Pediatric emergency care
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Pediatric emergency care · May 2008
Predictors of cerebrospinal fluid pleocytosis in febrile infants aged 0 to 90 days.
Young infants with fever routinely undergo laboratory evaluation, and many are treated with empirical antibiotics even when the infant seems well. The requirement of a lumbar puncture (LP) as part of a routine evaluation is debated; however, administration of antibiotics without an LP can cause concerns for partially treated bacterial meningitis and make subsequent evaluation of the cerebrospinal fluid (CSF) confusing. The ability to predict which febrile infants have a CSF pleocytosis would assist in the decision to perform LP in febrile infants. ⋯ A significant number of well-appearing febrile infants will have a CSF pleocytosis. A simple decision tree based on objective clinical information can help identify those at greatest risk for CSF pleocytosis.
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Pediatric emergency care · May 2008
Predictors for admission of children with periorbital cellulitis presenting to the pediatric emergency department.
To identify demographic and clinical characteristics associated with admission because of periorbital cellulitis (PC) in children. ⋯ Combination of local ocular symptoms and body temperature are positively associated with admission from the ED. Future research should concentrate on evaluating the suggested score we used in this cohort to validate it and evaluate its generalizability. Devising such scoring can help clinicians determine guidelines for admission of children with PC.
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Pediatric emergency care · May 2008
Atomized intranasal midazolam use for minor procedures in the pediatric emergency department.
Procedural sedation is increasingly more common in pediatric emergency departments. We report our experience with intranasal midazolam (INM) using a unique atomization delivery device, specifically the efficacy and safety of this method of sedation. ⋯ We conclude that atomized INM is effective in providing anxiolysis to children undergoing minor procedures in the pediatric emergency department. We are encouraged that no adverse events occurred with the use of INM alone despite relatively short fasting times.
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Pediatric emergency care · Apr 2008
Review Case ReportsRhabdomyolysis: a review of clinical presentation, etiology, diagnosis, and management.
Rhabdomyolysis is a condition that results from many underlying etiologies and can present in a myriad of ways to the emergency physician. However, some clinical and laboratory features are almost always present and, if noted, can help in making the diagnosis. This review article will focus on the presenting symptoms, the various etiologies, the underlying mechanisms, and the current management of pediatric rhabdomyolysis.