Pediatric emergency care
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Pediatric emergency care · Oct 2012
Case ReportsPediatric posttraumatic headache: two cases using steroids as abortive therapy.
Pediatric traumatic brain injury is a common occurrence, and even an ostensibly mild injury may result in disabling posttraumatic headaches. The headache may result in a number of subsequent unremitting symptoms refractory to many standard headache therapies. Current treatment recommendations are sparse because there is a lack of clinical trial data recommendations and outcomes. From these 2 cases, we report the effectiveness of steroids for severe posttraumatic headache, along with recommended treatment strategies for acute pain management and prevention.
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Pediatric emergency care · Oct 2012
Case ReportsSignificant toxicity in a young female after low-dose tricyclic antidepressant ingestion.
Tricyclic antidepressant (TCA) ingestions are a relatively common pediatric ingestion, with significant potential for both cardiac and neurological toxicity. Previous studies on pediatric TCA ingestions have found the threshold of toxicity to be 5 mg/kg. ⋯ Tricyclic antidepressant ingestion has a high potential for toxicity in pediatric patients. This case suggests, contrary to previous literature, that toxicity may occur even with small doses.
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Pediatric emergency care · Oct 2012
Case ReportsMastoiditis and meningitis complicating an aural foreign body.
Children commonly present to emergency departments with foreign bodies in the ear. In addition, physicians place wicks in the ear canal as part of the treatment of otitis externa. Usually, these foreign bodies are easily removed, but occasionally, removal must be deferred or is delayed by parents. ⋯ She was found to have an ear wick in place as part of the treatment of otalgia. She was subsequently diagnosed with mastoiditis and meningitis. This is first time mastoiditis and meningitis has been reported as a complication of ear wick placement, although not the only case of an intracranial complication of an aural foreign body.
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Pediatric emergency care · Oct 2012
Randomized Controlled Trial Comparative StudyThe effect of Lactobacillus GG on acute diarrheal illness in the pediatric emergency department.
The purpose of this study was to evaluate the effectiveness of the probiotic Lactobacillus GG (LGG) in reducing the duration of acute infectious diarrhea in the pediatric emergency department. ⋯ Lactobacillus GG may reduce the duration of acute diarrheal illness among children presenting with more than 2 days of symptoms.
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Pediatric emergency care · Oct 2012
Multicenter Study Comparative Study Controlled Clinical TrialCost analysis and provider satisfaction with pediatrician in triage.
The goals of this study were to (1) conduct a cost-benefit analysis, from a hospital's perspective, of using a pediatrician in triage (PIT) in the emergency department (ED) and (2) assess the impact of a physician in triage on provider satisfaction. ⋯ Placement of a PIT during periods of peak census resulted in shorter stay and notable provider satisfaction but at an incremental cost of $42,883 per year.