Pediatric emergency care
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Pediatric emergency care · Jun 2020
Review Case ReportsIntoxication From Accidental Marijuana Ingestion in Pediatric Patients: What May Lie Ahead.
Marijuana is the most commonly used illicit drug. In young children, there are relatively few reports in the literature of acute marijuana intoxication. Here, we describe the case of a previously healthy 2-year-old girl who presented with clinical seizures. ⋯ This report highlights what is becoming a more common problem. As cannabis continues to be decriminalized across the United States with its increasingly diverse modes of delivery, the potential for accidental exposure in infants and young children also rises. Clinicians should now routinely consider marijuana intoxication in children who present with acute neurological abnormalities.
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Pediatric emergency care · Jun 2020
ReviewA Novice Guide to Applications of Simulation in the Pediatric Emergency Department.
Healthcare systems and health professions education have gone through radical changes in the past decades. These changes have made it imperative to explore innovative and alternative ways of teaching and training. Simulation-based education has emerged as an effective teaching strategy for both learners and practicing health professionals. ⋯ Pediatric emergency medicine, by its very nature, can benefit greatly from a well-designed and thoughtfully implemented simulation program. This review outlines situations where simulation may be used for maximum effectiveness in a pediatric emergency department and provides an overview of the basics of debriefing. A thorough description of each identified use of simulation is beyond the scope of this article.
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Pediatric emergency care · Jun 2020
Multicenter StudyExploratory Ingestions of Novel Anticoagulants and Antiplatelets: What Is the Risk?
Historically, anticoagulants and antiplatelet agents included warfarin and aspirin, respectively. In recent years, numerous novel anticoagulants (eg, direct thrombin inhibitors and factor Xa inhibitors) as well as the adenosine diphosphate receptor antagonists have increased significantly. Little information on the bleeding risk after exploratory ingestion of these agents is available. The primary purpose of this study is to evaluate the bleeding risk of these agents after an exploratory ingestion in children 6 years or younger. ⋯ Accidental, exploratory ingestions of these agents seem well tolerated, with no patient developing bleeding complications.