Pediatric emergency care
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Pediatric emergency care · Feb 2005
Case ReportsA rapid noninvasive method of detecting elevated intracranial pressure using bedside ocular ultrasound: application to 3 cases of head trauma in the pediatric emergency department.
Managing pediatric head trauma with elevated intracranial pressure in the acute setting can be challenging. Bedside ocular ultrasound for measuring optic nerve sheath diameters has been recently proposed as a portable noninvasive method to rapidly detect increased intracranial pressure in emergency department patients with head trauma. Prior study data agree that the upper limit of normal optic nerve sheath diameters is 5.0 mm in adults, 4.5 mm in children aged 1 to 15, and 4.0 mm in infants up to 1 year of age. We report the application of this technique to 3 cases of head trauma in the pediatric emergency department.
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Pediatric emergency care · Feb 2005
Case ReportsRecovery of anaerobic bacteria from wounds after lawn-mower injuries.
Accidental injury while using lawn mowers can cause serious infectious complications in the injured extremity. Anaerobic bacteria were rarely recovered from this infection. ⋯ Antimicrobial therapy directed at the pathogens and vigorous surgical irrigation and debridement led to complete recovery from the infection. This report illustrates the recovery of anaerobic bacteria from children that had wound infection after lawn-mower injury.
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Pediatric emergency care · Feb 2005
Pain measurement in pediatric emergency care: a review of the faces pain scale-revised.
Addressing pain in children is an important task for emergency physicians. Current literature highlights a significant deficiency in our ability to assess and treat pain in this population. Multiple pediatric pain scales are available for use. This article will briefly review some of the major challenges in pediatric pain measurement and focus on the Faces Pain Scale-Revised as a valid tool that can be used in both clinical trials and everyday clinical practice.