Pediatric emergency care最新文献

{"title":"Association of Respiratory Pathogen Panel Testing on the Proportion of Emergency Department Revisits in Children With Symptoms of Upper Respiratory Illness.","authors":"Matthew Carman, Jesse Glueck, A Brad Hall, Kayla Wilson","doi":"10.1097/PEC.0000000000003417","DOIUrl":"https://doi.org/10.1097/PEC.0000000000003417","url":null,"abstract":"<p><strong>Objective: </strong>Acute respiratory tract infections are the main cause of morbidity and emergency department visits for children. Recent advances in testing have brought about the ability to quickly diagnose many of the pathogens contributing to viral respiratory illness. The purpose of the study is to evaluate respiratory pathogen panel testing versus clinical diagnosis on the proportion of emergency department (ED) same-site revisits in an uncomplicated, healthy pediatric population.</p><p><strong>Methods: </strong>This was an IRB-approved, retrospective cohort study. Patients discharged from the ED between the ages of 6 months to 3 years with a discharge diagnosis of acute upper respiratory infection from January 1, 2015, to May 31, 2023, were screened for inclusion. The primary outcome was the proportion of ED revisits within 3 days for upper respiratory illness-related complaints.</p><p><strong>Results: </strong>There was no difference in ED revisits with 6% of patients in the RPP group versus 5% of patients in the No-RPP group returning in 3 days for upper respiratory complaints (P=0.57). Of the 16 patients with RPP returning to the ED, the most common organism identified was rhinovirus/enterovirus. There was no difference in ED disposition after revisit, with the majority of patients discharging to home.</p><p><strong>Conclusions: </strong>The results of this study demonstrated no difference in the proportion of return visits to the ED in overall healthy children presenting with uncomplicated acute respiratory illness. These results support the consensus that viral respiratory panel testing may be performed on a selective basis to drive care in the emergency department.</p>","PeriodicalId":19996,"journal":{"name":"Pediatric emergency care","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144111677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quality of Life for Children With Mental and Behavioral Health Emergencies in the Pediatric Emergency Department.","authors":"Nina Friedman, Nicole Gerber, Kathleen Morton, Brady Rippon, Shari Platt, Lois K Lee","doi":"10.1097/PEC.0000000000003411","DOIUrl":"https://doi.org/10.1097/PEC.0000000000003411","url":null,"abstract":"<p><strong>Objective: </strong>Hospital encounters affect the Quality of Life (QoL) of children with medical illness, but less is understood about the QoL in children with mental/behavioral health (MBH) emergencies while boarding in the pediatric emergency department (PED). Our objective was to examine QoL among children with MBH emergencies in the PED.</p><p><strong>Methods: </strong>We conducted a prospective, observational study in an urban PED from December 9, 2021, to December 9, 2022, enrolling youth ages 8 to 17 years with MBH emergencies. Control subjects included patients with concern for extremity fracture or chronic medical illness. We compared baseline QOL scores and QOL trajectories using the validated Pediatric Quality of Life Present Functioning Visual Analogue Scale. We analyzed data using the Wilcoxon rank sum test and performed multivariable linear regression to compare QoL total symptom score outcomes between MBH and control patients, adjusting for patient characteristics.</p><p><strong>Results: </strong>We enrolled 112 MBH and 111 control patients. Patients with MBH emergencies had worse QoL at presentation (54 vs. 41, P<0.001) and disposition (49 vs. 24, P<0.001). They had less QoL improvement (-3 vs. -11, P<0.001), with 24% (27/112) showing no improvement and 29% (32/112) with worse QoL at disposition. In the multivariable regression model, patients with MBH emergencies had less QoL total symptom score improvement compared with controls (P=0.02).</p><p><strong>Conclusions: </strong>Patients with MBH emergencies showed no improvement or worse QoL in the PED, highlighting the need to prioritize improving their emergency care experience.</p>","PeriodicalId":19996,"journal":{"name":"Pediatric emergency care","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144111701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of Alternative Chest Compression Methods Performed by Small Rescuers.","authors":"Jennifer K Sato, Tracie L S Okumura, Kyra A Len, Eric G Tessmer, Loren G Yamamoto","doi":"10.1097/PEC.0000000000003415","DOIUrl":"https://doi.org/10.1097/PEC.0000000000003415","url":null,"abstract":"<p><strong>Objectives: </strong>Effective cardiopulmonary resuscitation (CPR) requires rescuers to use their body weight to provide sufficiently deep chest compressions for a prolonged time. Young/small children are unable to perform effective chest compressions due to their weight. Currently, there is no alternative CPR method for those who are too small. The purpose of this study is to assess the effectiveness of conventional and alternate chest compression methods performed by children.</p><p><strong>Methods: </strong>This study enrolled subjects aged 5 to 15 years old and taught them to perform standard CPR using an American Heart Association instructional video. Subjects' sex, age, weight, and height were recorded. Depth-sensing defibrillator pads were used to electronically measure chest compression rate, depth, and release on a manikin for 2 minutes. Those unable to successfully perform conventional chest compressions were taught alternative methods of jumping and squat bouncing on the manikin's chest.</p><p><strong>Results: </strong>A total of 114 subjects aged 5 to 15 were enrolled. Subjects weighing <26±2 kg were generally unable to perform sufficient conventional compressions. Linear regression analysis showed a positive correlation (R2 = 0.36) between weight and compression depth. However, all subjects who could not perform sufficient conventional compressions could perform compressions using the alternative methods of jumping and squat bouncing on the manikin.</p><p><strong>Conclusion: </strong>Conventional chest compression efficacy declines when rescuers are <26±2 kg, but those who could not provide sufficient conventional chest compressions were able to perform compressions using jumping and/or squat bouncing for 2 minutes of resuscitation in this manikin model.</p>","PeriodicalId":19996,"journal":{"name":"Pediatric emergency care","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144111699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Emergency Department Revisits Among Youth Compared With Adults in Sudbury, Ontario, Canada.","authors":"Kristen A Morin, Danielle Labrosse, Shannon Knowlan, Natalie Aubin, David C Marsh, Tara Leary","doi":"10.1097/PEC.0000000000003408","DOIUrl":"https://doi.org/10.1097/PEC.0000000000003408","url":null,"abstract":"<p><strong>Objective: </strong>Our objective was to compare the association between age and emergency department revisits by comparing youth and adults in Sudbury, Ontario, Canada.</p><p><strong>Methods: </strong>The study is a retrospective observational cohort study using administrative data from all patients presenting with substance use disorder at Health Sciences North from January 1, 2018 to August 31, 2023. Patients were placed in 3 groups: under 18, 18 to 24 years old, and over 25 years old. The outcome was 30-day revisits from index date and total time to first revisit from index date.</p><p><strong>Results: </strong>Kaplan-Meier survival analysis revealed significant differences in emergency department revisit probabilities across age groups (log-rank P < 0.0001), with youth under 18 showing a higher risk of 30-day revisits [adjusted hazard ratio (HR) = 1.25, 95% CI: 1.10-1.44] compared with adults, while transitional-aged youth showed no significant difference (adjusted HR = 1.01, 95% CI: 0.89-1.24). In contrast, both youth (adjusted HR = 0.73, 95% CI: 0.63-0.86) and transitional-aged youth (adjusted HR = 0.79, 95% CI: 0.72-0.87) had significantly lower risks of revisits beyond 30 days compared with adults.</p><p><strong>Conclusions: </strong>Youth under 18 with substance use disorder had a higher risk of 30-day ED revisits compared with adults, but a lower risk of revisits beyond 30 days, highlighting the need for targeted short-term interventions in this population.</p>","PeriodicalId":19996,"journal":{"name":"Pediatric emergency care","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144094603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of the \"Triple-Demic\" on Interfacility Transfers and Consultations: A Retrospective Study.","authors":"Pranjali Vadlaputi, Mubeen Jafri, Jonathan Kohler, Christopher Newton, Karen Semkiw, James P Marcin","doi":"10.1097/PEC.0000000000003414","DOIUrl":"https://doi.org/10.1097/PEC.0000000000003414","url":null,"abstract":"<p><strong>Background: </strong>The erosion of pediatric care capability in community hospitals has heavily impacted rural communities, leading to more transfers to larger regional children's hospitals. The 2022 triple-demic of influenza, respiratory syncytial virus, and COVID-19 worsened these issues, increasing denials and delaying care.</p><p><strong>Objectives: </strong>This study analyzed interfacility transfer requests, transfer denials, and consultation requests for pediatric services at a large academic regional children's hospital, focusing on the impact of patient surges on transfer denials and the use of telephone and telemedicine consultations to support denials.</p><p><strong>Methods: </strong>This retrospective study reviewed incoming calls from July 2019 to December 2023 to the UC Davis Children's Hospital transfer center from non-children's hospital emergency departments. Data on transfer requests to the pediatric intensive care unit, neonatal intensive care unit, and pediatric ward were analyzed, focusing on transfer denials due to limited bed space and staffing.</p><p><strong>Results: </strong>Over the 42-month study period, transfer requests to the pediatric intensive care unit, neonatal intensive care unit, and pediatric ward averaged 279 per month, with 211 accepted and 38 denied per month. Telephone consultations averaged 27 per month, while telemedicine consultations averaged 3.3 per month. In November 2022, during the triple-demic, transfer requests spiked to 640 per month, with denials due to bed/staffing shortages rising to 375 (58.6% of requests). Despite these surges, the number of accepted transfers remained stable.</p><p><strong>Conclusions: </strong>The data highlight the challenges faced by a large regional children's hospital in managing transfer requests during surges, particularly exacerbated by the triple-demic in late 2022. As pediatric units close nationwide, telephone and telemedicine consultations offer valuable support for managing transfers that cannot be accommodated.</p>","PeriodicalId":19996,"journal":{"name":"Pediatric emergency care","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144094610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Timing of Advanced Airway Management in Witnessed Pediatric Out-of-Hospital Cardiac Arrest.","authors":"Shunsuke Amagasa, Masahiro Kashiura, Hideto Yasuda, Yuki Kishihara, Satoko Uematsu","doi":"10.1097/PEC.0000000000003412","DOIUrl":"https://doi.org/10.1097/PEC.0000000000003412","url":null,"abstract":"<p><strong>Objective: </strong>To determine the association between timing of advanced airway management (AAM) and outcomes in witnessed pediatric out-of-hospital cardiac arrest (OHCA).</p><p><strong>Methods: </strong>We performed a retrospective cohort study using data from the OHCA registry in Japan. We included pediatric patients (<18 y) with OHCA who received AAM. We compared patients who received AAM at 1 to 10, 11 to 20, and 21 to 30 minutes after emergency medicine service (EMS) contact with the patient with those who had not yet received AAM but remained eligible to receive it at those times, respectively. The primary and secondary outcome measurements were survival and favorable neurological outcome at 1 month, respectively. To address resuscitation time bias, we performed risk-set matching analyses using time-dependent propensity score.</p><p><strong>Results: </strong>A total of 269 patients were included. The numbers receiving AAM in each time period were 60 in the 1 to 10 minute period, 83 in the 11 to 20 minute period, and 84 in the 21 to 30 minute period. The association between patients who received AAM in each time period and survival was compared with patients who had not yet received AAM but remained eligible to receive it in that time period: 1 to 10 minutes [risk ratio (RR): 2.12 (95% CI: 0.61-7.33)], 11 to 20 minutes [RR: 3.03 (95% CI: 1.13-8.12)], and 21 to 30 minutes [RR: 0.95 (95% CI: 0.46-1.96)]. The association with favorable neurological outcomes: 1 to 10 minutes [RR: 2.47 (95% CI: 0.42-14.56)], 11 to 20 minutes [RR: 2.54 (95% CI: 0.63-10.23)], 21 to 30 minutes [RR: 0.86 (95% CI: 0.25-2.99)].</p><p><strong>Conclusion: </strong>In witnessed pediatric OHCA patients who went on to receive AAM, receiving this treatment in the time interval of 11 to 20 minutes was associated with survival, while earlier and later AAM times showed no association. Meanwhile, no association with favorable neurological outcomes was observed.</p>","PeriodicalId":19996,"journal":{"name":"Pediatric emergency care","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144035291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Can Caregivers Reliably Assess Their Child's Heart Rate and Respiration Rate Using Smartphone or Smartwatch Applications?","authors":"Motoki Yasuda, Jonathan Silverman, Al M Best","doi":"10.1097/PEC.0000000000003400","DOIUrl":"https://doi.org/10.1097/PEC.0000000000003400","url":null,"abstract":"<p><strong>Objective: </strong>Caregiver monitoring of heart rate (HR) and respiration rate (RR) with smartphone or smartwatch applications (apps) may improve the quality of pediatric telephone triage or virtual visits and help determine which patients require in-person evaluation. Our objective was to compare HR and RR measured by caregivers with iPhone and Apple Watch apps to simultaneous measurements by nurses in the pediatric emergency department (PED).</p><p><strong>Methods: </strong>Patients under 18 years were prospectively recruited from a PED at an academic children's hospital between January 5 and June 30, 2023. Caregivers and nurses measured HR and RR simultaneously. Nurses used pulse oximeters or cardiorespiratory monitors for assessment of HR and visual assessment of chest rise for RR. Caregivers measured RR on an iPhone app and HR on both iPhone and Apple Watch apps. Reproducibility was assessed using Bland-Altman analyses and summarized using the Kappa agreement. We surveyed caregivers on their level of comfort with the apps before and after use.</p><p><strong>Results: </strong>We recruited 213 patients with a median [interquartile range (IQR)] age of 7 (4 to 13) years. For the measurement of RR, no bias was evident, but the limits of agreement (LOA) were wide (between -23 and +24 breaths/minute). For HR measurement by iPhone, caregivers reported consistently lower values than nurses (bias: -22 beats/minute), and LOA was wide (-75 to +32 beats/minute). HR measurement by Apple Watch showed no evidence of bias, and the LOA was acceptable (-5 to +5 beats/minute).</p><p><strong>Conclusions: </strong>When compared with nurse-assessed vital signs, our study showed poor performance for caregiver-measured vital signs on iPhone apps in children presenting to the PED. However, the Apple Watch did reliably assess HR, and caregivers rated it most highly. The next steps include testing the performance of these devices in the home setting.</p>","PeriodicalId":19996,"journal":{"name":"Pediatric emergency care","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144035181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Timing for Assessment of Bleeding Diathesis in Pediatric Blunt Traumatic Brain Injury.","authors":"Kasey Chelemedos, Stephanie Papillon, Sahal Master, Harsh Grewal, Nataly Apollonsky","doi":"10.1097/PEC.0000000000003409","DOIUrl":"https://doi.org/10.1097/PEC.0000000000003409","url":null,"abstract":"<p><strong>Objectives: </strong>Intracranial hemorrhage may complicate blunt traumatic brain injury (TBI) or result from underlying bleeding disorders, and coagulation studies/factor level assays may be abnormal for both. Current studies do not identify when testing can reliably differentiate between traumatic injuries and bleeding disorders. We sought to evaluate the prevalence of coagulation abnormalities in the initial 36 hours after presentation for blunt TBI and determine a time period for subsequent normalization.</p><p><strong>Methods: </strong>Patients under 18 years old with blunt TBI were identified from our institutional trauma registry from 2020 to 2022. Data collected included coagulation studies [prothrombin time (PT), partial thromboplastin time (PTT)], complete blood count, factor levels, final suspected/proven diagnosis, mechanism of injury, patient demographics, radiographic findings, and clinical interventions. Comparisons were made between laboratory values obtained and normal references, and differences were described.</p><p><strong>Results: </strong>Two hundred sixty-eight patients were identified. The majority were male, and the median age was 8.5 months (interquartile range 4-45.3 mo). The coagulation studies and factor level assays were more often completed for patients who suffered child physical abuse, whereas testing was obtained in <10% of patients following unintentional trauma. The mechanism of injury was unintentional blunt injury in 70.1%, abusive TBI in 27.2%, and a medical cause in 3%. Intracranial hemorrhage was identified in 49.2% of patients. Within 36 hours after presentation, the most common laboratory abnormality was significantly elevated PT [median 13.65 s (interquartile range 13.1-14.8 s)] as compared with the normal range (P<0.001). This did not differ significantly based on the mechanism of trauma. Significant elevations were also seen for von Willebrand factor antigen and d-dimer. There were no patients with significant factor level deficiencies. Although 64% of patients had follow-up, only 11.8% had repeat laboratory testing, with persistent abnormalities observed in up to 7%.</p><p><strong>Conclusions: </strong>Coagulation studies and factor level assays were not routinely obtained following blunt head trauma in pediatric patients. Coagulation abnormalities were, however, observed in >50% of patients who underwent testing. These patients may have coagulation abnormalities that persist for 2 weeks after injury without an underlying bleeding disorder. Further delineating the time frame of these abnormalities may inform practice guidelines for the diagnostic evaluation of underlying bleeding disorders and follow-up.</p>","PeriodicalId":19996,"journal":{"name":"Pediatric emergency care","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Short-term Outpatient Parenteral Antimicrobial Therapy Administration in the Pediatric Emergency Department: Feasibility, Safety, and Outcome: Erratum.","authors":"","doi":"10.1097/PEC.0000000000003406","DOIUrl":"https://doi.org/10.1097/PEC.0000000000003406","url":null,"abstract":"","PeriodicalId":19996,"journal":{"name":"Pediatric emergency care","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143992567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Outcomes of Pediatric Facial Laceration Repair Using 5-0 Fast Absorbing Gut Sutures With and Without Overlying Adhesive Strips: A Randomized Controlled Trial.","authors":"Richard Thompson, Matthew Wilkinson, Patrick D Combs, Lina Palomares, Andrew J Kienstra","doi":"10.1097/PEC.0000000000003410","DOIUrl":"https://doi.org/10.1097/PEC.0000000000003410","url":null,"abstract":"<p><strong>Objectives: </strong>A randomized controlled trial was designed to compare 2 methods of repairing simple pediatric facial lacerations. We hypothesized that wounds repaired with 5-0 fast-absorbing gut sutures and overlying adhesive strips would be superior with regard to cosmetic outcome compared with 5-0 fast-absorbing gut sutures alone.</p><p><strong>Methods: </strong>Patients 0 to 17 years old presenting to the emergency department with simple, linear facial lacerations requiring repair with sutures were eligible for enrollment. Patients were randomly assigned to repair with either 5-0 fast-absorbing gut sutures with overlying adhesive strips or 5-0 fast-absorbing gut sutures alone. Families were contacted by phone at 2 weeks to discuss complications. At 2 months, participants were sent a secure link to upload photos of the scar electronically. The scars were then evaluated using a Visual Analog Scale (VAS) by a blinded Pediatric Emergency Medicine Physician and Pediatric Plastic Surgeon.</p><p><strong>Results: </strong>A total of 120 patients were enrolled, and 81 photos were received. The VAS scores for the fast-absorbing gut sutures with overlying adhesive strips group were similar to the fast-absorbing gut sutures alone group (53.9 vs. 54.5 mm, P=0.87). The Lin Correlation Coefficient was 0.74, indicating strong agreement between the raters. There was no significant difference in time to completion or ease of repair. There was only one complication due to infection in the fast-absorbing gut sutures alone group, and one reported partial wound dehiscence in the same group.</p><p><strong>Conclusions: </strong>Using adhesive strips overlying fast-absorbing gut sutures leads to a similar cosmetic outcome as using fast-absorbing gut sutures alone for simple facial laceration repair. While this technique did not show improved cosmesis or increased complications, it could be considered in select patients or may not be necessary.</p>","PeriodicalId":19996,"journal":{"name":"Pediatric emergency care","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}