Pediatric emergency medicine practice最新文献_第6页

An evidence-based approach to nontraumatic ocular complaints in children. 儿童非创伤性眼病的循证治疗方法。

Pediatric emergency medicine practice Pub Date : 2021-02-01 Epub Date: 2021-02-02

Ammarah Iqbal, Melissa L Langhan, Jill Rotruck, Gauthami Soma

引用次数: 0

Pediatric influenza in the emergency department: diagnosis and management. 儿科流感在急诊科:诊断和管理。

Pediatric emergency medicine practice Pub Date : 2021-01-01 Epub Date: 2021-01-02

Ran D Goldman

引用次数: 0

Macrolide-refractory Mycoplasma pneumoniae pneumonia and hemophagocytic lymphohistiocytosis: case report and literature review 大环内酯难治性肺炎支原体肺炎合并噬血细胞淋巴组织细胞增多症1例报告并文献复习

Pediatric emergency medicine practice Pub Date : 2020-12-30 DOI: 10.22470/pemj.2020.00094

Sung-Yun Ma, D. Kim, Juyoung Lee, K. Cho, J. Suh, Soo-Young Lee

{"title":"Macrolide-refractory Mycoplasma pneumoniae pneumonia and hemophagocytic lymphohistiocytosis: case report and literature review","authors":"Sung-Yun Ma, D. Kim, Juyoung Lee, K. Cho, J. Suh, Soo-Young Lee","doi":"10.22470/pemj.2020.00094","DOIUrl":"https://doi.org/10.22470/pemj.2020.00094","url":null,"abstract":"폐렴마이코플라즈마(Mycoplasma pneumoniae)는 지역 사회 폐렴의 주요 원인균이다. 이 세균에 의한 폐렴은 학령 기 소아 및 젊은 성인에 호발하고, 4-7년마다 유행한다. 마이코플라즈마 폐렴에 대한 1차 선택약으로 macrolide 계 항균제를 사용하는데, macrolide-refractory M. pneumoniae (MRMP) 폐렴이 증가하는 추세이다. MRMP 폐 렴은 임상증상이 심하고 예후가 나빠서, 병인 규명 및 치 료법 개발을 위한 연구가 진행 중이다. 최근 한국 지침은 세균의 내성 기전을 극복하는 2차 항균제 및 숙주의 과도 한 면역반응을 제어하는 항염증제 요법을 권고한다. 마이코플라즈마 감염 자체의 경과는 양호하지만, 조절 되지 않는 면역반응으로 피부, 중추신경계, 혈액, 심장, 위 장관, 근골격계를 침범하는 폐 외 합병증이 유발될 수 있 다. 드물지만 심각한 혈액학적 합병증으로, 적혈구포식림 프조직구증(hemophagocytic lymphohistiocytosis, HLH) 이 발생할 수 있다. 본 저자는 MRMP 폐렴에 대한 항 균제 및 항염증제 병합요법에도 지속적인 열, 간비장비대, 혈소판감소증을 보인 6세 환자에서 HLH를 의심하고 치 료한 증례를 문헌고찰과 함께 보고한다. 본 연구는 가톨릭 Macrolide 불응성 마이코플라즈마 폐렴과 적혈구포식림프조직구증: 증례보고와 문헌고찰","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"20 1","pages":"145-150"},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81966144","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

Clinical features of adolescents with suicide attempt and the factors associated with their outcomes: poisoning versus non-poisoning 青少年自杀企图的临床特征及其结果的相关因素:中毒与非中毒

Pediatric emergency medicine practice Pub Date : 2020-12-30 DOI: 10.22470/pemj.2020.00066

Myoung Hoon Lee, J. Jang, J. Cho, W. Choi, J. Choi

{"title":"Clinical features of adolescents with suicide attempt and the factors associated with their outcomes: poisoning versus non-poisoning","authors":"Myoung Hoon Lee, J. Jang, J. Cho, W. Choi, J. Choi","doi":"10.22470/pemj.2020.00066","DOIUrl":"https://doi.org/10.22470/pemj.2020.00066","url":null,"abstract":"Purpose: Methods for suicide attempt are largely divided into poisoning and non-poisoning, which differ in clinical features and severity. We aimed to investigate the clinical features of adolescents with suicide attempt and factors associated with poor outcomes from the 2 methods. Methods: A retrospective study was conducted on adolescents (10-18 years) who visited the emergency department after suicide attempt from 2011 through 2018. The adolescents were divided into the poisoning and non-poisoning groups. We analyzed the differences of clinical features and outcomes between the 2 groups. Poor outcomes were defined as hospitalization to the intensive care unit or death. Factors associated with poor outcomes were investigated using multivariable logistic regression. Results: Of 4,335 adolescents in total, 2,134 (49.2%) were categorized as the poisoning group. In this group, the adolescents with poor outcomes used acetaminophen most frequently (26.5%), followed by sedative or antipsychotics (22.3%). In the nonpoisoning group, those with the outcomes used fall from height (73.2%) most commonly, followed by hanging (21.0%). The factors associated with the outcomes were age (for increment of 1 year; odds ratio, 1.11; 95% confidence interval, 1.02-1.22) in the poisoning group, and being boys (1.34; 1.03-1.73) and non-use of alcohols (2.87; 1.73-4.74) in the non-poisoning group. Conclusion: In adolescents who used poisoning for suicide attempt, increasing age is associated with poor outcomes. The outcomes are associated with being boys and non-use of alcohols in those who used non-poisoning methods.","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"12 1","pages":"85-93"},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85341794","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

Risk factors for repeated febrile seizures during the same febrile illness 同一发热性疾病中反复发热性惊厥的危险因素

Pediatric emergency medicine practice Pub Date : 2020-12-09 DOI: 10.22470/pemj.2020.00157

S. Cho, Ji-hoon Kim, Y. Kyong, K. Cha, Hwan Song, S. Seol

{"title":"Risk factors for repeated febrile seizures during the same febrile illness","authors":"S. Cho, Ji-hoon Kim, Y. Kyong, K. Cha, Hwan Song, S. Seol","doi":"10.22470/pemj.2020.00157","DOIUrl":"https://doi.org/10.22470/pemj.2020.00157","url":null,"abstract":"Purpose: We aimed to identify the factors associated with the repeated febrile seizures (RFS), defined as recurrent seizures during the same febrile illness. Methods: We reviewed the medical records of children with febrile seizure who visited 4 academic emergency departments from October 2016 through September 2018. Differences were identified in variables regarding clinical and laboratory characteristics between the children with and without RFS. The RFS was the primary outcome. Logistic regression was conducted to identify factors associated with the occurrence of RFS. Results: Among 1,551 children, 922 were included in the study, of whom, 198 (21.5%) underwent RFS. Of the children with RFS, 188 (94.9%) underwent the recurrences within the initial 24 hours. Logistic regression showed focal seizure (adjusted odds ratio, 6.67; 95% confidence interval, 2.37-18.82), venous pH < 7.31 (5.89; 3.13-11.08), and postictal drowsiness > 30 minutes (1.90; 1.30-2.78) as the factors for RFS. Conclusion: In children with febrile seizure, focal seizure, acidosis, and prolonged postictal state may be independent risk factors for RFS. These findings may be informed to healthcare professionals and parents caring for children with febrile seizure.","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87804743","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

Points & Pearls: Neonatal resuscitation in the emergency department. 要点与要点:急诊新生儿复苏。

Pediatric emergency medicine practice Pub Date : 2020-12-02

Kathryn H Pade

引用次数: 0

A case of neonatal lupus presenting with fever and skin rash in a 47-day-old girl 新生儿狼疮的病例表现为发烧和皮疹在一个47天的女孩

Pediatric emergency medicine practice Pub Date : 2020-12-02 DOI: 10.22470/pemj.2020.00171

Y. Shin, Ji‐Man Kang, Jong Gyun Ahn

{"title":"A case of neonatal lupus presenting with fever and skin rash in a 47-day-old girl","authors":"Y. Shin, Ji‐Man Kang, Jong Gyun Ahn","doi":"10.22470/pemj.2020.00171","DOIUrl":"https://doi.org/10.22470/pemj.2020.00171","url":null,"abstract":"신생아 루푸스는 임신나이 16-26주에 모체 자가항체가 태반을 통해 전달되어 발생한다. 1954년에 Bridge와 Foley가 모체의 루푸스 관련 인자가 신생아에 전달되는 것을 확인했고, 같은 해 McCuistion과 Schoch가 첫 증 례를 보고했다. 이 질환은 핵단백 항원인 SSA, SSB 또는 U1-리보핵산단백질에 대한 자가항체를 가지는 전신홍반 루푸스, 쇠그렌증후군, 류마티스관절염 등을 진단받은 어 머니로부터 태어난 신생아 중 약 2%에서 발생한다고 알려 졌다. 피부증상(약 40%)이 가장 흔하고 혈구 이상(약 20%), 간기능 이상(약 15-25%)도 나타날 수 있으며, 가 장 치명적인 선천심장차단은 약 25%에서 나타난다. 신생아 루푸스의 임상증상은 선천심장차단 외에는 비특 이적이므로, 열 및 발진으로 응급실을 방문한 3개월 미만 영아에서 이를 감별하기 어렵다. 감염을 우선 감별해야 하 지만, 증상이 지속하면 비교적 드문 감별진단인 신생아 루 푸스를 의심해야 한다. 본 저자는 자가면역질환이 없는 어 머니로부터 태어난 47일 여아가 열 및 발진으로 응급실을 방문하여 패혈증 및 다형홍반을 의심했지만, 상기 질환으 로 최종 진단한 증례를 경험했다. 본 증례는 열 및 발진을 동반한 3개월 미만 영아의 감별진단에 이 질환을 포함해 야 한다는 시사점이 있어, 이를 문헌고찰과 함께 보고한 열과 발진을 주소로 응급실을 방문한 47일 여아에서 진단된 신생아 루푸스","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80022975","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

A case of diabetic ketoacidosis and hyperosmolar hyperglycemic state complicated with iatrogenic left femoral arterial thrombosis in a 14-year-old girl with newly diagnosed type 2 diabetes mellitus 1例新诊断为2型糖尿病的14岁女孩糖尿病酮症酸中毒和高渗性高血糖并发医源性左股动脉血栓形成

Pediatric emergency medicine practice Pub Date : 2020-12-01 DOI: 10.22470/pemj.2020.00136

Y. J. Kim, Yong Hyuk Kim

引用次数: 0

Neonatal resuscitation in the emergency department. 急诊新生儿复苏。

Pediatric emergency medicine practice Pub Date : 2020-12-01 Epub Date: 2020-12-02

Andrea T Vo, Christine S Cho

引用次数: 0

Gender differences in characteristics of adolescents with suicide attempt at the emergency department 急诊科青少年自杀倾向特征的性别差异

Pediatric emergency medicine practice Pub Date : 2020-11-25 DOI: 10.22470/pemj.2020.00115

Youn Ju An, S. Paek, O. Kim, J. A. Kim, J. Kwon, M. J. Kim

{"title":"Gender differences in characteristics of adolescents with suicide attempt at the emergency department","authors":"Youn Ju An, S. Paek, O. Kim, J. A. Kim, J. Kwon, M. J. Kim","doi":"10.22470/pemj.2020.00115","DOIUrl":"https://doi.org/10.22470/pemj.2020.00115","url":null,"abstract":"Purpose: This study was performed to investigate the gender differences in suicide attempts in adolescents. Methods: We reviewed the medical records of adolescents (≤ 18 years) who had visited a university hospital emergency department (ED) for suicide attempts from January 2018 through December 2019. General characteristics of the adolescents, details of the attempt, and outcomes were analyzed. The characteristics were age, gender, the Korean Triage and Acuity Scale, previous attempts, and psychiatric history. The details were initial Glasgow Coma Scale, attempt-arrival time, living alone, method, place, and motivation of the attempt, and concurrent use of alcohol. The outcomes included psychiatric consultation, ED length of stay, and ED outcomes. Results: A total of 86 adolescents were included. Their age ranged from 13 to 18 years, and girls accounted for 65.1%. The girls had more frequent psychiatric history than boys (66.1% vs. 30.0%; P = 0.001) without a significant difference in previous attempts (55.4% vs. 46.7%; P = 0.442). The most common methods of the attempt in the girls and boys were poisoning and sharp objects (53.3% [16 of the 30 boys] vs. 60.7% [34 of the 56 girls]; P = 0.002), respectively. No differences were found in the other details of the attempt and in the rate of psychiatric consultation. The girls had a longer ED length of stay (247.0 minutes vs. 186.5; P = 0.033), a lower rate of discharge against medical advice, and higher rates of hospitalization (discharge against medical advice, 53.6% vs. 76.7%; non-psychiatric, 23.2% vs. 3.3%; psychiatric, 12.5% vs. 0%; P = 0.003). Conclusion: Girls may make suicide attempts, usually by poisoning, and undergo relevant hospitalization, more often than boys. In contrast, boys usually use sharp objects, with a higher rate of discharge against medical advice and lower rates of the attempt and hospitalization.","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80000849","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