Pediatric emergency care
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Pediatric emergency care · Dec 2005
Case ReportsEsophageal duplication cyst: an unusual cause of respiratory distress in infants.
Esophageal duplication cysts are rare congenital anomalies. These should be recognized as a cause of respiratory distress in infants and are usually associated with feeding difficulties. We report 2 such cases of esophageal duplication cyst in infants, causing acute respiratory distress. Excision was curative.
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Pediatric emergency care · Dec 2005
Multicenter StudyOutcome of out-of-hospital cardiorespiratory arrest in children.
To analyze the characteristics and outcome of out-of-hospital cardiorespiratory arrest in children in Spain. ⋯ Mortality of out-of-hospital cardiorespiratory arrest in children is high. When resuscitation is started soon by layperson or paramedics, survival is increased. Duration of resuscitation efforts is the best indicator of mortality. Most of survivors had good long-term neurologic outcome.
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Pediatric emergency care · Dec 2005
Comparative StudyComparison of the epidemiology of human bites evaluated at three US pediatric emergency departments.
(1) Using clearly defined methods, provide a current assessment of the epidemiology of human bites sustained by pediatric patients evaluated at a pediatric ED; (2) Compare the frequency, demography, locations, and management of these injuries from the results of the current study to the 2 prior ED studies on pediatric human bites; and (3) Determine if the frequency of these injuries varies by year, gender, or body location. ⋯ Pediatric ED visits for human bites are infrequent and from the current study data, the frequency of visits for these injuries appears to be currently stable. Altercations may not be the main circumstances surrounding all pediatric human bites, yet altercations and human bites might be jointly associated with adolescence. The current study results suggest that most pediatric ED human bite patients are male, although males may not necessarily sustain human bites more frequently than females. Visits for human bite injuries may increase in frequency with age, in comparison to visits for other medical conditions.
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Pediatric emergency care · Dec 2005
Case ReportsSeizure in a child after an acute ingestion of levothyroxine.
Unintentional ingestion of thyroid hormone preparations is a common occurrence reported to poison control centers. These incidents rarely result in serious outcomes. We report a case of a tonic-clonic seizure occurring in a child after ingestion of a maximum of 3.6 mg of levothyroxine. ⋯ This is the second case report of a seizure occurring in a child after an unintentional ingestion of levothyroxine. The maximum amount possibly ingested is much lower than that previously reported. Pediatric ingestion of less than 5 mg of levothyroxine may result in serious outcomes.
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Pediatric emergency care · Dec 2005
Prescription writing errors in the pediatric emergency department.
To determine the frequency, type, and severity of written prescription (RX) errors in a pediatric emergency department with attention to specialty and level of training of the residents who wrote the RXs. ⋯ RX errors are very common in the pediatric emergency department. Pediatric-specific experience was more influential than level of training on reducing the likelihood of error.