Pediatric emergency care
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Pediatric emergency care · Feb 2012
Randomized Controlled Trial Comparative StudyA randomized trial of enema versus polyethylene glycol 3350 for fecal disimpaction in children presenting to an emergency department.
This study aimed to compare efficacy of enema versus polyethylene glycol (PEG) 3350 for pediatric fecal impaction treatment. ⋯ This pilot study suggests that disimpaction by enema may be superior to PEG for immediate relief of symptoms. Larger trials are needed to assess any advantage.
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Pediatric emergency care · Feb 2012
Bronchiolitis: clinical characteristics associated with hospitalization and length of stay.
Bronchiolitis is a leading cause of infant hospitalization in the United States; the mean length of stay (LOS) is 3.3 days. We sought to identify the initial clinical characteristics of bronchiolitis associated with admission and with longer LOS in a large multicenter clinical trial. ⋯ A model using objective findings had limited accuracy for predicting hospitalization after emergency department evaluation for bronchiolitis. In these infants with moderate to severe bronchiolitis, however, initial SpO(2) was the best predictor of hospital admission and of longer LOS. Efforts to better define and manage hypoxemia in bronchiolitis may be helpful.
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Pediatric emergency care · Feb 2012
Case ReportsAnorexia nervosa: a case report of a teenager presenting with bradycardia, general fatigue, and weakness.
Anorexia nervosa is a disease with high prevalence in adolescents and carries the highest mortality of any psychiatric disorder. ⋯ Patients with anorexia may present with multiple medical complaints, and it is imperative that the emergency physician be familiar with the syndrome so as to correctly identify and treat patients with this disease.
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Pediatric emergency care · Feb 2012
Case ReportsPosttraumatic pulmonary pseudocysts as a manifestation of child abuse.
Posttraumatic pulmonary pseudocysts (PTPPCs) are air-, fluid-, or blood-filled spaces in the lung parenchyma. They are rare findings and are associated with substantial blunt force trauma to the chest. ⋯ There has not been a case of PTPPC reported in the child abuse literature. This case report describes a child with a PTPPC secondary to inflicted abusive injury.
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Pediatric emergency care · Feb 2012
Comparative StudyChanges in community-associated methicillin-resistant Staphylococcus aureus skin and soft tissue infections presenting to the pediatric emergency department: comparing 2003 to 2008.
This study aimed to compare the differences in the type and location of skin infections, organisms cultured, and antibiotic resistance patterns presenting to the same pediatric emergency department from 2003 to 2008 with specific focus on community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) infections. ⋯ The prevalence of CA-MRSA skin infections, specifically abscesses, has significantly increased at our institution from 2003 to 2008. The antibiotic resistance patterns have not significantly changed. The most common anatomic location for CA-MRSA abscesses continues to be the buttocks, but more children are presenting with multiple abscesses in a wider variety of anatomic locations.