The Journal of pediatrics
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The Journal of pediatrics · Dec 2010
Pediatric concussions in United States emergency departments in the years 2002 to 2006.
To estimate the incidence and demographics of concussions in children coming to emergency departments (EDs) in the United States and describe the rates of neuroimaging and follow-up instructions in these patients. ⋯ Approximately 144,000 pediatric patients present to emergency departments each year with a concussion. Most of these patients undergo computed tomography of the head, and nearly one-third are discharged without specific instructions to follow-up with an outpatient provider for further treatment.
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The Journal of pediatrics · Nov 2010
Multicenter StudyVentilation practices in the neonatal intensive care unit: a cross-sectional study.
To assess current ventilation practices in newborn infants. ⋯ Time cycled pressure-limited ventilation is the most commonly used mode in neonatal ventilation. Tidal volumes are usually targeted between 4 to 7 mL/kg and positive end-expiratory pressure between 4 to 6 cmH(2)O. Newer ventilation modes are only used in a minority of patients.
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The Journal of pediatrics · Nov 2010
Abusive head trauma in children presenting with an apparent life-threatening event.
To identify rates of abusive head trauma and associated clinical risk factors in patients with an apparent life-threatening event (ALTE). ⋯ Abusive head trauma is in the differential for infants with an ALTE, although almost half of the cases are missed by current emergency department management. Vomiting, irritability, or a call to 911 are significantly associated with heightened risk for abusive head trauma.
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To describe malicious administration of pharmaceutical agents to children. ⋯ Malicious administration of pharmaceuticals should be considered an important form of child abuse.
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The Journal of pediatrics · Oct 2010
Randomized Controlled TrialNebulized 5% or 3% hypertonic or 0.9% saline for treating acute bronchiolitis in infants.
To compare the efficacy and safety of 5%, 3%, and 0.9% saline solution for treating acute bronchiolitis in the prehospital setting. ⋯ Nebulization with 5% hypertonic saline is safe, can be widely generalizable, and may be superior to current treatment for early outpatient treatment of bronchiolitis.