Pediatric emergency care
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Pediatric emergency care · Sep 2019
Case ReportsCold Panniculitis After Ice Therapy for Supraventricular Tachycardia.
A late preterm infant presenting with supraventricular tachycardia (SVT) was admitted to the pediatric intensive care unit because of poor systolic function seen on echocardiogram. The hospitalization was complicated by multiple breakthrough episodes of SVT requiring ice placed on the face during each repeat episode. ⋯ In children who are hemodynamically stable during SVT episodes, ice is used as first-line treatment. It is important to be aware of how often ice is being applied to the face and the duration of time to limit complications such as cold panniculitis.
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Pediatric emergency care · Sep 2019
ReviewThe Problematic 2014 American Academy of Pediatrics Bronchiolitis Guidelines.
The 2014 American Academy of Pediatrics bronchiolitis guidelines do not adequately serve the needs and clinical realities of front-line clinicians caring for undifferentiated wheezing infants and children. This article describes the clinical challenges of evaluating and managing a heterogeneous disease syndrome presenting as undifferentiated patients to the emergency department. ⋯ The therapeutic nihilism of the guidelines and the dissonance between many of the recommendations and frontline realities have had wide-ranging consequences. Nevertheless, newer evidence of therapeutic options is emerging and forecasts hope for more therapeutically optimistic recommendations with the next revision of the guidelines.
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Pediatric emergency care · Sep 2019
Case ReportsAmitraz: A Perpetual Silent Menace Among Children in Developing Countries-A Case Report.
Amitraz is an acaricide and insecticide used to treat ticks, which infest domestic animals in developing countries. Because of its widespread use, it is one of the common poisons unintentionally consumed by infants and children when left unsupervised. A 3-year-old boy was brought with unintentional consumption of Amitraz. ⋯ Amitraz is an unusual but deadly poison unintentionally consumed by children. It can be suspected in the setting of rural households in developing countries having pets. There is no antidote available, and treatment is mainly supportive.
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Pediatric emergency care · Sep 2019
Case ReportsThe Visualization of a Foreign Body in a Patient's Subglottic Region Using Point-of-Care Ultrasonography.
Point-of-care ultrasonography is a real-time dynamic examination that is useful for evaluating the location of foreign bodies in a patient's gastrointestinal tract and soft tissue. In particular, it is useful for identifying radiolucent foreign bodies that are difficult to visualize using routine x-ray examinations. This case study describes the visualization of a radiolucent foreign body in a patient's subglottic region using point-of-care ultrasonography.
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Pediatric emergency care · Sep 2019
Multicenter StudyPediatric Weight Errors and Resultant Medication Dosing Errors in the Emergency Department.
An accurate weight is critical for dosing medications in children. Weight errors can lead to medication-dosing errors. ⋯ Weight errors were uncommon at the 3 emergency departments that we studied, but they led to weight-based medication-dosing errors that had the potential to cause harm.