Pediatric emergency care
-
Pediatric emergency care · Nov 2007
Welcome to the world: findings from an emergency medical services pediatric injury prevention program.
Unintentional injuries are the most common cause of morbidity and mortality in young children, and most injuries occur in the home. ⋯ Participating families had high rates of fire/burn hazards and unsafe storage practices. Paramedics can recognize common hazards in the home, can provide education and mitigation to reduce risks of pediatric injury, and can distribute home safety devices in a community injury prevention program.
-
(1) To determine antibiotic choices, route of administration, and outcomes of children treated as outpatients with noncomplicated, nonfacial cellulitis at a tertiary care center. (2) To determine the number of visits and time spent in the emergency department (ED) for treatment. ⋯ Noncomplicated, nonfacial cellulitis is most commonly treated using first-generation cephalosporins. Treatment with oral antibiotics was effective and required fewer visits and less time in the ED compared with intravenous treatment. Twice-daily cefazolin and probenecid was associated with less treatment failures and admissions than cefazolin alone and may represent a reasonable alternative for children with nonfacial cellulitis requiring intravenous antibiotics.
-
Pediatric emergency care · Nov 2007
Resident exposure to critical patients in a pediatric emergency department.
We hypothesize that nonpediatric and pediatric residents are exposed to a very low percentage of critically ill patients in a high-volume children's hospital emergency department (ED). ⋯ Pediatric and nonpediatric residents who rotate through a high-volume children's hospital ED are exposed to a very low number of critically ill children. Other educational formats, such as mock resuscitations or standardized patient encounters, may be required to correct this deficit.
-
Pediatric emergency care · Nov 2007
Case ReportsPott puffy tumor in a 4-year-old boy presenting in status epilepticus.
Pott puffy tumor is an osteomyelitis of the frontal bone with the development of a subperiosteal abscess manifesting as a puffy swelling of the forehead or scalp. It is believed to occur as a complication of frontal sinusitis. The modern antibiotic era has made it a rarely encountered entity. This case describes a 4-year-old boy who presented in status epilepticus secondary to Pott puffy tumor.