Pediatric emergency care
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Pediatric emergency care · Nov 2013
Pediatric Left-Without-Being-Seen Patients: What Happens to Them After They Leave the Pediatric Emergency Department?
The objective of this study was to evaluate what happens to the children who leave without being seen (LWBS) in an urban Pediatric Emergency Department (PED). ⋯ Left-without-being-seen rates continued to be an ongoing issue for physicians in the PED. More than half of the contacted patients who LWBS were cared for elsewhere either on the day of the visit or later. This information obtained provides an initial look into understanding what happens to an urban PED patient population that leaves before receiving care in the PED.
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Pediatric emergency care · Nov 2013
Case ReportsInvoluntary movements misdiagnosed as seizure during vitamin B12 treatment.
Seizures and epilepsy are a common problem in childhood. Nonepileptic paroxysmal events are conditions that can mimic seizure and frequent in early childhood. ⋯ Involuntary movements rarely may appear a few days after the initiation of vitamin B12 treatments and might be misdiagnosed as seizure. Here, we report 2 patients who presented with involuntary movements with his video image.
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Pediatric emergency care · Nov 2013
Practice GuidelinePediatric cyanide poisoning by fire smoke inhalation: a European expert consensus.
Most fire-related deaths are attributable to smoke inhalation rather than burns. The inhalation of fire smoke, which contains not only carbon monoxide but also a complex mixture of gases, seems to be the major cause of morbidity and mortality in fire victims, mainly in enclosed spaces. Cyanide gas exposure is quite common during smoke inhalation, and cyanide is present in the blood of fire victims in most cases and may play an important role in death by smoke inhalation. ⋯ In these children, hydrogen cyanide seems to be a major source of concern, and the rapid administration of the antidote, hydroxocobalamin, may be critical for these children. European experts recently met to formulate an algorithm for prehospital and hospital management of adult patients with acute cyanide poisoning. Subsequently, a group of European pediatric experts met to evaluate and adopt that algorithm for use in the pediatric population.
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Pediatric emergency care · Nov 2013
Interhospital Transport of Children With Confirmed or Suspected Intussusception: Experience at the New South Wales Newborn and Paediatric Emergency Transport Service Over 10 Years.
The objective of this study was to compare medical and paramedic retrieval of children requiring interhospital transport with suspected or confirmed intussusception. ⋯ Well children requiring interhospital transport for suspected or confirmed intussusception can be transported safely without a medical escort team if they have normal heart rates.
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Pediatric emergency care · Nov 2013
Case ReportsPediatric zolpidem ingestion demonstrating zero-order kinetics treated with flumazenil.
Zolpidem is a widely prescribed anti-insomnia agent. Although most pediatric zolpidem ingestions are benign, large ingestions can cause significant central nervous system (CNS) depression. Flumazenil has been reported to reverse the CNS effects of zolpidem. ⋯ Flumazenil, a benzodiazepine receptor antagonist, has been described to reverse the effects of zolpidem in adult ingestions. There are few published reports describing flumazenil use in pediatric ingestion patients. This case suggests that flumazenil may be an effective treatment for zolpidem-induced CNS depression in the pediatric patient.