Pediatric emergency care
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Pediatric emergency care · Feb 2006
The effect of etomidate on intracranial pressure and systemic blood pressure in pediatric patients with severe traumatic brain injury.
To evaluate the effects of single-dose etomidate in pediatric patients with intracranial hypertension after severe traumatic brain injury. ⋯ In pediatric patients with severe traumatic brain injury, single-dose etomidate administration resulted in statistically significant reductions in ICP and improvement in cerebral perfusion pressure without significantly altering MAP.
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Pediatric emergency care · Jan 2006
Randomized Controlled Trial Multicenter StudyEvaluation of a Web-based education program on reducing medication dosing error: a multicenter, randomized controlled trial.
The Broselow Pediatric Resuscitation Tape has been shown to be effective in reducing medication dosing error among pediatric emergency providers. However, the tape has often been used inappropriately or incorrectly. ⋯ The Web-based education program on the proper use of the Broselow Pediatric Resuscitation Tape could improve dosing accuracy and reduce dosing time.
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Pediatric emergency care · Jan 2006
Case ReportsNecrotizing fasciitis caused by Aeromonas hydrophilia in an immunocompetent child.
Necrotizing fasciitis is a rapidly progressive and potentially fatal infection. It is characterized by extensive subcutaneous and muscle necrosis. ⋯ Necrotizing fasciitis caused by A. hydrophilia have occurred in children who had underlying systemic diseases or immune dysfunction. We report a 14-year-old boy without underlying systemic diseases or immunodeficiency who developed necrotizing fasciitis secondary to A. hydrophilia and he was successfully treated with extensive surgical debridement and systemic antibiotics.
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Pediatric emergency care · Jan 2006
Case ReportsPTU-associated vasculitis in a girl with Turner Syndrome and Graves' disease.
Palpable purpura is a concerning clinical finding in pediatric patients and can have many causes, including infectious and autoimmune processes. A rare cause, drug-induced vasculitis, may result from the production of antineutrophil cytoplasmic antibodies (ANCAs) in response to a medication. ⋯ The diagnosis of propylthiouracil (PTU)-associated vasculitis was made by observation of consistent clinical features, the detection of elevated ANA and ANCA in the blood, and the observed clinical resolution of symptoms following withdrawal of PTU. Subsequent treatment of persistent hyperthyroidism with radioablation did not result in an exacerbation of the vasculitis, a complication described in prior case reports.