Pediatric emergency medicine practice最新文献

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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
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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。
Kathryn H Pade
{"title":"Points & Pearls: management of pediatric head and neck infections in the emergency department.","authors":"Kathryn H Pade","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"17 Suppl 11","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2020-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38574344","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
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
{"title":"Management of pediatric head and neck infections in the emergency department.","authors":"Samira Abudinen-Vasquez,&nbsp;Michelle N Marin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Head and neck infections can spread to nearby structures, compromising the airway and progressing to life-threatening events. Pediatric head and neck infections can be difficult to recognize; emergency clinicians must know the signs and symptoms of head and neck infections for early diagnosis and urgent management in order to prevent complications and decrease hospitalization rates. This issue reviews presenting signs and symptoms of pediatric head and neck infections, discusses when diagnostic studies are indicated, and offers evidence-based recommendations for management. Conditions reviewed include mastoiditis, sinusitis, Ludwig angina, peritonsillar abscess, retropharyngeal abscess, Lemierre syndrome, and acute suppurative thyroiditis.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"17 11","pages":"1-24"},"PeriodicalIF":0.0,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38626131","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
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
{"title":"A case of generalized tonic seizures related to acute myocarditis","authors":"J. Yang, J. Na, Jinseok Lee, Da-eun Kim, Jinyoung Song, I. Kang, H. Yeh","doi":"10.22470/pemj.2020.00087","DOIUrl":"https://doi.org/10.22470/pemj.2020.00087","url":null,"abstract":"Patients with acute myocarditis may experience sudden unconsciousness with involuntary movement due to generalized cerebral hypoperfusion of cardiac etiology, which can be misdiagnosed as a true seizure. Convulsive syncope, which is a syncope accompanied by involuntary movements, differs in clinical implications from seizure. It is challenging to clinically distinguish between convulsive syncope and seizure. Without initial suspicion of cardiac etiology, there is often a diagnostic or therapeutic delay. We describe a 7-year-old girl presenting with seizure, which turned out to be convulsive syncope, caused by acquired complete atrioventricular (AV) block related to acute myocarditis.","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82168949","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
Association of age-adjusted shock index with mortality in children with trauma: a single-center study in Korea 年龄调整休克指数与创伤儿童死亡率的关系:韩国的单中心研究
Pediatric emergency medicine practice Pub Date : 2020-10-19 DOI: 10.22470/pemj.2020.00164
E. Yoon, Y. Huh, Yura Ko, Jung Heon Kim
{"title":"Association of age-adjusted shock index with mortality in children with trauma: a single-center study in Korea","authors":"E. Yoon, Y. Huh, Yura Ko, Jung Heon Kim","doi":"10.22470/pemj.2020.00164","DOIUrl":"https://doi.org/10.22470/pemj.2020.00164","url":null,"abstract":"Purpose: This study was performed to investigate the association of high age-adjusted shock index (AASI) with mortality in Korean children with trauma. Methods: The data of children (aged < 15 years) with trauma who visited a university hospital in Korea from 2010 through 2018 were reviewed. High AASI was defined by age groups as follows: < 12 months, ≥ 2.7; 12-23 months, ≥ 2.1; 2-4 years, ≥ 1.9; 5-11 years, ≥ 1.5; and 12-14 years, ≥ 1.1. Age, sex, transfer status, injury mechanism, hypotension, tachycardia, base deficit, hemoglobin concentration, trauma scores, hemorrhage-related procedures (transfusion and surgical interventions), and severe traumatic brain injury were compared according to high AASI and in-hospital mortality. The association of high AASI with the mortality was analyzed using logistic regression. Results: Of the 363 enrolled children, 29 (8.0%) had high AASI and 24 (6.6%) died. The children with high AASI showed worse trauma scores and underwent hemorrhage-related procedures more frequently, without a difference in the rate of the traumatic brain injury. High AASI was associated with in-hospital mortality (survivors, 6.5% vs. non-survivors, 29.2%; P = 0.001). This association remained significant after adjustment (adjusted odds ratio, 6.42; 95% confidence interval, 1.3829.82). The other predictors were Glasgow Coma Scale (for increment of 1 point; 0.62; 0.53-0.72) and age (for increment of 1 year; 0.84; 0.73-0.97). High AASI showed a 29.2% sensitivity and 93.5% specificity for the mortality. Conclusion: High AASI is associated with mortality, and have a high specificity but low sensitivity in Korean children with trauma. This predictor of mortality can be used prior to obtaining the results of laboratory markers of shock.","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"64 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90140203","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: Supraglottic airway devices for pediatric airway management in the emergency department. 要点与要点:用于急诊科儿科气道管理的声门上气道装置。
Arooma Ismail, Jeranil Nunez
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引用次数: 0
Calculated decisions: Modified Mallampati classification. 计算决策:修改Mallampati分类。
Derek Tam, Christopher Tainter
{"title":"Calculated decisions: Modified Mallampati classification.","authors":"Derek Tam,&nbsp;Christopher Tainter","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Modified Mallampati Classification stratifies predicted difficulty of endotracheal intubation based on anatomic features.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"17 10","pages":"CD1-CD2"},"PeriodicalIF":0.0,"publicationDate":"2020-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38508047","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
Supraglottic airway devices for pediatric airway management in the emergency department. 急诊科用于小儿气道管理的声门上气道装置
Pediatric emergency medicine practice Pub Date : 2020-10-01 Epub Date: 2020-07-02
Jennifer E Sanders, Louis A Spina
{"title":"Supraglottic airway devices for pediatric airway management in the emergency department.","authors":"Jennifer E Sanders,&nbsp;Louis A Spina","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Endotracheal intubation can be difficult in the emergent situation, and it is important to have an appropriate backup strategy. Supraglottic airway devices have provided an alternative method for pediatric airway management that is relatively easy to learn, with a high success rate. This issue reviews the use of supraglottic airway devices in pediatric patients including common devices, indications and techniques for placement, and complications associated with their use. The use of supraglottic airway devices in the patient with a difficult airway is also discussed.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"17 10","pages":"1-20"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38441023","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: Emergency care for transgender and gender-diverse children and adolescents. 要点和珍珠:对跨性别和性别多样化的儿童和青少年的紧急护理。
Samira Abudinen Vasquez, Jeranil Nunez
{"title":"Points & Pearls: Emergency care for transgender and gender-diverse children and adolescents.","authors":"Samira Abudinen Vasquez,&nbsp;Jeranil Nunez","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"17 9","pages":"e1-e2"},"PeriodicalIF":0.0,"publicationDate":"2020-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38316793","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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