Pediatric emergency care
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Pediatric emergency care · Jun 2011
Case ReportsCholelithiasis in a toddler with sickle cell disease.
Cholelithiasis is rarely seen in toddlers and school-aged children, even in the setting of sickle cell anemia. In addition to more common etiologies, such as gastroenteritis, constipation, and urinary tract infection, the differential diagnoses of acute abdominal pain in young children with sickle cell disease include vaso-occlusive pain crisis and splenic sequestration. We describe a case of a toddler with sickle cell disease initially presenting with abdominal pain who was found to have symptomatic cholelithiasis.
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Pediatric emergency care · Jun 2011
Case ReportsFirst-Onset Seizure After Use of an Energy Drink [corrected].
The health consequences of energy drink use in adolescents are unknown. We discuss an adverse event in an adolescent who presented to the emergency department with his first-ever seizure after consumption of 5-Hour Energy. ⋯ We pay particular attention to the identification of energy drink-related adverse events in the emergency department and the need for subsequent reporting to the Food and Drug Administration. To our knowledge, this is the first reported case of an adolescent presenting with a new-onset seizure associated with energy drink use.
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Pediatric emergency care · Jun 2011
Case ReportsGlobe rupture and nonaccidental trauma: two case reports.
The association of globe rupture and nonaccidental trauma is not established in the literature. We present 2 cases involving a 9-month-old infant girl and a 14-month-old girl who experienced inflicted traumatic globe rupture. ⋯ Despite isolated eye findings on physical examination, this toddler also had evidence of additional injury on skeletal survey. These cases illustrate the importance of considering nonaccidental trauma in infants and toddlers who present with globe rupture and performing a complete evaluation for child abuse if no history is given or if the history is inconsistent with the injury.
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Pediatric emergency care · Jun 2011
Comparative StudyIs the Broselow tape a reliable indicator for use in all pediatric trauma patients?: A look at a rural trauma center.
The purpose of this study was to determine the effectiveness of the Broselow tape in the evaluation of pediatric trauma patients. ⋯ In our population, the Broselow tape is an ineffective tool to predict weight in more than 50% of pediatric trauma patients. This may lead to the underdosing of emergency medications and blood products.