Pediatric emergency care
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This study aimed to determine the epidemiology of eye injuries in children and the influential factors involved. ⋯ The highest incidents of ocular trauma occurred in boys, especially those younger than 6 years. The high number of sharp object injuries is also concerning. These findings provide us with evidence that further educational interventions and supervision are required in these groups to minimize the possible devastating injuries before the opportunity even arises.
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Pediatric emergency care · Sep 2023
Intranasal Dexmedetomidine Use in Pediatric Patients for Anxiolysis in the Emergency Department.
In recent years, dexmedetomidine has gained traction as a treatment for anxiolysis in the emergency department (ED). When used with an atomizer, it may also be given intranasally for anxiolysis. The primary objective was to determine the level of ED provider satisfaction and comfort with intranasal (IN) dexmedetomidine for anxiolysis in pediatric patients with behavioral agitation and/or acute psychosis. The secondary objectives included determining safety, rates of therapy failure, and ED length of stay compared with oral midazolam. The efficacy of IN dexmedetomidine versus oral midazolam in patients with autism spectrum disorder (ASD) was also evaluated. ⋯ This study demonstrates that IN dexmedetomidine has high levels of provider comfort and satisfaction, moderately high success rate, and a promising safety profile. In addition, IN dexmedetomidine may be superior to oral midazolam in patients with ASD for anxiolysis, but additional studies are needed.
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Pediatric emergency care · Sep 2023
Blast Lung Injury in Children: Injury Patterns and Associated Organ Injuries.
Bombings are the most common cause of civilian deaths in wars, and unfortunately, a large proportion of civilian victims are children. ⋯ Our findings revealed that pediatric BLI is common after a blast, that it is associated with other system injuries, and that a multimodal radiological approach is required in child victims.