Pediatric emergency care
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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
Ability of pediatric physicians to judge the likelihood of intussusception.
Intussusception is the most common cause of intestinal obstruction in infants and children. To date, no study has evaluated the ability of physicians to predict the likelihood of intussusception. ⋯ Pediatric physicians can accurately predict the likelihood of intussusception. This ability to properly judge the risk of intussusception can be incorporated into management strategies.
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Pediatric emergency care · Feb 2012
Profile of patients visiting the pediatric emergency service in an Egyptian university hospital.
The emergency department (ED) is an essential component of the medical service offered in any hospital. Yet, the published information about patients' profile and utilization of emergency services in both developing and developed countries is scarce. ⋯ Appropriate and ongoing data collection and analysis could guide more efficient utilization of pediatric emergency services to achieve better outcomes.
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Pediatric emergency care · Feb 2012
Rates of positive blood, urine, and cerebrospinal fluid cultures in children younger than 60 days during the vaccination era.
Fever is a common reason children present to the emergency department. The goal of this study was to determine the rates and the etiology of bacterial infection in children younger than 2 months during the vaccination era. ⋯ Urinary tract infections due to E. coli are very common in this age group. The classic pathogens H. influenzae and S. pneumoniae were essentially nonexistent in this study possibly because of herd immunity obtained through current vaccination practices.