Pediatric emergency care
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Pediatric emergency care · Aug 2018
Multicenter Study Observational StudyA Grounded Theory Qualitative Analysis of Interprofessional Providers' Perceptions on Caring for Critically Ill Infants and Children in Pediatric and General Emergency Departments.
The objective of this study was to explore pediatric emergency department (PED) and general emergency department (GED) providers' perceptions on caring for critically ill infants and children. ⋯ Our qualitative analysis produced several themes that help us to understand providers' perceptions in caring for critically ill children in GEDs and PEDs. These data could guide the development of targeted educational and improvement interventions.
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Pediatric emergency care · Aug 2018
The Impact of Behavioral Health Patients on a Pediatric Emergency Department's Length of Stay and Left Without Being Seen.
Emergency department (ED) boarding of admitted patients negatively impacts ED length of stay (LOS). Behavioral health (BH) patients are often challenging to safely discharge. We examined the association between daily BH census and non-BH LOS and left without being seen (LWBS) rates. ⋯ Behavioral health census and bed hold hours were significantly associated with increased LOS and LWBS rates and with our inability to meet desired LOS and LWBS rates. These associations support the existence of a threshold where the ED has reached capacity and is no longer able to absorb BH patients. Improving BH facility access may help improve overall pediatric ED patient care.
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Pediatric emergency care · Aug 2018
Apparent Life-Threatening Events: Helping Infants Help Themselves.
Apparent life-threatening event (ALTE) refers to a constellation of unexpected events suddenly occurring in infants that extremely alarm the observers. The objectives of this study were to evaluate 1) intervention of Emergency Service (ES) at home, 2) parental behavior before ES intervention, 3) patients' outcome at follow-up of a minimum of 6 months. ⋯ Our findings suggest that ALTE is an alarming but self-limiting phenomenon that can be resolved either spontaneously or by simple TS in most cases. Emergency Service should solicit patients' physiological responses through TS first while considering a cardiopulmonary resuscitation maneuver.
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Pediatric emergency care · Aug 2018
Case ReportsJetpack Fun that Went Wrong: A Case of Serious Multivisceral Injuries From Water Sports.
The water jet pack is a relatively new and very exciting sporting activity for adventure seekers. However, there are some concerns raised in terms of safety, and some sporadic reports have appeared in newspapers about the injuries sustained from this sport. We are presenting an unfortunate case where a teenaged girl fell from a jet pack and sustained serious injuries including the loss of her kidney. This is the first reported serious injury from the Jet pack (Carbon Sports GmbH, Itzehoe, Germany).
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Pediatric emergency care · Aug 2018
Identification of Optic Nerve Swelling Using Point-of-Care Ocular Ultrasound in Children.
The aim of this study was to determine the feasibility and accuracy of point-of-care (POC) ocular ultrasound (US) when performed by a pediatric emergency medicine (PEM) physician to detect optic nerve abnormalities concerning for swelling, as compared with the fundus examination performed by an ophthalmologist. ⋯ The results of our study suggest that POC ocular US performed by PEM physicians was feasible and determined to be sensitive but nonspecific in the detection of optic nerve swelling. Additional larger studies may determine generalizability to other nonophthalmologist physicians performing POC ocular US.