-
Characteristics and Risk Factors of Central Nervous System Infection in Children With Febrile Seizures. Pediatr. Emerg. Care (IF 1.4) Pub Date : 2024-03-14 Daniel Almeida do Valle, Luisa Carolina Vinhal Costa, Amanda Perin Fregonese, Dannyelle Heloize Leite da Silva, Giovana Kellen Souza Maldonado, Letícia Tozzini Tavares da Silva, Mylena da Silva Couto
The aim of the present study is to evaluate the necessity of performing lumbar puncture in patients experiencing febrile seizures, considering the epidemiology specific to Brazil.
-
Presentation, Management, and Child Protective Service Reporting of Children Who Test Positive for Cannabis in an Emergency Room Setting. Pediatr. Emerg. Care (IF 1.4) Pub Date : 2024-03-13 Alexandra Dubinin, Mario Bialostozky, Andrew Richardson, Natalie Laub
Rates of cannabis ingestion among young children are increasing. Small studies have evaluated symptomatology of these children. The literature lacks research regarding factors influencing medical management. Our goal was to 1) understand circumstances leading to exposure over time and 2) gain insight into factors that may influence emergency room management and Child Protective Services reporting over
-
Streamlining Telecommunications Center and Interfacility Patient Throughput to a Pediatric Emergency Department by Utilizing an Electronic Handoff: A Quality Improvement Initiative. Pediatr. Emerg. Care (IF 1.4) Pub Date : 2024-03-13 Thomas P Wolski, Sarah Kunka, Elizabeth Smith, Robert Carter, Prabi Rajbhandari
Effective handoffs are critical for patient safety and high-quality care. The pediatric emergency department serves as the initial reception for patients where optimal communication is crucial. The complexities of interfacility handoffs can result in information loss due to lack of standardization. The aim of our project was a 50% reduction in monthly calls routed through the communication center from
-
Emergency Department Sepsis Triage Scoring Tool Elements Associated With Hypotension Within 24 Hours in Children With Fever and Tachycardia. Pediatr. Emerg. Care (IF 1.4) Pub Date : 2024-03-13 Alexandra H Baker, Vanessa M Mazandi, Jackson S Norton, Elliot Melendez
Pediatric sepsis screening is becoming the standard of care for children presenting to the emergency department (ED) and has been shown to improve recognition of severe sepsis, but it is unknown if these screening tools can predict progression of disease. The objective of this study was to determine if any elements of a sepsis triage trigger tool were predictive of progression to hypotensive shock
-
Methylene Blue in Metformin Intoxication: Not Just Rescue But Also Initial Treatment. Pediatr. Emerg. Care (IF 1.4) Pub Date : 2024-03-13 Banu Katlan
Metformin (MTF) is a widely used oral antidiabetic medication. Regardless the reason, high doses of MTF cause lactic acidosis as a result of its effects on mitochondrial ATP production and no-mediated vascular smooth muscle relaxation. Metformin-associated lactic acidosis can be life-threatening despite all treatments. Methylene blue (MB) has the potential to reverse the toxic effects of MTF through
-
Early Diagnosis of Rare Diaphragmatic Synovial Sarcoma in a Pediatric Patient With Epigastric Pain Using Point-of-Care Ultrasound. Pediatr. Emerg. Care (IF 1.4) Pub Date : 2024-03-13 Katie Rong, Amanda Good, Henry Chicaiza, Ruchika Mohla Jones
Synovial cell sarcoma is a rare mesenchymal tumor that typically originates from the soft tissues of the extremities of young adults. Only 3 cases of primary diaphragmatic synovial cell sarcoma have been described in the literature: 2 in adult males and 1 in a 12-year-old pediatric patient.1-3 When this tumor is found in the mediastinum or pericardial region, prognosis is historically poor because
-
Central Line Repair in Pediatric Patients in the Pediatric Emergency Department by Emergency Physicians-A Single-Center Experience. Pediatr. Emerg. Care (IF 1.4) Pub Date : 2024-03-13 Aluma Baer, Giora Weiser
Central venous catheters are more common with advanced treatments for a variety of conditions. These catheters may need to be repaired after local damage. This has been performed by those more involved with catheter placement such as pediatric surgeons and interventional radiologists. Gastroenterologists who treat many of these patients have also been involved with catheter repair. Repair by pediatric
-
Myocarditis-A Helpful Algorithm to Overcome Diagnostic Challenges in the Pediatric Population. Pediatr. Emerg. Care (IF 1.4) Pub Date : 2024-03-13 Nitzan Knoler, Hanna Krymko, Leonel Slanovic, Michael Grunseid, Nave Paran, Lior Hassan, Aviva Levitas
This study was designed to investigate clinical differences between pediatric patients who presented with chest pain, tachycardia, and/or tachypnea who subsequently were or were not diagnosed with myocarditis. The results were used to develop a decision tree to aid in rapid diagnosis of pediatric myocarditis.
-
Improved Short-Term Prognosis of Pediatric Partial-Thickness Burns: Emergency Conservative Debridement Under Topical Anesthesia. Pediatr. Emerg. Care (IF 1.4) Pub Date : 2024-03-11 Hailiang Liu, Dongjie Li, Huageng Yuan, Tianjun Sun, PengCheng Li, Zhiwei Cai, Chuan'an Shen
Early wound management for pediatric patients with partial-thickness burns in the emergency department remains debatable. This study aims to evaluate the value of emergency conservative debridement under topical anesthesia in improving short-term prognosis of pediatric partial-thickness burns.
-
Risk Factors for Blunt Cerebrovascular Injury in a Cohort of Pediatric Patients With Cervical Seat Belt Sign. Pediatr. Emerg. Care (IF 1.4) Pub Date : 2024-03-07 Daniel A Najar, Marylou Cardenas-Turanzas, Jadeyn King, Manish N Shah, Charles S Cox, Irma T Ugalde
Three-point seat belt restraints have been attributed to blunt cerebrovascular injury (BVCI), injury to the carotid or vertebral arteries. Although previous studies have not found a seat belt sign to be a significant predictor for BCVI, it is still used to screen patients for BCVI.
-
Can Ischemia-Modified Albumin Be a Helpful Marker in the Diagnosis and Follow-Up of Childhood Intussusception? Pediatr. Emerg. Care (IF 1.4) Pub Date : 2024-03-05 Çelebi Kocaoğlu, Canan Kocaoğlu, Hasan Madenci
Intussusception is the invagination of a proximal segment of the intestine into a more distal segment. The present study aimed to determine the sensitivity of the ischemia-modified albumin (IMA) and the correlation between IMA and the severity of intestinal ischemia in intussusception cases.
-
A Descriptive Analysis: Infants Presenting to the Pediatric Emergency Department With a Brief Resolved Unexplained Event. Pediatr. Emerg. Care (IF 1.4) Pub Date : 2024-2-28 Lindsay McHale, Rumana Siddique, Andrew J Gienapp, Taylor Bagwell
Infants presenting to pediatric emergency departments (EDs) after a choking episode, cyanotic event, or irregular breathing pattern are often diagnosed with a brief, resolved, unexplained event (BRUE). Social determinants of health may affect these patients; therefore, we aimed to define population demographics and determine significant demographic predictors between 2 cohorts-infants presenting with
-
Effects of Endotracheal Epinephrine on Pharmacokinetics and Survival in a Swine Pediatric Cardiac Arrest Model. Pediatr. Emerg. Care (IF 1.4) Pub Date : 2024-2-28 Don Johnson, Julie G Hensler, Joseph O'Sullivan, Dawn Blouin, Melissa A de la Garza, Young Yauger
The aim of this study was to compare the endotracheal tube (ET) and intravenous (IV) administration of epinephrine relative to concentration maximum, time to maximum concentration, mean concentration over time (MC), area under the curve, odds, and time to return of spontaneous circulation (ROSC) in a normovolemic pediatric cardiac arrest model.
-
Treatment of Acute COVID-19 and COVID-19 Exposures in Children and Adolescents. Pediatr. Emerg. Care (IF 1.4) Pub Date : 2024-2-28 Danielle Daniels, Gregory P Conners
The landscape of acute COVID-19 therapeutics has dramatically evolved since the onset of the pandemic. The treatment of acute COVID-19 in children and adolescents requires knowledge of risk factors and clinical features to appropriately select antiviral and immunomodulatory therapies. This review article provides updated guidance for emergency physicians in the treatment of acute COVID-19 in children
-
Long-Acting Reversible Contraception Knowledge Among Female Adolescents Presenting to a Pediatric Emergency Department. Pediatr. Emerg. Care (IF 1.4) Pub Date : 2024-02-28 Morgan S Bowling, Meizhen Yao, Natale Mazzaferro, Patricia Greenberg, Ellen George, Adam Sivitz, Cena Tejani
The objective of this study was to assess awareness and use of long-acting reversible contraception (LARC) among female adolescents presenting to a pediatric emergency department (PED).
-
Risk Factors of Convulsions in Children With Rotavirus Gastroenteritis and Construction of a Nomogram Prediction Model. Pediatr. Emerg. Care (IF 1.4) Pub Date : 2024-02-28 Jing Yang, Weiwei Sun, Shasha Dai
This study aims to investigate and analyze the risk factors of convulsions in children with rotavirus gastroenteritis and to construct a nomogram prediction model.
-
Factors Influencing Parental Willingness to Consent to a Survey Study for Patients in the Pediatric Emergency Department. Pediatr. Emerg. Care (IF 1.4) Pub Date : 2024-02-28 Kayleigh Fischer, Gabriella B Smith, Sofia E Luna, Erica Jamro-Comer, Olivia Leupold, Hamza Ahmed, Shiv Govindji, Fahd Ahmad
To identify factors that impact parental willingness to consent to research studies conducted for their children during visits to pediatric emergency departments (EDs).
-
POCUS for Infectious Enteritis-A Retrospective Case Series Analysis. Pediatr. Emerg. Care (IF 1.4) Pub Date : 2024-02-28 Eric Scheier, Aviad Nachmany
The abdominal pain associated with diarrhea can be difficult to distinguish from appendicitis. We present a case series of all children found on pediatric emergency department point-of-care ultrasound (POCUS) to have right-sided bowel wall edema.
-
Excessive Use of Benzodiazepines Is a Risk Factor for Endotracheal Intubation in Children Who Present to Emergency With Prehospital Status Epilepticus. Pediatr. Emerg. Care (IF 1.4) Pub Date : 2024-02-19 Velda X Han, Kee Hang Goh, Yu Shan Boi, Jeremy B Lin, Furene S Wang, Diana Y Lin, Pao Tang Kao
There is lack of evidence-based information on the use and timing of endotracheal intubation (ETI) in children with prehospital status epilepticus (SE).
-
Effect of an Evaluation Algorithm on CT Utilization in Identifying Appendicitis in Children. Pediatr. Emerg. Care (IF 1.4) Pub Date : 2024-02-19 Kendra L Sikes, Rebecca J Hart, Yana Feygin, Cody H Penrod
Our objective was to determine if there was a significant change in computed tomography (CT) utilization or length of stay (LOS) among patients evaluated for acute appendicitis after implementation of an appendicitis evaluation algorithm.
-
Diagnosis of Fever Source Following Tonsillectomy and Adenoidectomy in the Pediatric Emergency Department. Pediatr. Emerg. Care (IF 1.4) Pub Date : 2024-02-14 Nili Yanai Milshtein, Shir Pres, Ari Derowe, Ayelet Rimon
This study aimed to describe the epidemiology and diagnoses of children with postoperative fever (a temperature of 38°C or higher) during the week after tonsillectomy and/or adenoidectomy and to assess the yield of the laboratory tests and otolaryngologist consultations of these patients in the pediatric emergency department (ED).
-
Pediatric Emergency Physicians' Knowledge, Attitudes, and Behaviors Regarding Confidential Adolescent Care. Pediatr. Emerg. Care (IF 1.4) Pub Date : 2024-02-14 Colleen K Gutman, Atsuko Koyama, Michelle Pickett, Sara Holmstrom, Fahd A Ahmad, Ariel Hoch, Elizabeth Lehto, Kari Schneider, Kristin S Stukus, Emily Weber, Cassandra Stich, Lauren S Chernick
More than 19 million adolescents seek care in the emergency department (ED) annually. We aimed to describe the knowledge, attitudes, and behaviors related to confidential adolescent care among pediatric ED physicians.
-
Prevalence of Low-Acuity Pediatric Emergency Medical Services (EMS) Transports to a Pediatric Emergency Department (ED) in an Urban Area. Pediatr. Emerg. Care (IF 1.4) Pub Date : 2024-02-14 Caleb E Ward, Gia M Badolato, Michael F Taylor, Kathleen M Brown, Joelle N Simpson, James M Chamberlain
Many patients transported by Emergency Medical Services (EMS) do not have emergent resource needs. Estimates for the proportion of pediatric EMS calls for low-acuity complaints, and thus potential candidates for alternative dispositions, vary widely and are often based on physician judgment. A more accurate reference standard should include patient assessments, interventions, and dispositions. The
-
Point-of-Care Ultrasound of a Nasal Septal Abscess. Pediatr. Emerg. Care (IF 1.4) Pub Date : 2024-02-14 Paula Marin Acevedo, Tyler Wise, Jeffrey Mayer, Sophia Lin
Although nasal septal abscesses (NSA) are rare, complications can be significant and devastating. Thus, timely diagnosis of NSA is critical. In this case report, we describe the use of point-of-care ultrasound in diagnosing NSA in a healthy boy presenting with viral upper respiratory infection symptoms and fever. Point-of-care ultrasound findings resulted in expediting this patient's treatment and
-
Incomplete Fractures of Distal Long Bones Among Children in Early Stages of Mobility: Few Concerns for Physical Child Abuse at a Single Pediatric Level I Trauma Center. Pediatr. Emerg. Care (IF 1.4) Pub Date : 2024-02-14 Holly Hughes Garza, Qais Zai, Dhvani Shanghvi, Karla A Lawson, Christopher D Souder
This study aimed to describe the characteristics, reported mechanism of injury, fracture morphology, and level of physical abuse concern among children in the early stages of mobility diagnosed with an incomplete distal extremity long bone fracture.
-
Surgical Specialty Consultation for Pediatric Facial Laceration Repair: An American and Canadian Survey. Pediatr. Emerg. Care (IF 1.4) Pub Date : 2024-02-14 Andrew F Miller, Jason A Levy, Todd W Lyons
We sought to describe patterns of and indications for surgical specialty consultation for facial laceration repair in pediatric emergency departments (PEDs).
-
Comparison of Ultrasound Guided Saline Enema and X-ray-Guided Air Enema in the Treatment of Intussusception Reduction in Children. Pediatr. Emerg. Care (IF 1.4) Pub Date : 2024-02-13 Dan-Dan Lian, Chen Sun
To compare the effect of ultrasound guided saline enema (USGSE) and x-ray fluoroscopic air enema in the reduction of intussusception in children, 80 children with intussusception were randomly divided into ultrasonic-guided saline enema reduction in 40 cases (USGSE group) and x-ray air enema reduction in 40 cases (air enema group). The enema pressure, success rate, average time, and cost of the 2 methods
-
Accuracy of Pediatric Interventricular Septal Thickness Measurement Obtained Via Point-of-Care Ultrasound: A Prospective Study. Pediatr. Emerg. Care (IF 1.4) Pub Date : 2024-02-05 Ahmed Hasan, Nessy Dahan, Adetunbi Ayeni, Manoj Chhabra, Patrick McGrory
Hypertrophic cardiomyopathy is a genetic, life-threatening cardiovascular disease that often goes unidentified in pediatric patients. Patients are often asymptomatic and neither history or physical examination are reliable to detect the disease. The only reliable method to diagnose hypertrophic cardiomyopathy is with echocardiography to look at interventricular septal thickness. Emerging literature
-
Pediatric Traumatic Lumbar Hernias and Associated Injuries: A Case Series. Pediatr. Emerg. Care (IF 1.4) Pub Date : 2024-1-31 Tyler Leiva, Alena Golubkova, Katherine Snyder, Jeremy Johnson, Catherine J Hunter
Traumatic lumbar hernias are a rare entity mostly seen with high-impact, blunt abdominal trauma. This injury occurs when there is disruption of the posterior musculature along with bony structures, allowing for herniation of abdominal contents. There are minimal cases of this entity reported in adults, but even fewer in the pediatric population.
-
Pushing Backwards: Evaluating Effectiveness of Conservative Treatment of Intestinal Intussusception. Pediatr. Emerg. Care (IF 1.4) Pub Date : 2024-1-31 Catarina Carvalho, Mário Rui Correia, Ana Barros, Rúben Rocha, José Banquart-Leitão, Fátima Carvalho, Ana Sofia Marinho
Intestinal intussusception (II) is a common cause for acute abdomen in children, occurring in 0.33 to 0.71 per 1000 children per year. Early diagnosis and treatment are fundamental for prevention of irreversible intestinal damage. The first line of treatment is conservative, with saline reduction enema or air reduction enema. Our goal is to evaluate results with conservative treatment of II in children
-
A Comparison of State-Specific Pediatric Emergency Medical Facility Recognition Programs, 2020. Pediatr. Emerg. Care (IF 1.4) Pub Date : 2024-1-31 Krislyn M Boggs, Emma Voligny, Marc Auerbach, Janice A Espinola, Margaret E Samuels-Kalow, Ashley F Sullivan, Carlos A Camargo
Prior research suggests that the presence of state-specific pediatric emergency medical facility recognition programs (PFRPs) is associated with high emergency department (ED) pediatric readiness. The PFRPs aim to improve the quality of pediatric emergency care, but individual state programs differ. We aimed to describe the variation in PFRP characteristics and verification requirements and to describe
-
Hyperammonemia in the Pediatric Emergency Department. Pediatr. Emerg. Care (IF 1.4) Pub Date : 2024-1-31 Christina R Rojas, Jennifer Chapman, Debra Regier
Hyperammonemia is a serious clinical condition associated with significant morbidity and mortality. In the pediatric population, this is often caused by urea cycle disorders, acute liver failure, or other less common underlying etiologies. Children and teens with hyperammonemia can have a broad range of clinical findings, including vomiting, respiratory distress, and changes in mental status. As ammonia
-
Focused Cardiac Ultrasound Diagnosis of Dilated Cardiomyopathy. Pediatr. Emerg. Care (IF 1.4) Pub Date : 2024-1-31 Ag Nuwan D Perera, Kathleen A Noorbakhsh, Jennifer R Marin, Devora B Azhdam
We report the case of a 6-year-old boy presenting to the emergency department after a syncopal event during a flu-like illness. Intermittent ventricular tachycardia was noted during Emergency Medical Services transport, and a focused cardiac ultrasound (FOCUS) in the emergency department revealed a dilated left ventricle and left atrium as well as severe global systolic dysfunction. Point-of-care ultrasound
-
The Knotted Urethral Catheter-Description of a Novel Technique and Steps for Removal. Pediatr. Emerg. Care (IF 1.4) Pub Date : 2024-1-31 Barbara Rampersad, Joanne F Paul
The spontaneous intravesicular knotting of a feeding tube used for urethral catheterization is a rare but documented complication. The reported incidence in the world literature is 0.2 per 100,000, with only 40 cases reported. Removal of these intravesicular knots has been attempted in a number of ways, such as the use of a guide wire to untangle the knot, use of excess lubrication and traction with
-
Strategies to Obtain and Deliver Blood Products Into Critically Injured Children: A Survey of Pediatric Trauma Society Members. Pediatr. Emerg. Care (IF 1.4) Pub Date : 2024-01-30 Travis M Sullivan, Genevieve J Sippel, Waverly V Gestrich-Thompson, Randall S Burd
Timely transfusion is associated with improved survival and a reduction in in-hospital morbidity. The benefits of early hemorrhagic shock recognition may be limited by barriers to accessing blood products and their timely administration. We examined how pediatric trauma programs obtain blood products, the types of rapid infusion models used, and the metrics tracked to improve transfusion process efficiency
-
The Role of Advanced Practice Providers in Pediatric Emergency Care Across Nine Emergency Departments. Pediatr. Emerg. Care (IF 1.4) Pub Date : 2024-01-30 Ammarah U Iqbal, Travis Whitfill, Gunjan Tiyyagura, Marc Auerbach
Advance practice providers (APPs) have been increasingly incorporated into emergency department (ED) staffing. The objective of this study was to describe patient factors that predict when pediatric patient care is provided by APPs and/or physicians. We hypothesized that APPs care for a significant proportion of pediatric patients and are more likely to care for lower acuity patients.
-
Reliability and Accuracy of the Pediatric Swiss Emergency Triage Scale-the SETSped Study. Pediatr. Emerg. Care (IF 1.4) Pub Date : 2024-01-25 Christophe A Fehlmann, Sophie Garcin, Antoine Poncet, Christophe Marti, Olivier T Rutschmann, Gabriel Brandle, Tamara Faundez, Josette Simon, Tatiana Delieutraz, Olivier Grosgurin
The Swiss Emergency Triage Scale (SETS) is an adult triage tool used in several emergency departments. It has been recently adapted to the pediatric population but, before advocating for its use, performance assessment of this tool is needed.
-
Dissemination, Utilization, and Satisfaction With Emergency Medicine Resident Simulation Curriculum for Pediatrics (EM ReSCu Peds) by North American Residency Programs. Pediatr. Emerg. Care (IF 1.4) Pub Date : 2024-01-24 Jennifer Yee, Marc A Auerbach, Kei U Wong, Snimarjot Kaur, Rebekah A Burns
Our research team's primary objective was to investigate how a custom standard simulation curriculum for teaching emergency medicine residents about pediatrics was being used by programs across North America. We also wanted to know if program directors were satisfied with the curriculum and whether they had challenges with implementing it. Our long-term goal is to promote the Emergency Medicine Resident
-
Efficacy, Safety, and Complications of Pigtail Thoracostomy for the Treatment of Pediatric Pleuropneumonia. Pediatr. Emerg. Care (IF 1.4) Pub Date : 2024-01-16 Oren Tamary, Arnon Yaari, Zafnat Prokocimer-Yair, Roi Feldman, Ron Berant, Ron Jacob, Nir Samuel
Pigtail thoracostomy (PT) has become the mainstay technique for the drainage of pediatric pleuropneumonic effusions (PLPe). However, its efficacy and complication profile has been questioned when compared with video-assisted thoracoscopic surgery and larger bore traditional tube thoracostomy. The aim of this study was to assess the efficacy, safety, and complications associated with PT.
-
Computer Simulation to Assess Emergency Department Length of Stay in Pediatric Traumatic Brain Injury. Pediatr. Emerg. Care (IF 1.4) Pub Date : 2024-01-16 Tianshu Feng, Ali Ajdari, Linda Ng Boyle, Nithya Kannan, Randall Burd, Jonathan I Groner, R Austin Farneth, Monica S Vavilala
Our study aimed to identify how emergency department (ED) arrival rate, process of care, and physical layout can impact ED length of stay (LOS) in pediatric traumatic brain injury care.
-
Is it Smoke and Mirrors? Detection of Inferior Vena Cava Thrombus by Focused Cardiac Ultrasound. Pediatr. Emerg. Care (IF 1.4) Pub Date : 2024-01-16 Gauthami Soma, John DeGuardi, Ammarah U Iqbal, Julie Leviter, Antonio Riera
Inferior vena cava assessment is a standard component of focused cardiac ultrasound, traditionally used to qualify intravascular volume status. In this case series, we demonstrate that pediatric focused cardiac ultrasound can also diagnose inferior vena cava thrombi and masses, while distinguishing them from a potentially benign smoke-like artifact.
-
Variability in Occult Injury Screening Among Siblings/Household Contacts of Physical Abuse Victims. Pediatr. Emerg. Care (IF 1.4) Pub Date : 2024-01-16 Stephanie Anne Deutsch, Samantha Einspahr, Deeanne Almeida, Dawn Vandergrift, Claire Loiselle, Allan De Jong
The objective of this study is to examine radiologic occult injury screening performance/yield among contacts presenting for precautionary medical assessments and assess factors associated with deferred screening.
-
Integration of Intraosseous Approach Method in Georgia. Pediatr. Emerg. Care (IF 1.4) Pub Date : 2024-01-16 Nino Kikodze, Ketevan Nemsadze
In pediatric emergencies, as in case of shock, the use of intraosseous (IO) route is recommended to get rapid vascular access as soon as possible, as it revealed better outcome. Nevertheless, the IO approach is not used at all and/or is limited because of lack of demand and lack of training on the issue of medical staff. The aim of the study was to test applicable and/or demand of IO in clinics providing
-
Factors Impacting Maltreatment Evaluation and Reports to Child Protective Services in Pediatric Substance Exposures. Pediatr. Emerg. Care (IF 1.4) Pub Date : 2024-01-11 Karli Breeden, Claire Loiselle, Jobayer Hossain, Allan R De Jong, Stephanie Anne Deutsch
The objective of this study was to assess demographic, clinical, and psychosocial factors associated with pediatric substance exposures, describe the medical evaluation, and identify factors associated with social work (SW) and hospital-based child protection team (CPT) safety assessments and reports to child protective services (CPS).
-
Frostbite in the Pediatric Population: A Comprehensive Review and a Prospective Canadian Survey. Pediatr. Emerg. Care (IF 1.4) Pub Date : 2024-01-11 Xiya Ma, Jamilah Temfack Pouoh, Bénédicte Therrien Hogue, Emilie Bougie
Frostbite in the pediatric population, where skeletal maturity has not been achieved, can have important repercussions on subsequent growth. Yet, the optimal management of frostbite injuries in children remains vague. This review aims to summarize the current evidence for frostbite management in children and understand Canadian practice trends on this topic.
-
A Review of an Interfacility Transport Program Pediatric Stroke Clinical Practice Guideline. Pediatr. Emerg. Care (IF 1.4) Pub Date : 2024-01-10 Grace Arends, Elizabeth Perry, Ashley Sherman, Jennifer Flint
Pediatric acute ischemic stroke is a rare diagnosis that requires timely recognition and definitive management to prevent morbidity and mortality. Children often present to primary care offices, urgent care clinics, and adult emergency departments for evaluation of symptoms that may be signs and symptoms of stroke. Currently, there are no published prehospital or transport protocols specific to pediatric
-
Association of Designated Pediatric Trauma Center and Outcomes of Severely Injured Children Who Were Mechanically Ventilated and Underwent Tracheostomy: A Propensity-Matched Analysis. Pediatr. Emerg. Care (IF 1.4) Pub Date : 2024-01-10 Nasim Ahmed, Yen-Hong Kuo
The purpose of the study is to examine the outcomes of care delivered at the pediatric trauma center (PTC) in severely injured children who were intubated, mechanically ventilated, and underwent tracheostomy.
-
Does Immobilization of Distal Radius Torus Fractures Affect Treatment Outcome? Pediatr. Emerg. Care (IF 1.4) Pub Date : 2024-1-2 Muhammed Kazez, Sefa Key, Anıl Agar
The aim of this study is to compare the clinical results of splint, short arm circular plaster, and soft bandage immobilization methods applied in the treatment of wrist torus fractures in a single center.
-
Clinical Predictors of Major Intrathoracic Injury in Pediatric Blunt Trauma. Pediatr. Emerg. Care (IF 1.4) Pub Date : 2024-1-2 Stephen M Gunnink, Alysa M Butz, Jordan Griep, Mary Starrs, Michael Ponkowski, Jessica L Parker, Christopher Benner
Blunt trauma in pediatric patients accounts for a significant proportion of pediatric death from traumatic injury. Currently, there are no clinical decision-making tools available to guide imaging choice in the evaluation of pediatric patients with blunt thoracic trauma (BTT). This study aimed to analyze the rates of missed major intrathoracic injuries on chest x-ray (CXR) and identify clinical risk
-
Opioid Use Disorder, Adolescents, and the Importance of Treatment in the Emergency Department. Pediatr. Emerg. Care (IF 1.4) Pub Date : 2024-1-2 Chris Buresh, Ron Kaplan
Deaths from opiate overdoses are climbing every year, especially from fentanyl. Adolescents are particularly vulnerable to the acute and chronic harms associated with drug use, addiction, and overdose. Providers in the acute care setting have a unique opportunity to address a population of adolescents with opioid use disorder who are at the highest risk of harm and who may be more receptive to help
-
Medication Errors in Pediatric Emergency Departments: A Systematic Review and Recommendations for Enhancing Medication Safety. Pediatr. Emerg. Care (IF 1.4) Pub Date : 2024-1-2 Mohammed Alsabri, Diane Eapen, Vaishnavi Sabesan, Zeyad Tarek Hassan, Mody Amin, Alaa Ahmed Elshanbary, Ayman Alhaderi, Emad Elshafie, Khaled M Al-Sayaghi
This systematic review aims to investigate the prevalence, preventability, and severity of medication errors in pediatric emergency departments (P-EDs). It also aims to identify common types of medication errors, implicated medications, risk factors, and evaluate the effectiveness of interventions in preventing these errors.
-
Point-of-Care Ultrasound-Guided Arthrocentesis of a Pediatric Septic Ankle. Pediatr. Emerg. Care (IF 1.4) Pub Date : 2024-1-2 Christopher H Daly, Matthew M Moake, Earl D Cummings
Septic arthritis is one potential cause of pediatric joint effusion and pain that may lead to significant morbidity. We present a case where point-of-care ultrasound was used to identify and aspirate a joint effusion in a pediatric patient with septic arthritis of the ankle, facilitating timely diagnosis and care. We review the technique for arthrocentesis of the ankle and literature on point-of-care
-
Work-Life Integration for Women in Pediatric Emergency Medicine: Themes Identified Through Group Level Assessment. Pediatr. Emerg. Care (IF 1.4) Pub Date : 2024-1-2 Brielle Stanton Skotnicki, Paria M Wilson, Traci M Kazmerski, Jonelle Prideaux, Mioara D Manole, Janet M Kinnane, Maren M Lunoe
Women in medicine generally have higher burnout and lower career satisfaction and work-life integration compared with men. This study identifies factors that contribute to burnout, career satisfaction, and work-life integration in women pediatric emergency medicine (PEM) physicians.
-
Elevated High-Sensitivity Troponin and NT-proBNP Values in Febrile Children. Pediatr. Emerg. Care (IF 1.4) Pub Date : 2023-12-20 Dorine M Borensztajn, Chantal D Tan, Yolanda de Rijke, Nienke N Hagedoorn, Sascha C Verbruggen, Henriette A Moll, Clementien L Vermont
The COVID-19 pandemic and subsequent rise of multisystem inflammatory syndrome in children have raised interest in high-sensitivity troponin (hs-TnT) and N-terminal probrain natriuretic peptide (NT-proBNP) because these have been found to be elevated in many cases of multisystem inflammatory syndrome in children. Our aim was to study hs-TnT and NT-proBNP concentrations in febrile children not affected
-
Celiac Disease and Intussusception: A Common Association in Children. Pediatr. Emerg. Care (IF 1.4) Pub Date : 2023-12-13 Anwaar Aldaher, Mariam Mahmoud Alali, Nouri Ourfali, Abdulwahab AlJubab, Qamar Ali, Muhammed Salman Bashir, Abdulrahman Al-Hussaini
In young childhood, intestinal intussusception (IS) is the most common cause of small bowel obstruction. A lead point such as Meckel diverticulum, polyps, tumors, enlarged lymph nodes, cystic fibrosis, and Schoenlein-Henoch purpura are recognized causes. Association between celiac disease (CD) and IS has been well recognized in adults but rarely in children. Data on causes and outcome of intussusception
-
Are Pediatric Trauma Transfers Justified?: A Unique Viewpoint From a Transferring Institution. Pediatr. Emerg. Care (IF 1.4) Pub Date : 2023-12-05 Vinci S Jones, Catherine Wirtenson, Keri Penta
Definitions of pediatric overtriage and unnecessary transfers for injured children have been instituted from a viewpoint of referral centers and have doubtful value for effecting interventions at referring centers. This study provides a unique insight into the factors prompting transfers at a peripheral institution.
-
Diagnostic Accuracy of the World Health Organization Pediatric Emergency Triage, Assessment and Treatment Tool Plus Among Patients Seeking Care in Nairobi, Kenya: A Cross-sectional Study. Pediatr. Emerg. Care (IF 1.4) Pub Date : 2023-12-05 Josephine Chen, Adam R Aluisio, Oliver Y Tang, Uzoma A Nwakibu, Katherine M Hunold, Ali Akida Wangara, Jason Kiruja, Alice Maingi, Vincent Mutiso, Peyton Thompson, Benjamin Wachira, Stephen J Dunlop, Ian B K Martin, Justin G Myers
The World Health Organization developed Emergency Triage Assessment and Treatment Plus (ETAT+) guidelines to facilitate pediatric care in resource-limited settings. ETAT+ triages patients as nonurgent, priority, or emergency cases, but there is limited research on the performance of ETAT+ regarding patient-oriented outcomes. This study assessed the diagnostic accuracy of ETAT+ in predicting the need
-
Emergency Department Usage Patterns Among Pediatric Victims of Gun Violence and Physical Assault. Pediatr. Emerg. Care (IF 1.4) Pub Date : 2023-12-04 Mary Elizabeth Bernardin, Keven O Cutler
Violent injuries are a common reason for pediatric emergency department (ED) visits, with gun violence being the leading cause of violent death among children. The objective of this study was to assess for patterns of pediatric ED usage that are associated with future ED visits for violent injuries.
-
Combination of Intranasal Dexmedetomidine and Midazolam for Sedation in Pediatric Magnetic Resonance Imaging: A Retrospective Observational Study. Pediatr. Emerg. Care (IF 1.4) Pub Date : 2023-12-04 Salvatore Palmese, Giancarlo Bilancio, Vittorio Caterino, Anna Giulia De Anseris, Stanislao Perciato, Antonio Siglioccolo, Renato Gammaldi
Intranasal dexmedetomidine associated with midazolam has been used for pediatric magnetic resonance imaging studies because immobility is a fundamental requirement for correct execution. Many studies have shown dexmedetomidine to be a good option for non-operating room sedation. However, identifying the optimal dose remains a key challenge, especially for pediatric patients.
-
A Disturbing Diagnosis to Consider: Rectal Body Packing in Young Children. Pediatr. Emerg. Care (IF 1.4) Pub Date : 2023-12-01 James D Whitledge,Christopher James Watson,Michael D Simpson,Michele M Burns