Pediatric emergency care
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Pediatric emergency care · Sep 2020
Nonfatal Pediatric Injuries Associated With Consumer Products and Sports and Recreational Activities in the United States.
The aim of this study was to investigate the epidemiology of nonfatal consumer product- and sports and recreational activity-related injuries among US children. ⋯ On average, a child was treated in a US ED for a nonfatal consumer product- or sports and recreational activity-related injury every 6 seconds. Although injury rates decreased early in the study period, there was a nonsignificant increasing trend from 2005 to 2012. Multilevel injury prevention efforts are recommended.
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Pediatric emergency care · Sep 2020
Bedside Ultrasound for the Evaluation of Epidural Hematoma After Infant Lumbar Puncture.
Unsuccessful lumbar puncture (LP) attempts may lead to epidural hematoma (EH) formation within the spinal canal at the site of needle insertion, which can affect subsequent attempts. We aimed to determine the rate of EH formation after infant LP using bedside ultrasound (US). Furthermore, we aimed to correlate both perceived trauma during LP and cerebral spinal fluid (CSF) red blood cell (RBC) counts with EH formation. ⋯ Epidural hematomas are frequent after LP. Perceived trauma during LP and CSF RBC counts are not adequate predictors of EH formation. Point-of-care US may be a valuable adjunct to help guide subsequent needle insertions sites for repeat attempts after an unsuccessful LP.
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Pediatric emergency care · Aug 2020
Intranasal Ketamine for Treatment of Acute Pain in Pediatrics: A Systematic Review.
Intranasal ketamine has not been well studied in acute pain treatment and does not have a recognized place in therapy in current practice guidelines for pediatric patients. Ketamine has a unique mechanism of action with a favorable side effect profile that may provide benefit to the pediatric population for acute pain. The purpose of this review is to summarize the evidence evaluating intranasal ketamine versus any other comparator for children who require acute pain treatment. ⋯ Intranasal ketamine was safe and effective in the 6 clinical studies included in this systematic review.