Pediatric emergency care
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Pyomyositis is a common disease in the tropics that is reported with increasing frequency in the United States. We describe an unusually fulminant, fatal case in a previously healthy adolescent male. This case illustrates the clinical progression of pyomyositis from localized muscle infection to disseminated disease, and highlights the importance of considering this rare diagnosis in any stage of occult sepsis.
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Pediatric emergency care · Jun 2005
ReviewThe assessment and management of hypertensive emergencies and urgencies in children.
Although the prevalence of hypertension in the pediatric population is estimated at only 1% to 2%, hypertensive urgencies and emergencies may be encountered in the emergency department. Efficient management of these children is of utmost importance to avoid some of the life-threatening complications associated with hypertension and its treatment. This article serves to review some of the important aspects of pediatric hypertensive emergencies, including diagnosis, emergency department investigations, and pharmacologic management.
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Pediatric emergency care · Jun 2005
The ill child in the emergency department and the accompanying people: a cross-sectional analysis.
The objective of this study is to investigate relationship between the number of the family members visiting the emergency department with pediatric patients and patient characteristics such as age, insurance status, traumatic complaint, whether event was acute or not, and to estimate number of family members who had any time off from their work among this group. ⋯ Numbers of family members were positively associated with a history of referral to another institution for the same reason, and inversely related to the parents' age and insurance status.
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Pediatric emergency care · Jun 2005
Randomized Controlled TrialBudesonide offers no advantage when added to oral dexamethasone in the treatment of croup.
To evaluate the effect of adding inhaled budesonide (2 mg) to oral dexamethasone 0.15 mg/kg in children hospitalized with croup. ⋯ The addition of inhaled budesonide (2 mg) to oral dexamethasone (0.15 mg/kg) offers no advantage in the treatment of children hospitalized with croup.
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Pediatric emergency care · Jun 2005
Comparative StudySignificant reduction in delayed diagnosis of injury with implementation of a pediatric trauma service.
The occurrence of delayed diagnosis of injury (DDI) among pediatric trauma patients represents a breakdown in trauma care. Although some DDI may be unavoidable, the rate of DDI may be used as a measure of quality improvement. ⋯ Implementation of an effective trauma team and trauma service was associated with a significant reduction in DDI.