Pediatric emergency care
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Pediatric emergency care · Oct 2004
Planning Emergency Medical Services for Children in Bolivia: part 2-results of a Rapid Assessment Procedure.
To obtain social and cultural data about factors affecting the development of Emergency Medical Services for Children (EMS-C) in La Paz, Bolivia. The points-of-view of potential consumers and providers were sought. ⋯ RAP methodology provided a detailed picture of current EMS-C in La Paz, including viewpoints from all major stakeholders. This information will be used to support the development of Emergency Medicine programs that are locally driven, culturally appropriate, and socially feasible.
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On average, 24,000 children a year are treated in the emergency departments (EDs) for shopping cart injuries, with over 650 children a year requiring hospital admission. The authors sought to evaluate the incidence and outcomes of children in the community evaluated by paramedics because they were injured in shopping cart or stroller-related incidences. ⋯ Shopping cart and stroller-related injuries are a common mechanism of injury for pediatric patients responded to by paramedics. This is an area which continued parental education is needed.
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Pediatric emergency care · Oct 2004
Case ReportsElevated cardiac troponin I in a 9-week-old infant.
Myocardial ischemia in children is generally not suspected when they present to an emergency department with congestive heart failure. However, the opposite holds true for an adult patient. ⋯ A case is presented of an infant with a complex congenital heart defect with congestive heart failure who was found to have an elevated cardiac troponin. Infants at risk for myocardial damage should have an evaluation of cardiac markers, as infants with elevated levels are prone to dysrhythmias or worsening cardiac function and thus warrant closer observations and therapy.