Pediatric emergency care
-
Pediatric emergency care · Jul 2006
Comparative StudyRacial and ethnic differences in the rates of urinary tract infections in febrile infants in the emergency department.
To characterize the racial and ethnic differences in rates of urinary tract infections among febrile infants who present to an urban pediatric emergency department. ⋯ Urinary tract infections were common in our study population of racially and ethnically diverse children. Given similar clinical parameters, white and Hispanic children were much more likely to be diagnosed with UTI than African-American children.
-
To identify the pattern of injuries associated with routine childhood falls. ⋯ In children who presented to a children's hospital emergency department with a fall, fall from an object was the most common type. Those younger than 2 years, most commonly fell from a bed/chair and sustained head injury. Children 5 to 12 years old were likely to fall from playground equipment and fracture their arm. These findings may be helpful to clinicians who evaluate routine childhood falls.
-
All-terrain vehicle (ATV) related injuries and deaths have been increasing since 1996. The objective of this study is to define the impact on the morbidity and mortality of the pediatric population of the referral area of one of Kentucky's level-1 trauma centers. ⋯ All-terrain vehicle-related injuries led to significant morbidity and mortality for the pediatric population of southern and southeastern Kentucky. Encouraging helmet use and discouraging passengers from riding through safety education or a new state law may help to reduce ATV related mortality and morbidity. Prohibiting children younger than 16 years from operating or riding on an ATV seems justified.
-
Pediatric emergency care · Jul 2006
The use of routine laboratory studies as screening tools in pediatric abdominal trauma.
Standard laboratory panels were shown to play an important role in the evaluation of pediatric blunt abdominal trauma before the routine use of computed tomography (CT) scan. Recently, only a few relatively limited studies have evaluated the use of these "trauma panels." ⋯ Routine "trauma panels" should not be obtained as a screening tool in children with blunt trauma being evaluated for intra-abdominal injury.
-
Pediatric emergency care · Jul 2006
Case ReportsHypocalcemic laryngospasm and tetany in a child with renal dysplasia.
Stridor is a common presenting sign of respiratory illness in the pediatric population-especially in the winter. Infrequently, tetany as a chief complaint may be seen with tetanus, seizures, and dystonic reactions to medications. ⋯ This is a case of a patient who presented to our emergency department in early winter with both stridor and tetany. The child was diagnosed with hypocalcemia resulting from a previously undiagnosed renal dysplasia and his symptoms resolved with the administration of IV calcium.