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https://www.readbyqxmd.com/read/28163912/the-benefits-of-youth-are-lost-on-the-young-cardiac-arrest-patient
#1
REVIEW
Brian Griffith, Patrick Kochanek, Cameron Dezfulian
Children and young adults tend to have reduced mortality and disability after acquired brain injuries such as trauma or stroke and across other disease processes seen in critical care medicine. However, after out-of-hospital cardiac arrest (OHCA), outcomes are remarkably similar across age groups. The consistent lack of witnessed arrests and a high incidence of asphyxial or respiratory etiology arrests among pediatric and young adult patients with OHCA account for a substantial portion of the difference in outcomes...
2017: F1000Research
https://www.readbyqxmd.com/read/28114415/managing-neonatal-and-early-childhood-syndromic-sepsis-in-sub-district-hospitals-in-resource-poor-settings-improvement-in-quality-of-care-through-introduction-of-a-package-of-interventions-in-rural-bangladesh
#2
Ahmed Ehsanur Rahman, Afrin Iqbal, D M Emdadul Hoque, Md Moinuddin, Sojib Bin Zaman, Qazi Sadeq-Ur Rahman, Tahmina Begum, Atique Iqbal Chowdhury, Rafiqul Haider, Shams El Arifeen, Niranjan Kissoon, Charles P Larson
INTRODUCTION: Sepsis is dysregulated systemic inflammatory response which can lead to tissue damage, organ failure, and death. With an estimated 30 million cases per year, it is a global public health concern. Severe infections leading to sepsis account for more than half of all under five deaths and around one quarter of all neonatal deaths annually. Most of these deaths occur in low and middle income countries and could be averted by rapid assessment and appropriate treatment. Evidence suggests that service provision and quality of care pertaining to sepsis management in resource poor settings can be improved significantly with minimum resource allocation and investments...
2017: PloS One
https://www.readbyqxmd.com/read/27941580/an-attachment-based-model-of-the-relationship-between-childhood-adversity-and-somatization-in-children-and-adults
#3
Robert G Maunder Md, Jonathan J Hunter, Leslie Atkinson, Meir Steiner, Ashley Wazana, Alison Fleming, Ellen Moss, Helene Gaudreau, Michael Meaney, Robert D Levitan
OBJECTIVE: An attachment model was used to understand how maternal sensitivity and adverse childhood experiences are related to somatization. METHODS: We examined maternal sensitivity at 6 and 18 months and somatization at 5 years in 292 children in a longitudinal cohort study. We next examined attachment insecurity and somatization (health anxiety, physical symptoms) in four adult cohorts: healthy primary care patients (AC1, n=67), ulcerative colitis in remission (AC2, n = 100), hospital workers (AC3, n=157), and paramedics (AC4, n=188)...
December 9, 2016: Psychosomatic Medicine
https://www.readbyqxmd.com/read/27690289/emergency-medical-dispatchers-can-obtain-accurate-pediatric-weights-from-9-1-1-callers
#4
Todd Chassee, Diann Reischmann, Michael Mancera, John D Hoyle
BACKGROUND: Prehospital pediatric drug dosing errors affect 56,000 U.S. children annually. An accurate weight is the first step in accurate dosing. To date, the accuracy of Emergency Medical Dispatcher (EMD) obtained weights has not been evaluated. We hypothesized that EMD could obtain accurate pediatric weights. METHODS: We used a convenience sample of patients 12 years and younger that were transported by EMS to one children's hospital. EMD obtained patient weight (DW) from the 9-1-1 caller...
November 2016: Prehospital Emergency Care
https://www.readbyqxmd.com/read/27676935/perceived-effectiveness-tolerance-of-cares-in-children-and-adults-with-cerebral-palsy
#5
Laetitia Houx, Hélène Saudreau, Philippe Galien, Christelle Pons, Marion Roquet, Ronan Garlantezec, Sylvain Brochard
OBJECTIVE: A better understanding of the perception of the rehabilitative and medical care's by persons with cerebral palsy (CP) and their families may help in providing better adherence to these cares. The main objective of this study was to assess overall satisfaction, self-perception of effectiveness and tolerance of the rehabilitative and medical cares in individuals with CP. MATERIAL AND METHODS: This was a cross-sectional questionnaire-based study. A total of 950 questionnaires were sent to French Britain children and adults with CP...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27649694/gender-issues-and-related-social-stigma-affecting-patients-with-a-disorder-of-sex-development-in-india
#6
Angela Ann Joseph, Bindu Kulshreshtha, Iram Shabir, Eunice Marumudi, Tony Sam George, Rajesh Sagar, Manju Mehta, Ariachery C Ammini
Children with disorders of sex development (DSD) manifest at birth with malformed genitalia or later with atypical pubertal development. Those born with malformed genitalia are often diagnosed at birth. However, in resource-poor countries like India, where not all births are supervised by healthcare workers, some of these children remain undiagnosed until puberty or even later. The aim of this study was to assess the gender issues and psychosocial problems of children with DSD. Participants included 205 children with DSD (103 with 46,XX DSD and 102 with 46,XY DSD)...
September 20, 2016: Archives of Sexual Behavior
https://www.readbyqxmd.com/read/27623118/-autism-spectrum-disorder-and-evaluation-of-perceived-stress-parents-and-professionals-study-of-the-psychometric-properties-of-a-french-adaptation-of-the-appraisal-of-life-event-scale-ales-vf
#7
É Cappe, N Poirier, É Boujut, N Nader-Grosbois, C Dionne, A Boulard
INTRODUCTION: Autism and related disorders are grouped into the category of « Autism Spectrum Disorder » (ASD) in the DSM-5. This appellation reflects the idea of a dimensional representation of autism that combines symptoms and characteristics that vary in severity and intensity. Despite common characteristics, there are varying degrees in intensity and in the onset of symptoms, ranging from a disability that can be very heavy with a total lack of communication and major disorders associated with the existence of a relative autonomy associated, sometimes, with extraordinary intellectual abilities...
September 9, 2016: L'Encéphale
https://www.readbyqxmd.com/read/27614718/-emergency-management-of-extravasation-in-children
#8
L Pasquesoone, N Aljudaibi, J Ellart, P Guerreschi, V Duquennoy-Martinot
The subcutaneous diffusion of intravenous drips, or extravasation, is a frequent iatrogenic complication in children, mainly in the neonatal period. This potentially severe pathology can lead to local ischemia that sometimes mimics compartment syndrome. It can also evolve towards vast soft-tissue necrosis. Nursing staff often underestimate the risk of functional, aesthetic, and psychological consequences. The speed and quality of the initial medical and surgical management can greatly decrease morbidity associated with extravasation...
October 2016: Annales de Chirurgie Plastique et Esthétique
https://www.readbyqxmd.com/read/27554798/incidence-characteristics-and-survival-outcomes-of-out-of-hospital-cardiac-arrest-in-children-and-adolescents-between-1997-and-2014-in-perth-western-australia
#9
Madoka Inoue, Hideo Tohira, Teresa Williams, Paul Bailey, Meredith Borland, Nicole McKenzie, Deon Brink, Judith Finn
OBJECTIVE: The present study was to describe the trends in the incidence, characteristics and survival of paediatric out-of-hospital cardiac arrest (OHCA) over an 18 year period. METHODS: We conducted a population-based retrospective cohort study using prospectively collected data from all OHCA patients aged <18 years who were attended by St John Ambulance Western Australia paramedics in the Perth metropolitan area, WA, between 1997 and 2014. The incidence, characteristics and survival were compared across 4 year periods (1997-2000, 2001-2005, 2006-2010 and 2011-2014)...
February 2017: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/27535018/timely-management-of-knocked-out-teeth-are-the-nurses-aware
#10
Mohandoss Suganya, Murugaboopathy Vikneshan, Anand Hiremath
AIMS AND OBJECTIVES: To assess working and trainee nurses' knowledge and awareness regarding the emergency handling of traumatic injuries to the teeth. The research was conducted in four different parts of Karnataka, a state in India. BACKGROUND: Traumatic injuries to teeth and the facial region are common among children and young adults. Most traumatic dental injuries can be avoided, or would be less serious, if an extensive knowledge and awareness of these injuries existed, especially among people who frequently come across them...
August 18, 2016: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/27405354/physician-staffed-helicopter-emergency-medical-service-case-identification-a-before-and-after-study-in-children
#11
Alan A Garner, Anna Lee, Andrew Weatherall, Mary Langcake, Zsolt J Balogh
BACKGROUND: Severely injured children may have better outcomes when transported directly to a Paediatric Trauma Centre (PTC). A case identification system using the crew of a physician staffed helicopter emergency medical service (P-HEMS) that identified severely injured children for P-HEMS dispatch was previously associated with high rates of direct transfer. It was theorised that discontinuation of this system may have resulted in deterioration of system performance. METHODS: Severe paediatric trauma cases were identified from a state based trauma registry over two time periods...
July 12, 2016: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/27350111/-pedagogic-focus-group-in-pediatrics
#12
E Merlin, A Chausset, M Verdan, B Cambon, C Sarret, J Kanold, J Chazal, A Labbé
AIM: To assess a new behavioral teaching technique called "focus group pedagogy" (FGP), which consists in a three-step meeting between sick children's parents and medical students (first with students alone, then with parents and students together, then with students alone). METHODS: This qualitative research ran two sessions (each totaling four to six parents and six students) in which parents were questioned on four main themes: their knowledge of the medical hierarchy, their ability to identify the people in the hospital, their communication with medical staff, and the overall care delivered to their children...
August 2016: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
https://www.readbyqxmd.com/read/27253653/pediatric-airway-management-and-prehospital-patient-safety-results-of-a-national-delphi-survey-by-the-children-s-safety-initiative-emergency-medical-services-for-children
#13
Matthew Hansen, Garth Meckler, Kerth OʼBrien, Phillip Engle, Caitlin Dickinson, Kathryn Dickinson, Jonathan Jui, William Lambert, Erika Cottrell, Jeanne-Marie Guise
OBJECTIVE: The objective of this study was to determine what aspects of prehospital pediatric airway management may contribute to patient safety events. METHODS: We conducted a 3-phase Delphi survey in prehospital professionals across the United States to identify potential contributors to patient safety events. Respondents ranked how likely factors were to contribute on a 9-point Likert-type scale and were allowed to elaborate through open-ended questions. Analysis was conducted using a mixed-methods approach, including Likert-type responses and open-ended questions which were analyzed for specific themes...
September 2016: Pediatric Emergency Care
https://www.readbyqxmd.com/read/27165724/epidemiology-of-fatal-and-non-fatal-drowning-patients-attended-by-paramedics-in-victoria-australia
#14
Bernadette L Matthews, Emily Andrew, Robert Andronaco, Shelley Cox, Karen Smith
Drowning is a major cause of injury and death worldwide. This study aims to expand the evidence in fatal and non-fatal drowning. A retrospective study was conducted to investigate fatal and non-fatal drowning incidents attended by ambulance paramedics in Victoria (Australia) from 2007 to 2012. A total of 509 drowning incidents were identified, 339 (66.6%) were non-fatal, with 170 (33.4%) resulting in death. Children aged 0-4 years had the highest crude drowning rate (7.95 per 100,000 persons). Non-fatal incidents were more likely to be witnessed by a bystander when compared with fatal incidents (43...
May 11, 2016: International Journal of Injury Control and Safety Promotion
https://www.readbyqxmd.com/read/27147481/the-epidemiology-of-pain-in-children-treated-by-paramedics
#15
Bill Lord, Paul A Jennings, Karen Smith
OBJECTIVES: The present study aimed to describe paramedic assessment and management of pain in children in a large state-wide ambulance service. METHODS: A retrospective cohort study included paediatric patients (aged less than 15 years) treated and transported by paramedics in the Australian state of Victoria between 1 January 2008 and 31 December 2011. Primary outcome measures were the frequency of analgesic administration and odds of receiving any analgesic (morphine, fentanyl or methoxyflurane)...
June 2016: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/27116833/-the-health-of-paramedical-personnel-and-impacting-factors
#16
S G Pogosian
The article presents results of sociological survey of 650 paramedical personnel. It is established that 37% out ofthem suffer from chronic diseases. The given indicator is reliably higher in patients of elder age having three and more children and low income. The relationship is established between health level and opinions ofparamedicalpersonnel about public significance ofprofession availability of conflicts with physicians and labor loads. The signs of emotional burnout syndrome have 77.8-83.3% of respondents according different techniques...
November 2015: Problemy Sot︠s︡ialʹnoĭ Gigieny, Zdravookhranenii︠a︡ i Istorii Medit︠s︡iny
https://www.readbyqxmd.com/read/26982205/intranasal-fentanyl-for-the-prehospital-management-of-acute-pain-in-children
#17
Adrian P Murphy, Macartan Hughes, Siobhan Mccoy, Gloria Crispino, Abel Wakai, Ronan O'Sullivan
INTRODUCTION: Acute pain is the most common symptom in the emergency setting and its optimal management continues to challenge prehospital emergency care practitioners, particularly in the paediatric population. Difficulty in establishing vascular access and fear of opiate administration to small children are recognized reasons for oligoanalgesia. Intranasal fentanyl (INF) has been shown to be as safe and effective as intravenous morphine in the treatment of severe pain in children in the Emergency Department setting...
March 15, 2016: European Journal of Emergency Medicine: Official Journal of the European Society for Emergency Medicine
https://www.readbyqxmd.com/read/26973960/overview-of-attention-deficit-hyperactivity-disorder-in-young-children
#18
REVIEW
Ajay Singh, Chia Jung Yeh, Nidhi Verma, Ajay Kumar Das
Attention deficit hyperactivity disorder (ADHD) is a complex disorder, which can be seen as a disorder of life time, developing in preschool years and manifesting symptoms (full and/or partial) throughout the adulthood; therefore, it is not surprising that there are no simple solutions. The aim of this paper is to provide a short and concise review which can be used to inform affected children and adults; family members of affected children and adults, and other medical, paramedical, non-medical, and educational professionals about the disorder...
September 30, 2015: Health Psychology Research
https://www.readbyqxmd.com/read/26953677/impact-of-high-fidelity-pediatric-simulation-on-paramedic-seizure-management
#19
Manish I Shah, John M Carey, Sarah E Rapp, Marina Masciale, Wendy B Alcanter, Juan A Mondragon, Elizabeth A Camp, Samuel J Prater, Cara B Doughty
BACKGROUND: A simulation-based course, Pediatric Simulation Training for Emergency Prehospital Providers (PediSTEPPs), was developed to optimize pediatric prehospital care. Seizures are common in Emergency Medical Services (EMS), and no studies have evaluated pediatric outcomes after EMS simulation training. OBJECTIVES: The primary objective was to determine if PediSTEPPs enhances seizure protocol adherence in blood glucose measurement and midazolam administration for seizing children...
July 2016: Prehospital Emergency Care
https://www.readbyqxmd.com/read/26836351/comparison-of-errors-using-two-length-based-tape-systems-for-prehospital-care-in-children
#20
Lara D Rappaport, Lina Brou, Tim Givens, Maria Mandt, Ashley Balakas, Kelley Roswell, Jason Kotas, Kathleen M Adelgais
BACKGROUND: The use of a length/weight-based tape (LBT) for equipment size and drug dosing for pediatric patients is recommended in a joint statement by multiple national organizations. A new system, known as Handtevy™, allows for rapid determination of critical drug doses without performing calculations. OBJECTIVE: To compare two LBT systems for dosing errors and time to medication administration in simulated prehospital scenarios. METHODS: This was a prospective randomized trial comparing the Broselow Pediatric Emergency Tape™ (Broselow) and Handtevy LBT™ (Handtevy)...
July 2016: Prehospital Emergency Care
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