The American journal of emergency medicine
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A hiatal herniation, which is a common disease worldwide, is associated with various complications. However, hiatal herniation has rarely been reported to cause life-threatening complications in emergency settings. ⋯ The patient was ultimately diagnosed with obstructive shock with inferior vena cava compression attributed to hiatal herniation upon imaging. Clinicians should consider the possibility that hiatal herniation can cause obstructive shock with inferior vena cava compression and take immediate steps to stabilize the vital signs.
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Improved data on spinal motion restriction (SMR) use can improve pediatric prehospital guidelines and inform the appropriate use of this procedure. We sought to evaluate the prevalence and factors associated with SMR among injured children in the prehospital setting. ⋯ We identified multiple factors associated with SMR use. These findings provide an opportunity to evaluate practices, track changes, and assess the impact of updated SMR guidelines in pediatric EMS.
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Multicenter Study
Pediatric firearm injuries and socioeconomic vulnerability before and during the COVID-19 pandemic.
Pediatric firearm injuries disproportionately affect groups experiencing socioeconomic disadvantage. Firearm injuries increased during the COVID-19 pandemic, but the impact on communities by degree of socioeconomic disadvantage is unknown. We examined the association between socioeconomic vulnerability and change in pediatric firearm injuries before versus during the pandemic. ⋯ The increase in pediatric firearm injuries during the COVID-19 pandemic impacted youth in all but the lowest deprivation quartile. Efforts at curbing gun violence should identify and amplify protective effects in under-resourced communities.