years) with fever or respiratory symptoms who were hospitalized via the emergency department of Wonkwang University Hospital (Iksan, Korea), from March 2018 through December 2021. The children were divided into before and after groups based on the hospitalization date relative to February 2020, starting point of the implementation of NPIs. PCR was performed using nasopharyngeal swab samples. Between the 2 groups, we compared age, sex, length of hospital stay, and PCR findings.Results: The before and after groups consisted of 3,160 and 989, respectively, showing a 68.7% decrease in the number of children undergoing PCRs after the implantation of NPIs. The after group showed higher median values of the age and length of hospital stay than the before group (Ps < 0.001). A 76.9% decrease was noted in the number of children having PCR positivities (from 1,101 [34.8%] to 254 [25.7%]; P < 0.001). Among detected viruses, an increase in the proportion was noted only in human bocavirus (from 81 [2.6%] to 54 [5.5%]; P < 0.001). In contrast, significant decreases in the proportions were found in adenovirus, enterovirus, influenza A and B, respiratory syncytial viruses A and B, human coronaviruses (229E, NL63, and OC43) and human metapneumovirus.Conclusion: NPIs may be effective in reducing the transmission of respiratory viruses other than severe acute respiratory syndrome coronavirus 2 among children during the pandemic.","PeriodicalId":151011,"journal":{"name":"Pediatric Emergency Medicine Journal","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127390137","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}
{"title":"An infant case of ruptured umbilical hernia with eviscerated omentum after acupuncture","authors":"Sang-Hun Lee, Eunyoung Jung","doi":"10.22470/pemj.2023.00703","DOIUrl":"https://doi.org/10.22470/pemj.2023.00703","url":null,"abstract":"temperature, 36.5。C; and oxygen saturation, 100% on room air. Initial laboratory findings were generally within normal limits,","PeriodicalId":151011,"journal":{"name":"Pediatric Emergency Medicine Journal","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132429454","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}
{"title":"Acute respiratory distress after metofluthrin insecticide ingestion in a 19-month-old girl","authors":"Da Yeon Choi, Kyung Won Kim, S. Yoon","doi":"10.22470/pemj.2023.00689","DOIUrl":"https://doi.org/10.22470/pemj.2023.00689","url":null,"abstract":"","PeriodicalId":151011,"journal":{"name":"Pediatric Emergency Medicine Journal","volume":"148 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132795571","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}
{"title":"Clinical characteristics of infants younger than 90 days diagnosed with invasive group B streptococcal infection in the emergency department","authors":"Mi Jin Kim, Ki Won Oh","doi":"10.22470/pemj.2022.00654","DOIUrl":"https://doi.org/10.22470/pemj.2022.00654","url":null,"abstract":"Purpose: We aimed to characterize invasive group B streptococcal infection (IGBSI) in young infants hospitalized through the emergency department.Methods: We analyzed medical records of infants younger than 90 days with IGBSI, defined as group B streptococcus bacteremia or meningitis, who visited the emergency department from January 2009 through December 2021. Their clinical features were compared as per 2 criteria, neonates and meningitis. For the comparisons, we defined 2 composite outcomes, “clinically important abnormality (any of the followings: temperature > 38.5℃, leukocytes < 5,000/mm3 or > 15,000/mm3, absolute neutrophils > 4,000/mm3 or C-reactive protein > 2.0 mg/dL)”and “poor outcomes (any of the followings: intensive care unit, transfer, seizure or complications).”Percentages are rounded to the first decimal places.Results: A total of 35 infants, of whom 15 (43%) were neonates and 17 (49%) were boys, had IGBSIs, including 23 infants (66%) with isolated bacteremia, 11 (31%) with bacteremia with meningitis, and 1 (3%) with isolated meningitis. Ill appearances were noted in 27 infants (77%) who encompassed all with meningitis. The other 8 infants (23%) looking well had 1 or more components of the clinically important abnormality. The neonates showed a higher frequency of vaginal delivery (87% vs. 35%; P = 0.002) and a lower frequency of a temperature > 38.5℃, compared to their counterparts (47% vs. 80%; P = 0.040). The infants with meningitis had a longer median time required to visit (5.0 vs. 2.0 hours; P = 0.011), and higher frequencies of ill appearance (100% vs. 65%; P = 0.032), leukocytes < 5,000/mm3 (67% vs. 13%; P = 0.002), and the poor outcomes (75% vs. 0%; P < 0.001).Conclusion: Young infants with ill-looking appearance or abnormality in any of the fever or inflammatory markers may have IGBSIs, particularly meningitis.","PeriodicalId":151011,"journal":{"name":"Pediatric Emergency Medicine Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131051354","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}
{"title":"Bilateral tension pneumothoraces in a preterm low-birthweight newborn: tube thoracostomy using four 7-French latex catheters performed by an emergency physician","authors":"Minsu Kim, C. Park, Y. Do, W. Nho","doi":"10.22470/pemj.2023.00668","DOIUrl":"https://doi.org/10.22470/pemj.2023.00668","url":null,"abstract":"Neonatal tension pneumothorax is life-threatening. A tension pneumothorax on the right side was detected on a newborn boy weighing 2,380 g, who was born at 35 weeks of gestation. Given the unavailability of an on-duty thoracic surgeon and appropriately sized chest tubes in the neonatal intensive care unit, an emergency physician performed closed thoracostomy using two 7-French latex catheters. Immediately after the re-expansion of the right lung, left tension pneumothorax was newly detected. Two more 7-French latex catheters were inserted, relieving the left lesion. We consider that the right pneumothorax occurred due to the mixture of spontaneous rupture of the subpleural blebs and barotrauma during the initial positive pressure ventilation, while the left lesion did due to the high-flow oscillatory ventilation. Despite the limited availability of devices in the present case, a favorable outcome was achieved by the use of alternative catheters, which were chosen by the emergency physician.","PeriodicalId":151011,"journal":{"name":"Pediatric Emergency Medicine Journal","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133479383","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}
{"title":"Impact of coronavirus disease 2019 pandemic on pediatric poisoning in a single emergency department in Korea","authors":"Jae-Uk Shin, Sae Jeung Kwak, S. H. Yun","doi":"10.22470/pemj.2022.00647","DOIUrl":"https://doi.org/10.22470/pemj.2022.00647","url":null,"abstract":"Purpose : This study was performed to investigate the coronavirus disease 2019 pandemic-related changes in epidemiological features of pediatric patients with poisoning who visited a local emergency medical center in Incheon, Korea. Methods : We reviewed medical records of the patients (aged ≤ 18 years) who visited the emergency department (ED) from 2015 through 2022 and obtained discharge diagnoses containing “intoxication” or “poisoning,” excluding food allergy and game addiction. Time of visit was categorized as pre-pandemic (2015-2019) and pandemic (2020-2022) periods. They were investigated for age, age groups (children [0-9 years] vs. adolescents [10-18 years]), sex, visits during weekend or holiday, exposure-to-ED time, psychiatric history, intentionality, alcohol consumption, substances, therapeutic interventions, and outcomes. The outcomes included need for hospitalization and discharge against medical advice. Results : Among a total of 358 patients with poisoning, 162 (45.3%) visited during the pandemic period, and 220 (61.5%) were adolescents. Compared to the patients who visited during the pre-pandemic period, those who visited during the pandemic period showed significantly higher frequencies of girls (45.9% vs. 81.5%), age of 10-18 years (46.4% vs. 79.6%), intentionality (33.7% vs. 74.7%), alcohol consumption (4.1% vs. 11.7%), need for hospitalization (24.5% vs. 62.3%), and discharge against medical advice (3.1% vs. 25.9%). Conclusion : In the ED, pediatric poisoning became more intentional, female and adolescent-dominant, and severe in their outcomes during the pandemic.","PeriodicalId":151011,"journal":{"name":"Pediatric Emergency Medicine Journal","volume":"76 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121720711","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}