Pediatric emergency care
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Pediatric emergency care · Mar 2012
Review Case ReportsSalter-harris type 2 fracture of the proximal phalanx of the thumb with a rotational deformity: a case report and review.
Hand fractures are the most common site of injury in the pediatric population. They commonly involve the epiphyseal growth plates, and their standard classification is that of Salter-Harris (SH). Rotational deformities after SH fractures are rarely reported in literature. ⋯ A review of literature is performed. Thus, examination for rotational deformities in SH fractures should be kept in mind. A satisfactory closed reduction under local anesthesia can be obtained.
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Pediatric emergency care · Mar 2012
Multicenter StudyComputed tomographic scan diagnosis of appendicitis in children by pediatric and adult radiologists.
Computed tomographic (CT) scans are an accepted radiographic mode to the diagnosis of appendicitis. Radiologists play a critical role in its diagnostic accuracy. The purpose of this study was to determine whether there is a difference in the diagnostic accuracy between pediatric and general radiologists interpreting pediatric abdominal/pelvic CT scans for appendicitis. ⋯ There is a similar accuracy rate in the interpretation of CT scans positive for appendicitis between general and pediatric radiologists, but pediatric radiologists were more definitive.
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Pediatric emergency care · Mar 2012
Comparative StudyAmbulatory intravenous antibiotic therapy for children with preseptal cellulitis.
This study aimed to compare the use of outpatient ambulatory care versus admission for intravenous antibiotics in the management of preseptal cellulitis. ⋯ Ambulatory intravenous antibiotics with daily review are a safe and cost-effective alternative to inpatient admission in simple preseptal cellulitis for children in our population who require parenteral antibiotics.
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Pediatric emergency care · Mar 2012
Use of tent for screening during H1N1 pandemic: impact on quality and cost of care.
This article aimed to assess the impact on quality and cost of care of using a tent in the emergency department (ED) parking lot to screen patients with an influenza-like illness (ILI). ⋯ The tent provided cost-effective care with measurable improvements in quality of care indicators. Our analytic model demonstrated that the incremental cost-effectiveness ratio of tent during the H1N1 surge was modest. The tent may be a useful model during future pandemics.
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Pediatric emergency care · Mar 2012
Case series of mercury toxicity among children in a hot, closed environment.
Mercury poisoning is much more prevalent in the general population than possibly many physicians realize. We present data on 26 pediatric cases with mercury intoxication from exposure to mercury by inhalation or skin contact as a result of a broken thermometer in a school laboratory. This is the largest pediatric series in Turkey. ⋯ N-acetylcysteine and chelation treatments were started in 21 children who had symptoms of mercury intoxication and high mercury levels in their blood or urine. No adverse effects were observed during chelation therapy. Prompt removal of children from contaminated environments and proper decontamination or elimination of devices containing large amounts of mercury from schools are necessary to prevent serious complications caused by exposure to mercury.