Pediatric emergency medicine practice最新文献

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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
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引用次数: 0
Emergency care for transgender and gender-diverse children and adolescents. 为跨性别和性别多样化的儿童和青少年提供紧急护理。
Pediatric emergency medicine practice Pub Date : 2020-09-01 Epub Date: 2020-09-02
Hannah Janeway, Clinton J Coil
{"title":"Emergency care for transgender and gender-diverse children and adolescents.","authors":"Hannah Janeway,&nbsp;Clinton J Coil","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Transgender and gender-diverse (TGD) youth may present to the emergency department with a range of medical problems and health concerns. Some of these may be directly related to their gender identity, but the vast majority are not. While gender diversity is not considered a mental illness, TGD youth are at increased risk for suicide, anxiety, depression, and other psychological conditions, as well as family rejection, homelessness, food insecurity, and poverty. Lack of knowledge and cultural competency among emergency clinicians can create a barrier to effective care. This issue will review relevant terminology, epidemiology, and clinical best practices. It will help emergency clinicians understand common gender-affirming practices and recognize possible complications.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"17 9","pages":"1-20"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38281905","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: High-flow nasal cannula and noninvasive ventilation in pediatric emergency medicine. 要点与要点:高流量鼻插管与无创通气在儿科急诊医学中的应用。
Samira Abudinen Vasquez, Jeranil Nunez
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引用次数: 0
High-flow nasal cannula and noninvasive ventilation in pediatric emergency medicine. 高流量鼻插管与无创通气在儿科急诊医学中的应用。
Pediatric emergency medicine practice Pub Date : 2020-08-01 Epub Date: 2020-08-02
Daniel Slubowski, Timothy Ruttan
{"title":"High-flow nasal cannula and noninvasive ventilation in pediatric emergency medicine.","authors":"Daniel Slubowski,&nbsp;Timothy Ruttan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The use of high-flow nasal cannula and noninvasive ventilation has become increasingly common in emergency medicine as a first-line treatment of pediatric patients with respiratory distress secondary to asthma and bronchiolitis. When implemented in clinical practice, close monitoring of vital signs and ventilation parameters is warranted to identify possible signs of respiratory failure. This issue provides evidence-based recommendations for the appropriate use of noninvasive ventilation modalities in pediatric patients including high-flow nasal cannula, continuous positive airway pressure, and bilevel positive airway pressure in the setting of acute respiratory distress. Contraindications and complications associated with these modalities are also discussed.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"17 8","pages":"1-24"},"PeriodicalIF":0.0,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38163339","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: Mechanical Ventilation of Pediatric Patients in the Emergency Department. 要点与要点:急诊科儿科患者的机械通气。
Kathryn H Pade
{"title":"Points & Pearls: Mechanical Ventilation of Pediatric Patients in the Emergency Department.","authors":"Kathryn H Pade","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"17 7","pages":"e1-e2"},"PeriodicalIF":0.0,"publicationDate":"2020-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38150566","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
Mechanical ventilation of pediatric patients in the emergency department. 急诊科儿科患者的机械通气
Pediatric emergency medicine practice Pub Date : 2020-07-01 Epub Date: 2020-07-02
Casey Carr, Courtney W Mangus, J Kate Deanehan
{"title":"Mechanical ventilation of pediatric patients in the emergency department.","authors":"Casey Carr,&nbsp;Courtney W Mangus,&nbsp;J Kate Deanehan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>When pediatric patients require mechanical ventilation in the emergency department, the emergency clinician should be prepared to select initial ventilator settings and respond to an intubated patient's dynamic physiologic needs to ensure ongoing oxygenation, ventilation, and hemodynamic stability. Pressure-targeted ventilation is generally recommended in pediatric patients, with initial ventilator settings varying depending on age and the etiology of respiratory failure. This issue reviews indications for mechanical ventilation and offers recommendations for ventilator settings and dosing of analgesics, sedatives, and neuromuscular blockers, with a focus on patient populations in whom the approach to mechanical ventilation may be different.</p>","PeriodicalId":38199,"journal":{"name":"Pediatric emergency medicine practice","volume":"17 7","pages":"1-16"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38062189","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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