Pediatric emergency care
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Pediatric emergency care · May 2011
Randomized Controlled Trial Comparative StudyCost-efficiency assessment of 3 different pediatric first-aid training models for caregivers and teachers in Shanghai.
The object of this study was to assess, in cost-effective measures, 3 different models for pediatric first-aid training among caregivers and teachers. ⋯ Although interactive training model may slightly increase the rate of trainees who passed the course, the cost-effectiveness of video instruction training model is clearly superior.
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Surveys conveniently acquire and summarize valuable information from a target population. The specific aims, design, target sample, mode of distribution, data analysis, and inherent limitations of the survey methodology should be carefully considered to maximize the validity of the results. This review provides guidance on the methods and standards necessary to complete sound survey science.
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Pediatric emergency care · May 2011
Case ReportsCranial impalement in a child driving an all-terrain vehicle.
All-terrain vehicle (ATV) injury is a serious problem in children and adolescents. We report an unusual case of a child with cranial impalement in a rollover ATV crash. ⋯ All-terrain vehicle injury is an increasing problem in children. This case demonstrates that serious injury can occur even while wearing a helmet. The case demonstrates the dangers associated with children driving or riding ATVs.
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Pediatric emergency care · May 2011
Case ReportsAcute appendicitis presenting with a painful inguinal mass: complication related to patent processus vaginalis and testicular maldescent.
Appendicitis with or without perforation is a common pediatric emergency department diagnosis, as are the findings of patent processus vaginalis and cryptorchidism. We describe the unique presentation of perforated appendicitis complicated by a tender inguinal mass resulting from the presence of purulence as well as a cryptorchid but viable testis within a patent processus vaginalis. We describe our diagnostic approach and review the literature relevant to inguinoscrotal presentations of appendicitis.
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Pediatric emergency care · May 2011
Case ReportsTransverse divergent dislocation of elbow in a child: a case report and review of current literature.
We present a case report on transverse divergent dislocation of the elbow, highlighting the spatial relation among the proximal radius, ulna, and distal humerus in this rare pediatric elbow injury and reasons leading to misinterpretation of radiographs. Elbow dislocation is a rare injury in children. It comprises only 6% of pediatric elbow injuries. ⋯ Imaging is challenging because there is no defined specific radiological views, therefore making the diagnosis difficult. This often leads to misdiagnosis or inappropriate treatment. A thorough understanding of mechanism of injury and basis for atypical radiological findings will help in identifying the injury early, and the simple Thompson technique to relocate the elbow will give an excellent functional outcome.