Pediatric emergency care
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Pediatric emergency care · Mar 2011
Comparative StudyAre antibiotics necessary for pediatric epididymitis?
To determine the percentage of cases of epididymitis in pediatric patients that is of bacterial cause and to identify factors that predict a positive urine culture. ⋯ Given the low incidence of urinary tract infections in boys with epididymitis, in prepubertal patients, antibiotic therapy can be reserved for young infants and those with pyuria or positive urine cultures. Because it is difficult to predict which patients will have a positive urine culture, urine cultures should be sent on all pediatric patients with epididymitis.
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Pediatric emergency care · Mar 2011
Comparative StudyA survey of emergency physicians' fear of malpractice and its association with the decision to order computed tomography scans for children with minor head trauma.
The objective of the study was to determine whether fear of malpractice is associated with emergency physicians' decision to order head computed tomography (CT) in 3 age-specific scenarios of pediatric minor head trauma. We hypothesized that physicians with higher fear of malpractice scores will be more likely to order head CT scans. ⋯ Members of Michigan College of Emergency Physicians with a higher fear of malpractice score tended to order more head CT scans in pediatric minor head trauma. However, this trend was shown to be statistically significant only in 1 case and not overall.
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Pediatric emergency care · Mar 2011
Case ReportsAutoresuscitation after pediatric cardiac arrest: is hyperventilation a cause?
There are a number of reports of delayed return of spontaneous circulation after pulseless arrest (the Lazarus phenomenon) in adults. There are no published reports of this phenomenon in children. We report 2 pediatric cases of the Lazarus phenomenon, likely caused by unintentional hyperventilation during resuscitation.
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Pediatric emergency care · Mar 2011
Multicenter Study Comparative StudyButton battery ingestion: the Greek experience and review of the literature.
Foreign body ingestion is a common cause of admission in the pediatric emergency room. In the past, button batteries accounted for less than 2% of the foreign bodies ingested by small children, but in the last 2 decades, they show a rapidly increased frequency. The aim of the present study was to evaluate the potential risk after button battery ingestion in relation with the clinical manifestations and to perform a treatment-observation protocol in accordance with the international procedure. ⋯ The role of primary care physicians in informing the public about the potential danger of button battery digestion is crucial. Pediatricians should educate the parents about this hazard, as part of the routine guidelines for childproofing at home. Once again, prolepsis is the best policy.