Pediatric emergency care
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Pediatric emergency care · Oct 2022
Medications Without Borders: Themes in Caregiver Administration of Imported Medications in Pediatrics.
This study aimed to identify motivating factors in why parents administer imported medications to their children. ⋯ Our study used qualitative methodology to gain important insights into the caregiver experience of a diverse patient population. We identify themes not previously published in the medication importation literature. These concepts can provide insights in educational strategies aimed at mitigating the potential dangers of imported medication use in pediatrics.
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Pediatric emergency care · Oct 2022
ReviewSepsis in Children in Latin America: Gaps, Inequities, and Improvement Strategies.
Pediatric sepsis is a worldwide public health issue because of its high mortality rate, which increases even more in low-income countries. In this article, we review the Latin American background, the burdens of pediatric sepsis in Latin America, and the Caribbean, as well as some strategies that could help improve the outcomes of sepsis in these regions from a public health view.
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Pediatric emergency care · Oct 2022
Cyclic Vomiting Syndrome in the Emergency Department: A 10-Year Review of Clinical Presentation and Management.
The aims of the study were (1) to determine how frequently patients with cyclic vomiting syndrome (CVS) present to the pediatric emergency department (ED) with CVS-related symptoms, (2) to identify variables in clinical presentation that occur frequently in patients with multiple ED visits, and (3) to compare ED management of CVS with recommended guidelines. ⋯ An ambiguous presentation makes the identification and consistent management of CVS in the ED difficult. Physicians should consider CVS for patients who present multiple times with unremitting vomiting to ensure appropriate referral for diagnosis and prophylactic treatment. Future studies are warranted to evaluate anticipatory processing and treatment of the "high-intensity patients" who account for much of the clinical morbidity and resource utilization.
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Pediatric emergency care · Oct 2022
Misdiagnosis of Pediatric Concussions in the Emergency Department: A Retrospective Study.
We aimed to determine the rate and predictors of correctly diagnosed concussions in the pediatric emergency department and to describe the characteristics, presentation, and management of concussions in children presenting for minor head injury. ⋯ The high rate of concussion misdiagnosis puts into question the usability of current concussion guidelines, their accuracy, and barriers to translation into clinical practice.
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Pediatric emergency care · Oct 2022
Adolescent Substance Use Disorder Diagnosis Correlates With Hospitalization After an Emergency Department Visit.
The purpose of this study is to compare the prevalence of hospitalization after an emergency department (ED) visit at an urban safety net hospital for youth with and without a substance use disorder. ⋯ Compared with youth without a substance use disorder, youth with substance use disorders are likely to require additional services after an ED visit.