Pediatric emergency care
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Pediatric emergency care · Jan 2011
Randomized Controlled Trial Comparative StudyEfficacy of a near-infrared light device in pediatric intravenous cannulation: a randomized controlled trial.
To determine whether the use of a near-infrared light venipuncture aid (VeinViewer; Luminetx Corporation, Memphis, Tenn) would improve the rate of successful first-attempt placement of intravenous (IV) catheters in a high-volume pediatric emergency department (ED). ⋯ First-attempt success rate for IV placement was nonsignificantly higher without than with the assistance of a near-infrared light device in a high-volume pediatric ED. Nurses placing IVs did report several benefits to use of the device with specific patient groups, and future research should be conducted to demonstrate the role of the device in these patients.
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Pediatric emergency care · Jan 2011
Comparative StudySichuan earthquake and emergency relief care for children: report from the firstly arrived pediatricians in the epicenter zone.
An 8.0-magnitude earthquake struck Sichuan province of China on May 12, 2008. Over the next 10 days, the firstly arrived uniformed pediatricians in the epicenter zone took part in emergency relief care for children. The investigations of major injuries and diseases in children were taken. ⋯ More than 20% of patients requiring hospitalization were children. School-aged children were heavily injured. The increase in infectious diseases followed on. The data show that there is an immediate need for orthopedic and general surgery skills, and pediatricians should play an important role in early rescue and subsequent control of infectious diseases in a huge earthquake hazard.
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Pediatric emergency care · Jan 2011
Case ReportsRefractory hypotension from massive bupropion overdose successfully treated with extracorporeal membrane oxygenation.
An 11-month-old male infant presented with history of bupropion ingestion (750 mg/kg). He developed seizures, respiratory failure, and severe hypotension with metabolic acidosis refractory to inotropic support. The patient received mechanical ventilation, intralipids, phenytoin, inotropic support (dopamine, norepinephrine, and epinephrine), and extracorporeal membrane oxygenation (ECMO). ⋯ Total ECMO duration was 71 hours. The patient was extubated on hospital day 8 and has not had any neurological sequelae upon 12-month follow-up examinations. We report for the first time successful use of ECMO after ingestion of a potentially fatal dose of bupropion.
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Intrapulmonary lymphangiomas are very rare. We report a case of a 14-month-old child found to have a pulmonary lymphangioma on routine chest radiograph in the emergency department and discuss the possible implications and appropriate management of this condition by the emergency physician.