Pediatric emergency care
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Pediatric emergency care · Feb 2010
Adolescent depression: views of health care providers in a pediatric emergency department.
Pediatric emergency department (PED) providers are strategically positioned to identify adolescents with depression. Our objectives were to describe health care providers' perspectives on adolescent depression and the role of depression screening in the PED. ⋯ The study describes the perspectives of multiple, key stakeholders necessary for a system response to the identification, assessment, and management of adolescent depression in the PED. The PED providers were generally supportive of computerized depression screening in the PED setting but also voiced the need for system-level responses that facilitate access to quality mental health care services for adolescents.
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Pediatric emergency care · Feb 2010
Intravenous amiodarone used alone or in combination with digoxin for life-threatening supraventricular tachyarrhythmia in neonates and small infants.
The purpose of this study was to report the efficacy of intravenous amiodarone alone or in combination with digoxin in neonates and small infants with life-threatening supraventricular tachyarrhythmia (SVT). ⋯ Intravenous amiodarone alone or in combination with digoxin was found to be safe and effective in controlling refractory and life-threatening SVT in neonates and small infants.
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Pediatric emergency care · Feb 2010
Case ReportsA penetrating neck injury: trivial trauma with serious consequences.
Life-threatening complications due to apparently minor penetrating neck injuries can occur. We present the case of a 16-year-old boy, who had what initially appeared to be a superficial stab wound to his neck. ⋯ This case underscores the importance of a careful evaluation after any penetrating neck injury, even one that initially appears to be trivial. The pertinent literature regarding penetrating neck trauma is reviewed.
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Pediatric emergency care · Feb 2010
Case ReportsOrbital trauma, bradycardia, and vomiting: trapdoor fracture and the oculocardiac reflex: a case report.
The presentation of vomiting and bradycardia after closed head trauma should invariably prompt concern for significant intracranial injury, yet other less common causes for the clinical picture do exist. This case reports one such scenario in which fracture to the patient's inferior orbital wall resulted in the rare though potentially life-threatening oculocardiac reflex, a vagally mediated phenomenon with possible respiratory, cardiovascular, and gastric motility effects.
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Pediatric emergency care · Feb 2010
Increased prevalence of behavioral risks among adolescent and young adult women with psychological distress in the emergency department.
Mental health problems in adolescents have been recognized as a significant medical concern. They have been associated with risk-taking behaviors during adolescence. ⋯ Screening for mental health issues in the emergency department may identify a significant number of adolescent patients in need of further evaluation, especially as half of surveyed patients reported the PED as a usual source of health care.