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Erratum for: The effect of medically-attended injury experience on the use of home safety equipment 医疗护理伤害经验对使用家庭安全设备的影响的勘误
Pediatric emergency medicine practice Pub Date : 2021-04-19 DOI: 10.22470/PEMJ.2020.00059.E1
I. Jeong, S. Jung, Joohyun Suh, K. Ahn, J. A. Bae
{"title":"Erratum for: The effect of medically-attended injury experience on the use of home safety equipment","authors":"I. Jeong, S. Jung, Joohyun Suh, K. Ahn, J. A. Bae","doi":"10.22470/PEMJ.2020.00059.E1","DOIUrl":"https://doi.org/10.22470/PEMJ.2020.00059.E1","url":null,"abstract":"","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84420485","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
The child with a syndrome: considerations for management in the emergency department. 儿童综合征:急诊管理的考虑。
Pediatric emergency medicine practice Pub Date : 2021-04-01 Epub Date: 2021-04-02
Adam Sigal, Shannon Zik, Christopher Valente
{"title":"The child with a syndrome: considerations for management in the emergency department.","authors":"Adam Sigal,&nbsp;Shannon Zik,&nbsp;Christopher Valente","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Children with syndromes often access emergency services and they may present unique challenges for emergency clinicians. This issue reviews 3 pediatric syndromes-spina bifida, Down syndrome, and Marfan syndrome-each of which are associated with unique emergent conditions. Patients with spina bifida have chronic colonization of bacteria in the urine, and antibiotics are not always needed. Children with Down syndrome are at risk for neurologic injury with minor trauma; advanced imaging such as magnetic resonance imaging may be needed in select cases. For children in whom a connective tissue disorder is suspected, aortic dissection and spontaneous pneumothorax must be considered. This issue reviews the pitfalls in interpreting routine testing and discusses the diagnostic and therapeutic approaches helpful in evaluating children with syndromes.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"18 4","pages":"1-24"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25527555","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
Pneumothorax secondary to acupuncture in an adolescent girl 少女针刺继发气胸一例
Pediatric emergency medicine practice Pub Date : 2021-03-25 DOI: 10.22470/PEMJ.2020.00213
Yasser AlFraih, H. Merali
{"title":"Pneumothorax secondary to acupuncture in an adolescent girl","authors":"Yasser AlFraih, H. Merali","doi":"10.22470/PEMJ.2020.00213","DOIUrl":"https://doi.org/10.22470/PEMJ.2020.00213","url":null,"abstract":"Acupuncture is a primary therapeutic technique used in traditional Chinese medicine. It refers to the stimulation of specific pressure points along the body surface with heat, pressure, or insertion of thin needles. In our review of the literature, acupuncturerelated complications are rarely reported, particularly in children. The rare reports are usually by the clinicians managing the complications rather than the acupuncturists. One study found that only 20% of reports were authored by the acupuncturists who performed the procedures causing the adverse events. Because acupuncture is gaining popularity and usage among children, raising awareness of the potential complications is crucial. Reporting complications contributes to education, recognition, and establishment of safety guidelines for this alternative therapy in children. We report a case of iatrogenic pneumoth침 치료 후 사춘기 여아에게서 발생한 기흉","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"5 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72398689","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
Pediatric acute demyelinating syndromes: identification and management in the emergency department. 小儿急性脱髓鞘综合征:在急诊科的识别和处理。
Pediatric emergency medicine practice Pub Date : 2021-03-01 Epub Date: 2021-03-02
Camille Halfman
{"title":"Pediatric acute demyelinating syndromes: identification and management in the emergency department.","authors":"Camille Halfman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Acute demyelinating disorders can present with vague complaints and subtle abnormalities of the neurological examination. A thorough history and physical examination are important for narrowing the differential diagnosis and determining which diagnostic studies are indicated. This issue focuses on the most common acute demyelinating disorders in children: Guillain-Barré syndrome and acute transverse myelitis. Common presenting signs and symptoms of these conditions are reviewed, and evidence-based recommendations are provided for the initial assessment and management of Guillain-Barré syndrome and acute transverse myelitis in the emergency department.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"18 3","pages":"1-16"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25392581","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
Accidental trauma of infancy: emergency department evaluation and management. 婴儿期意外创伤：急诊科评价与处理。
Pediatric emergency medicine practice Pub Date : 2021-02-15
Daniel Saltzman, Mariya Skube
{"title":"Accidental trauma of infancy: emergency department evaluation and management.","authors":"Daniel Saltzman, Mariya Skube","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The common mechanisms and injury patterns of accidental trauma in infants differ from those of older children and adults, with falls representing the most common etiology. While the evaluation of traumatic injury in infants should follow an algorithm similar to that used for adults, the unique pediatric physiologic response to trauma must be taken into consideration. In addition, the utility of certain imaging studies in these patients is highly case specific, particularly with minor head injuries. This supplement reviews the evaluation and management of infants with accidental traumatic injury, including the most common circumstances and pathophysiology of injury, the differential diagnosis of the infant trauma victim, and the workup and management of accidental injuries in this patient population.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"18 Suppl 2","pages":"1-39"},"PeriodicalIF":0.0,"publicationDate":"2021-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11851635/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25350567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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
{"title":"An evidence-based approach to nontraumatic ocular complaints in children.","authors":"Ammarah Iqbal,&nbsp;Melissa L Langhan,&nbsp;Jill Rotruck,&nbsp;Gauthami Soma","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Children commonly present to emergency departments with eye complaints in the absence of antecedent trauma. Signs and symptoms of ocular disease are often nonspecific. Red, swollen, or painful eyes may represent benign or vision-threatening processes, making recognition and triage challenging for the emergency clinician. This issue reviews the presentations of common nontraumatic ocular complaints and provides evidence-based recommendations for management in the emergency department.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"18 2","pages":"1-28"},"PeriodicalIF":0.0,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38843750","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
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
{"title":"Pediatric influenza in the emergency department: diagnosis and management.","authors":"Ran D Goldman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Influenza in children is a significant cause of morbidity and mortality. Presenting symptoms of influenza vary greatly among children; clinical presentation should be assessed for severity of illness and potential complications. Available clinical and laboratory findings should be used to guide treatment for young children with fever. Clinicians should be aware of up-to-date recommendations to diagnose and treat children with influenza and to ensure public health engagement to prevent and manage influenza epidemics. This issue reviews common complications of influenza infection, offers guidance for infection control measures, and provides evidence-based recommendations for the management of pediatric patients with influenza in the emergency department.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"18 1","pages":"1-20"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38374298","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
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
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