Pediatric emergency care
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Pediatric emergency care · Jul 2023
Development of a Model to Identify Febrile Children at Low Risk for Multisystem Inflammatory Syndrome.
The case definition for multisystem inflammatory syndrome in children (MIS-C) is broad and encompasses symptoms and signs commonly seen in children with fever. Our aim was to identify clinical predictors that, independently or in combination, identify febrile children presenting to the emergency department (ED) as low risk for MIS-C. ⋯ A combination of 3 clinical symptoms and signs had moderate to high sensitivity and high negative predictive value for identifying febrile children at low risk of MIS-C. If validated, these factors could aid clinicians in determining the need to obtain or forego an MIS-C laboratory evaluation during SARS-CoV-2 prevalent periods in febrile children.
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Pediatric emergency care · Jul 2023
ReviewDe-escalation Techniques for the Agitated Pediatric Patient.
The emergency department can be a particularly challenging environment for the care of pediatric patients presenting with acute agitation. Agitation is a behavioral emergency requiring prompt intervention. Timely recognition of agitation and proactive implementation of de-escalation strategies are critical for safe and effective management of agitation, as well as prevention of recurrent episodes. This article reviews the definition of agitation, explores the domains of verbal de-escalation, and considers multidisciplinary management strategies for children with acute agitation.
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Pediatric emergency care · Jul 2023
Imaging Evaluation for Thoracic Spine Fractures in Pediatric Trauma Patients: A Single-Center Experience at an Academic Children's Hospital.
Imaging workup for evaluating thoracic spine fracture (TSF) in pediatric blunt trauma is variable. ⋯ Approximately 50% of TSFs diagnosed on CT or MRI were not identified on preceding radiographs. This is similar to studies in adult populations that show poor sensitivity of radiographs.
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Pediatric emergency care · Jul 2023
Clinical Characteristics of Pediatric Patients With Septic Shock Caused by Acute Appendicitis: A Case Series.
This study aimed to explore the clinical characteristics of septic shock in pediatric patients caused by acute appendicitis. ⋯ Level of Evidence: IV.