Pediatric emergency care
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Pediatric emergency care · Jan 2006
Case ReportsClothesline injury mechanism associated with all-terrain vehicle use by children.
Clothesline injury to the face and neck is a unique mechanism of injury seen in children and adolescents on all-terrain vehicles (ATVs). The purpose of this study was to describe this serious and avoidable injury pattern. ⋯ Clothesline injury to the neck and face associated with ATV use in children and adolescents is a unique and serious injury mechanism. Because all of these injuries in our series occurred in young children or adolescents who were driving or riding on the front of the ATV, it emphasizes the recommendation that children and young adolescents should not ride or drive ATVs.
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Pediatric emergency care · Jan 2006
Case ReportsSudden death in an infant revealing atypical Kawasaki disease.
We present a case of a 4-month-old girl referred to the emergency department with a provisional diagnosis of acute life-threatening event with a recent episode of heart block and a history of long-lasting fever. Soon after admission, the child suddenly deteriorated rapidly; she became pulseless with complete heart block and died despite intensive resuscitation efforts. ⋯ With this case presentation, we discuss the importance of early recognition and treatment of atypical and/or incomplete forms of Kawasaki disease, which are most common in young infants and may lead, if untreated, to coronary artery abnormalities with a potential for myocardial infarctions, aneurysm formation, and sudden death. In addition, the relevance of postmortem examination in a case of sudden and undiagnosed infant death is underlined.
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Pediatric emergency care · Jan 2006
Restraint use for psychiatric patients in the pediatric emergency department.
Restraint of children and adolescents with psychiatric problems has generated controversy. Restraint may be defined as methods used to restrict movement or normal access to one's body. Published data to guide restraint practice are limited. ⋯ Approximately 1 in 15 children undergoing psychiatric evaluation were restrained. This is the first study to elucidate correlates of restraint practice in the pediatric emergency department. Further studies examining indications for restraint and comparing methods of restraint are needed.