Pediatric emergency care
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Pediatric emergency care · Feb 2022
Variables Associated With Shunt Failure in Children With Cerebrospinal Fluid Diverting Shunts.
We sought to identify clinical characteristics that would negatively predict shunt failure, thus potentially obviating the need for further diagnostic workup or extended periods of observation. We hypothesized that viral symptoms and a patient history of epilepsy or chronic headaches would be negative predictors of shunt failure. ⋯ Although certain clinical and historical features have modest predictive value in children with shunted hydrocephalus, these factors are insufficiently sensitive to exclude shunt failure, arguing for liberal neuroimaging and extended observation.
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Pediatric emergency care · Feb 2022
Toilet Injuries Presenting to Emergency Departments, 2000-2019: A Different Game of Thrones.
Toilet training is a major developmental milestone. Unsupervised periods combined with immature gross and fine motor skills may lead to toddler injuries during toilet training. Our aim was to investigate toilet-related injuries (TIs) in children. ⋯ Toilet-related injuries present a high burden of risk to young children. Our data support that the safest vessel for use in toilet training is a PC/training seat as opposed to the toilet.