Pediatric emergency care
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Pediatric emergency care · May 2005
Case ReportsPosterior sternoclavicular joint dislocation in children-role of spiral computed tomography.
Traumatic posterior dislocation of the sternoclavicular joint is an uncommon injury in children. It is not normally well seen on plain films. ⋯ Emergency physicians should be aware that the use of spiral computed tomography is the procedure of choice in posterior sternoclavicular joint dislocation. This is particularly helpful in allowing multiplanar reconstruction to show complications arising in the mediastinum.
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Pediatric emergency care · May 2005
Sedation for pediatric CT scanning: is radiology becoming a drug-free zone?
Cooperation for a diagnostic study is a frequent indication for pediatric procedural sedation. This study examines the continued need for sedation in the era of fast helical computerized tomography (CT) scanners. ⋯ Procedural sedation is infrequently used in infants and young children undergoing helical CT studies.
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Pediatric emergency care · May 2005
Case ReportsRenovascular hypertension in infant presenting with cardiogenic shock.
A 35-day-old infant admitted with cardiogenic shock was hypertensive shortly after initial resuscitation therapy. The hypertension did not respond to increasing doses of sodium nitroprusside. ⋯ Renal angiography showed right main renal artery stenosis, abnormal intrarenal arteries, and nonfunctional right kidney; the patient subsequently underwent right nephrectomy with good effect. Myocardial dysfunction resolved 2 months after control of the blood pressure.
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Pediatric emergency care · May 2005
Pediatric emergency medicine fellowships adopt a new application process.
The growth of the subspecialty of pediatric emergency medicine has created a subsequent growth in the demands of pediatric emergency medicine fellowship training. To facilitate the application process for both applicants and fellowship training programs, a uniform application and uniform deadlines have been adopted by the Pediatric Emergency Medicine Fellowship Director's Subcommittee. ⋯ A description of the new process and a description of theoretical benefits from this change are described. Pediatric emergency medicine fellowship applicants should be encouraged to investigate resources describing the new application process.