Pediatric emergency care
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Pediatric emergency care · Jan 2012
Case ReportsInability to walk, disequilibrium, incoherent speech, disorientation following the instillation of 1% cyclopentolate eyedrops: case report.
A 4-year-old boy, who had no prior history of convulsions, presented with inability to walk, disequilibrium, dysarthria (incoherent speech), and impaired cognition (disorientation) following the instillation of 1% cyclopentolate, a commonly used mydriatic in pediatric practice. This case demonstrates the uncommon, although serious, atropine-like adverse effect of cyclopentolate eyedrops in usual dosage in child.
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Pediatric emergency care · Jan 2012
Case ReportsIschemic electrocardiographic changes and elevated troponin from severe heatstroke in an adolescent.
Heatstroke can result in significant diffuse tissue derangement, which can result in multiple organ system dysfunction. The heart can equally be affected and ischemia and infarction may occur. ⋯ Heatstroke can lead to morbidity and mortality. Tissue damage during heatstroke is believed to result from uncoupling during oxidative phosphorylation. It is important to realize that heart damage can occur from heatstroke and that appropriate diagnostic and therapeutic measures are required for a good outcome.
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Pediatric emergency care · Jan 2012
Predictors of prescription filling after visits to the pediatric emergency department.
The study's objective was to describe readily identifiable predictors of filling medication prescriptions after discharge from the pediatric emergency department (PED). ⋯ Among a low-income urban population, approximately one third of families do not fill prescriptions for their children after discharge from the PED. We were unable to predict which families would fill prescriptions and which would not.