Pediatric emergency medicine practice最新文献_第7页

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

A case of diabetic ketoacidosis with posterior cerebral artery territory ischemic stroke mimicking uncal herniation 糖尿病酮症酸中毒合并脑后动脉区缺血性脑卒中1例

Pediatric emergency medicine practice Pub Date : 2020-11-16 DOI: 10.22470/pemj.2020.00122

Jin ho Kim, K. Cho, Min Sun Kim, Sun Jun Kim

引用次数: 0

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

Pediatric emergency medicine practice Pub Date : 2020-11-05 DOI: 10.22470/pemj.2020.00059

I. Jeong, S. Jung, Joohyun Suh, K. Ahn, J. A. Bae

{"title":"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","DOIUrl":"https://doi.org/10.22470/pemj.2020.00059","url":null,"abstract":"Purpose: To assess the effect of medically-attended injury (MAI) on the use of home safety equipment, we analyzed the differences in parents’ perception and attitude about injury prevention, and use of home safety equipment depending on the children’s MAI experiences. Methods: From March 2018 through February 2019, we surveyed parents of children aged 5 years or younger via a mobile phone. The parents were divided into the MAI and non-MAI groups. The mobile survey focused on the perception and attitude about injury prevention, and use of home safety equipment (if not used, barriers). Results: Of the 204 parents, 75 (36.8%) reported their children’s MAI, comprising the MAI group. This group used the safety equipment more frequently than the non-MAI group (odds ratio, 7.03; 95% confidence interval, 3.39-14.59; P < 0.001). No significant differences between the 2 groups were found in the perception and attitude about injury prevention, barriers to the use of the equipment, and the type of the equipment in use. Conclusion: Parents’ experience in their children’s MAIs was associated with the use of home safety equipment, but it did not affect their perception and attitude about injury prevention. A visit to the emergency department with MAI is an opportunity for education on injury prevention and changes of the attitude.","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"100 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75934552","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: management of pediatric head and neck infections in the emergency department. 要点与要点:急诊儿科头颈部感染的处理。

Pediatric emergency medicine practice Pub Date : 2020-11-02

Kathryn H Pade

引用次数: 0

Management of pediatric head and neck infections in the emergency department. 急诊儿科头颈部感染的处理

Pediatric emergency medicine practice Pub Date : 2020-11-01 Epub Date: 2020-11-02

Samira Abudinen-Vasquez, Michelle N Marin

引用次数: 0

A case of generalized tonic seizures related to acute myocarditis 急性心肌炎致全身性强直性癫痫1例

Pediatric emergency medicine practice Pub Date : 2020-10-26 DOI: 10.22470/pemj.2020.00087

J. Yang, J. Na, Jinseok Lee, Da-eun Kim, Jinyoung Song, I. Kang, H. Yeh

引用次数: 0