Pediatric emergency care
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Pediatric emergency care · Dec 1998
Review Randomized Controlled Trial Clinical TrialUse of topical lidocaine in pediatric laceration repair: a review of topical anesthetics.
To determine whether application of topical aqueous lidocaine to a laceration attenuates the pain from the subsequent lidocaine injection in children. ⋯ For children, soaking a simple laceration with 1% lidocaine does not decrease pain from the subsequent lidocaine injection.
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Pediatric emergency care · Dec 1998
Review Case ReportsPeripherally inserted central venous catheter fracture and embolization to the lung.
We report an adolescent patient with a peripherally inserted central venous catheter fracture and subsequent migration of the catheter fragment through the heart and into the lower lobe of the right lung. Physical findings were unremarkable for indications of this pulmonary embolization. With the increasing use of such devices for prolonged venous access, the practicing pediatric emergency physician should be aware of this potential complication.
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With the increase in popularity of adult methamphetamine abuse in the state of Arizona, there has been an increase in the number of pediatric admissions from inadvertent methamphetamine poisoning. This report describes the signs and symptoms and the hospital course of pediatric patients inadvertently poisoned with methamphetamine. A nine-year retrospective chart review identified 18 pediatric patients poisoned only with methamphetamine. ⋯ Three patients received Centruroides sculpturatus antivenin intravenously. The most common complication of methamphetamine poisoning was rhabdomyolysis (two patients), and the average hospital stay for all patients was three days. This case series demonstrates that pediatric patients who ingest methamphetamine can present with signs and symptoms similar to those of an abdominal or neurologic pediatric emergency.
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Pediatric emergency care · Dec 1998
Changing epidemiology of injury-related pediatric mortality in a rural state: implications for injury control.
To document the current epidemiology of pediatric injury-related deaths in a rural state and evaluate changes over time. ⋯ The epidemiology of rural pediatric injury-related deaths has changed. Deaths related to suicide and firearms have increased. Violent deaths related to injuries caused by firearms are at a magnitude approaching all other causes. These findings have implications for public health education and injury control strategies in rural areas.