Pediatric emergency care
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Pediatric emergency care · Nov 2008
Comparative StudyNeutrophil CD64 expression as a diagnostic marker of bacterial infection in febrile children presenting to a hospital emergency department.
The expression of CD64 (Fcgamma receptor) is increased in neutrophils from an almost negligible value to a marked level in patients with bacterial infections. CD64 expression on neutrophils might therefore be useful to differentiate between bacterial and viral infections in young children. We evaluated the usefulness of CD64 as a marker for the diagnosis of bacterial infections in children up to the age of 3 years and its ability to differentiate between bacterial and viral infections. ⋯ Neutrophil CD64 expression is a sensitive marker for diagnosing bacterial infection in young children, but as it is also raised in viral infection, it lacks specificity.
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Pediatric emergency care · Nov 2008
Randomized Controlled Trial Comparative StudyEffect of cervical spine immobilization technique on pediatric advanced airway management: a high-fidelity infant simulation model.
Current guidelines recommend cervical spine immobilization during orotracheal intubation when traumatic injury is suspected in infants. We evaluated the effect of cervical spine immobilization techniques on orotracheal intubation performance with a high-fidelity infant simulator. ⋯ In this high-fidelity infant simulator model, cervical spine immobilization technique affected cervical extension angle and laryngeal visualization. Tracheal intubation associated events occurred in 33% of intubation attempts but were not different by technique. Time to achieve tracheal intubation, number of intubation attempts needed to succeed, and intubation-associated events were not affected by immobilization techniques. These results support Advanced Trauma Life Support recommendations to perform manual in-line immobilization in infants.
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Pediatric emergency care · Nov 2008
Nontraumatic dental complaints in a pediatric emergency department.
To determine the prevalence, types, and treatment of nontraumatic dental emergencies that present to a tertiary care pediatric emergency department (ED). ⋯ The ED is an important point of care for nontraumatic pediatric dental complaints, and about 60% of these children are younger than 5 years. Only 8% of them had severe infections requiring hospitalization, and most patients could have been treated in the community.
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Pediatric emergency care · Nov 2008
Multicenter StudyPredicting need for hospitalization in acute pediatric asthma.
To develop and validate predictive models to determine the need for hospitalization in children treated for acute asthma in the emergency department (ED). ⋯ Successful discharge from the ED for children with acute asthma can be predicted accurately using a simple clinical model, potentially improving disposition decisions. However, predicting correct placement of patients requiring extended care is problematic.