Pediatric emergency care
-
Pediatric emergency care · Apr 2015
Multicenter Study Clinical TrialAssociation Between Medication and Intestinal Intussusception in Children: A Case-Crossover Study.
This study aimed to assess the association between the appearance of intussusception in children and medication intake in the immediately preceding period (2-15 days). ⋯ Intussusception was more common among boys aged younger than 2 years. A positive and significant association was observed when drugs were administered 2 to 7 days before the onset of symptoms in children younger than the age of 2 years.
-
Pediatric emergency care · Apr 2015
Case ReportsIdentification of Optic Disc Elevation and the Crescent Sign Using Point-of-Care Ocular Ultrasound in Children.
Point-of-care ocular ultrasound has been used to detect papilledema. In previous studies, investigators have evaluated only optic nerve sheath diameter as a screen for increased intracranial pressure. In this series of 4 children, we demonstrate 2 additional optic nerve abnormalities using point-of-care ocular ultrasound: optic disc elevation and the crescent sign. Assessing the optic nerve for each of these 3 findings may assist the examiner in detecting papilledema.
-
Pediatric emergency care · Apr 2015
Case ReportsMassive spontaneous intraperitoneal hemorrhage in a young female with chronic immune thrombocytopenic purpura masquerading as ruptured ovarian cyst: successful nonsurgical management of this rare catastrophic event.
Chronic immune thrombocytopenic purpura has mild bleeding manifestations and severe bleeding requiring hospitalization is rare. We are reporting a case of a 19-year-old girl with chronic immune thrombocytopenic purpura who presented with spontaneous massive hemoperitoneum without any identifiable source of hemorrhage. ⋯ In young women presenting with massive hemoperitoneum, undiagnosed immune thrombocytopenia should be considered as an etiology. In absence of any identifiable source of hemoperitoneum, these patients may not require laparotomy and treatment with intravenous corticosteroid and platelet transfusions may be preferrable and lifesaving.
-
Pediatric emergency care · Apr 2015
Ultrasound-Guided Forearm Nerve Blocks in Kids: A Novel Method for Pain Control in the Treatment of Hand-Injured Pediatric Patients in the Emergency Department.
Ultrasound-guided forearm nerve blocks have been shown to safely reduce pain for emergency procedures in the adult emergency department (ED). Although ultrasonography is widely used for forearm nerve blocks in the adult ED and in the pediatric operating room, no study to date has examined its use in the pediatric emergency setting. ⋯ Ultrasound-guided forearm nerve blocks are effective for pediatric patients in the ED. The procedure provides effective analgesia and facilitates care while minimizing iatrogenic risk.
-
Pediatric emergency care · Apr 2015
Case ReportsAmatoxin-Containing Mushroom (Lepiota brunneoincarnata) Familial Poisoning.
Serious to fatal toxicity may occur with amanitin-containing mushrooms ingestions. A Lepiota brunneoincarnata familial poisoning with hepatic toxicity is reported. In such poisonings, acute gastroenteritis may be firstly misdiagnosed leading to delay in preventing liver dysfunction by silibinin or penicillin G. Mushroom picking finally requires experience and caution.