Pediatric emergency care
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Atrial fibrillation is a rare diagnosis in children and adolescents. We report a case of a 17-year-old previously healthy boy who presented to the emergency department with a 3-week history of shortness of breath, chest pain, and 1 episode of hemoptysis. ⋯ An extensive workup led to the diagnosis of pulmonary embolism. This case highlights the importance of evaluating for thromboembolic events in pediatric patients presenting with new-onset atrial fibrillation and typical electrocardiogram pattern of cor pulmonale with or without respiratory symptoms.
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Pediatric emergency care · Nov 2007
Test characteristics of the 3-view abdominal radiograph series in the diagnosis of intussusception.
To determine the test characteristics of the 3-view abdominal radiograph series to exclude intussusception in children presenting to the pediatric emergency department. ⋯ Using specific criteria, the presence of air in the ascending colon on 2 or 3 abdominal radiograph views has the potential to substantially decrease the likelihood of or exclude intussusception.
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Pediatric emergency care · Oct 2007
Factors associated with ability to treat pediatric emergencies in US hospitals.
The purpose of this analysis is to investigate hospital and community factors associated with the availability of pediatric services, expertise, and supplies in US hospitals for treating pediatric emergencies. ⋯ To meet the 2001 guidelines, emergency departments need to improve their inventory of pediatric supplies, and hospitals that do not have specialized inpatient services need to implement written transfer agreements with other hospitals.
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Pediatric emergency care · Oct 2007
Comparative StudyEtomidate versus pentobarbital for computed tomography sedations: report from the Pediatric Sedation Research Consortium.
To compare efficacy, sedation duration, and adverse events after administration of etomidate or pentobarbital for diagnostic computed tomography (CT) scans. ⋯ Etomidate as given by emergency physicians was more effective and efficient than pentobarbital, with rare adverse events.