Pediatric emergency care
-
Pediatric emergency care · May 2014
Case ReportsCarnitine Palmitoyl Transferase II Deficiency in an Adolescent Presenting With Rhabdomyolysis and Acute Renal Failure.
The most common cause of recurrent rhabdomyolysis in childhood is inherited metabolic disorders. Carnitine palmitoyl transferase II (CPT II) deficiency is a lipidosis and is a common cause of inherited recurrent myoglobinuria. ⋯ The severity of attacks is highly variable and some of these attacks may be complicated by acute renal failure. We report a case of a 13-year-old girl with recurrent rhabdomyolysis due to CPT II deficiency whose last attack was complicated by acute renal failure.
-
Pediatric emergency care · May 2014
Observational StudyCompliance of Colleges and Universities in the United States With Nationally Published Guidelines for Emergency and Disaster Preparedness.
The aim of this study was to determine the compliance of colleges and universities in the United States with nationally published guidelines by the Federal Emergency Management Agency and the U.S. Department of Education for emergency and disaster preparedness at institutions of higher education. ⋯ Although most of the institutions in our study reported having an emergency and disaster plan based on national recommendations, areas for improvement were identified.
-
Pediatric emergency care · May 2014
Elevated lidocaine serum levels following the use of a needle free device in healthy adult volunteers.
There is increased concern regarding circulating levels of lidocaine immediately after the use of a needle-free device with buffered lidocaine. As a result, we conducted a prospective study to assess lidocaine circulation after the use of a needle-free device for the delivery of a local anesthetic in 10 healthy adult subjects. After informed consent, 2 peripheral intravenous catheters were placed in the antecubital fossa of each arm. ⋯ Other subjects also had increasing lidocaine serum levels from blood drawn on the arm opposite the administration site. We concluded that there may be systemic lidocaine levels with the administration of the needle-free device and that these levels may reach the toxic range in adults. Further investigation will be required to determine whether this finding has clinical significance, especially considering the smaller body mass of children.
-
Pediatric emergency care · May 2014
Observational StudyOral, Jaw, and Neck Injury in Infants and Children: From Abusive Trauma or Intubation?
The objective of this study was to identify the incidence of oral, jaw, and neck injury secondary to endotracheal intubation in young children. ⋯ Oral, jaw, or neck injury in young children is rarely caused by endotracheal intubation, regardless of difficulty during the procedure.