Pediatric emergency care
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This study aimed to determine whether healthy children with fractures resulting from minor accidental trauma have a higher prevalence of vitamin D deficiency than that of healthy children without fractures. ⋯ We found no relationship between vitamin D deficiency and fracture risk in our study population.
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Pediatric emergency care · Nov 2014
Observational StudyEvaluation of an After-Hours Call Center: Are Pediatric Patients Appropriately Referred to the Emergency Department?
There is concern that after-hours nurse telephone triage systems are overwhelming the emergency department (ED) with nonemergent pediatric referrals. ⋯ Our study identifies that a third of unnecessary pediatric visits to the ED occurred as a result of the nurse triage telephone system in question. We recommend review of the algorithms stated to reduce strain on local ED resources.
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Pediatric emergency care · Nov 2014
Parental Asthma Education and Risks for Nonadherence to Pediatric Asthma Treatments.
Targeted parental education reduces acute visits for pediatric asthma. Whether the use of education sources readily available to parents relates to nonadherence to asthma treatments is uncertain. This study describes asthma education sources and assesses for a relationship to risks for nonadherence. ⋯ The use of more asthma education sources was not associated with reduced risks for nonadherence. Of the education sources, a primary care provider may benefit ED parents, who also need refills and education about medications. Spanish-speaking parents report more risks for nonadherence, warranting further study of Spanish-language asthma education.
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Pediatric emergency care · Nov 2014
Case ReportsExtra-adrenal Paraganglioma Presenting as Acute Chest Pain Mimicking Acute Myocardial Infarction in a 10-Year-Old Boy.
Extraadrenal paragangliomas are rare pediatric tumors with variable symptoms that cause difficultly in diagnosis and delayed treatment. We report the case of a 10-year-old boy who presented to the pediatric emergency department with acute chest pain and dyspnea mimicking a non-ST-segment elevation acute myocardial infarction. ⋯ The mass was subsequently removed, and the diagnosis of extraadrenal paraganglioma was confirmed histologically. Acute coronary syndrome as the presenting feature of extraadrenal paragangliomas in pediatric population is an even rarer clinical entity.
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Pediatric emergency care · Nov 2014
Review Case ReportsThe case of the missing testicle: blunt scrotal trauma in the pediatric emergency department.
Serious blunt scrotal trauma in the pediatric population is rare and can pose significant danger to the viability of the testes. The following case describes an adolescent boy who presented with a single testis in his scrotum after low-impact perineal trauma, consistent with testicular dislocation. The literature regarding scrotal trauma includes few cases of testicular dislocation from low-impact perineal trauma. Included is a brief review of the most recent data including epidemiology, differential diagnosis, acute management, and complications pertinent to the pediatric emergency clinician.