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Keywords Pediatric respiratory pediatri...

Pediatric respiratory pediatric trauma seizure

https://read.qxmd.com/read/37990261/electronic-field-protocols-for-prehospital-care-quality-improvement-in-lithuania-a-randomized-simulation-based-study
#1
JOURNAL ARTICLE
Ieva Paliokaite, Zilvinas Dambrauskas, Paulius Dobozinskas, Evelina Pukenyte, Aida Mankute-Use, Dinas Vaitkaitis
BACKGROUND: Prehospital emergency care is complex and influenced by various factors, leading to the need for decision-support tools. Studies suggest that cognitive aids improve provider performance and patient outcomes in clinical emergencies. Electronic cognitive aids have rarely been investigated in prehospital care. Therefore, this study aimed to evaluate the effects of the electronic field protocol (eFP) module on performance, adherence to the standard of care, and satisfaction of prehospital care providers in a simulated environment...
November 21, 2023: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/37755408/sars-cov-2-associated-multisystem-inflammatory-syndrome-in-children-mis-c-a-case-report-from-iraq
#2
Ruwaid Behnam Y Al-Simaani, Lika'a Fasih Y Al-Kzayer, Kenan Hussien Ali, Mouroge H Al-Ani, Yozo Nakazawa
The novel coronavirus disease (COVID-19) continues to evolve. Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2)-associated multisystem inflammatory syndrome in children (MIS-C) is a rare post-COVID-19 complication that affects children with critical outcomes. Few MIS-C reports were available from Arab-Asian ethnicities. We here describe a presentation mimicking a head injury overlapping the manifestations of MIS-C in a child from Iraq. A 10-year-old boy presented with blunt trauma in a shock-like status, and a head injury was suspected...
September 4, 2023: Pediatric Reports
https://read.qxmd.com/read/37268475/comparisons-of-characteristics-and-outcome-between-abusive-head-trauma-and-non-abusive-head-trauma-in-a-pediatric-intensive-care-unit
#3
JOURNAL ARTICLE
Yi-Ching Liu, I-Chen Chen, Hsin-Ling Yin, Yen-Hsien Wu, Shih-Hsing Lo, Wen-Chen Liang, Twei-Shiun Jaw, Zen-Kong Dai, Jong-Hau Hsu
BACKGROUND: Abusive head trauma (AHT) is the leading cause of death in infants with traumatic brain injury (TBI). Early recognition of AHT is important for improving outcomes, but it can be challenging due to its similar presentations with non-abusive head trauma (nAHT). This study aims to compare clinical presentations and outcomes between infants with AHT and nAHT, and to identify the risk factors for poor outcomes of AHT. METHODS: We retrospectively analyzed infants of TBI in our pediatric intensive care unit from January 2014 to December 2020...
May 31, 2023: Journal of the Formosan Medical Association
https://read.qxmd.com/read/36905686/skeletal-survey-yields-in-low-vs-high-risk-pediatric-patients-with-skull-fractures
#4
JOURNAL ARTICLE
Reena Isaac, Christopher Greeley, Mark Marinello, Bruce E Herman, Terra N Frazier, Christopher L Carroll, Veronica Armijo-Garcia, Matthew Musick, Kerri Weeks, Suzanne B Haney, Ming Wang, Kent P Hymel
BACKGROUND: To assess for occult fractures, physicians often opt to obtain skeletal surveys (SS) in young, acutely head-injured patients who present with skull fractures. Data informing optimal decision management are lacking. OBJECTIVE: To determine the positive yields of radiologic SS in young patients with skull fractures presumed to be at low vs. high risk for abuse. PARTICIPANTS AND SETTING: 476 acutely head injured, skull-fractured patients <3 years hospitalized for intensive care across 18 sites between February 2011 and March 2021...
March 9, 2023: Child Abuse & Neglect
https://read.qxmd.com/read/36600465/paediatric-frequent-use-of-emergency-medical-services-a-systematic-review
#5
JOURNAL ARTICLE
Jason Scott, Ashrafunessa Khanom, Joanne Straw, Annette Strickland, Alison Porter, Helen Snooks
BACKGROUND: Frequent use of emergency medical services (EMS) is recognised to be a global phenomenon, although paediatric frequent use is poorly understood. This systematic review aimed to understand how paediatric frequent use of EMS is currently defined, identify factors associated with paediatric frequent use of EMS and determine effectiveness of interventions for paediatric patients who frequently use EMS. METHODS: Four electronic databases (Medline, CINAHL, Web of Science and PsycINFO) were searched to September 2022 for primary, peer-reviewed research studies published in English from January 2000...
December 6, 2022: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/36426346/first-pediatric-case-of-autoimmune-encephalitis-associated-with-covid-19-in-costa-rica
#6
Mariela Scheuermeier, Karina Quirós Chaves, Daniela Marín-Sanabria, Heidy Acosta-Lazo, Adriana Ulate-Campos
Very few COVID-19-associated autoimmune encephalitis cases have been documented in children. This case report focuses on a previously healthy four-year-old girl who presented to the emergency room of the National Children's Hospital in Costa Rica in a postictal state due to a tonic-clonic seizure that progressed to status epilepticus. She had no previous history of fever or associated trauma. She was considered severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) positive by epidemiological linkage four weeks prior to the event, and her immunoglobulin G (IgG) levels for SARS-CoV-2 were positive...
October 2022: Curēus
https://read.qxmd.com/read/36308893/the-association-of-subcortical-brain-injury-and-abusive-head-trauma
#7
JOURNAL ARTICLE
Katelyn M Even, Kent P Hymel, Veronica Armijo-Garcia, Matthew Musick, Kerri Weeks, Suzanne B Haney, Mark Marinello, Bruce E Herman, Terra N Frazier, Christopher L Carroll, Menglu Liang, Ming Wang
BACKGROUND: Abusive head trauma (AHT) remains a major pediatric problem with diagnostic challenges. A small pilot study previously associated subcortical brain injury with AHT. OBJECTIVES: To investigate the association of subcortical injury on neuroimaging with the diagnosis of AHT. PARTICIPANTS AND SETTING: Children <3 years with acute TBI admitted to 18 PICUs between 2011 and 2021. METHODS: Secondary analysis of existing, combined, de-identified, cross-sectional dataset...
December 2022: Child Abuse & Neglect
https://read.qxmd.com/read/34111834/forecast-modeling-to-identify-changes-in-pediatric-emergency-department-utilization-during-the-covid-19-pandemic
#8
MULTICENTER STUDY
Sriram Ramgopal, Jonathan H Pelletier, Jaskaran Rakkar, Christopher M Horvat
OBJECTIVE: To identify trends in pediatric emergency department (ED) utilization following the COVID-19 pandemic. METHODS: We performed a cross-sectional study from 37 geographically diverse US children's hospitals. We included ED encounters between January 1, 2010 and December 31, 2020, transformed into time-series data. We constructed ensemble forecasting models of the most common presenting diagnoses and the most common diagnoses leading to admission, using data from 2010 through 2019...
November 2021: American Journal of Emergency Medicine
https://read.qxmd.com/read/33656469/novel-claims-based-outcome-phenotypes-in-survivors-of-pediatric-traumatic-brain-injury
#9
JOURNAL ARTICLE
Aline B Maddux, Carter Sevick, Matthew Cox-Martin, Tellen D Bennett
OBJECTIVE: For children hospitalized with acute traumatic brain injury (TBI), to use postdischarge insurance claims to identify: (1) healthcare utilization patterns representative of functional outcome phenotypes and (2) patient and hospitalization characteristics that predict outcome phenotype. SETTING: Two pediatric trauma centers and a state-level insurance claim aggregator. PATIENTS: A total of 289 children, who survived a hospitalization after TBI between 2009 and 2014, were in the hospital trauma registry, and had postdischarge insurance eligibility...
July 2021: Journal of Head Trauma Rehabilitation
https://read.qxmd.com/read/33163433/abusive-head-traumas-in-4-infants
#10
Won Jae Lee, Yong Cheol Lim, Soo Han Yoon
Pediatric abusive head trauma (AHT) is a serious, repeated child abuse that causes grave brain damage. In Korea, AHT cases have been reported rarely, especially infants. We present 4 cases of AHT in infants diagnosed in our institution during last 2 years. We collected the demographic data, ophthalmologic examination, imaging study, and outcomes. The mean age was 7.2 months, and 2 infants were girls and the others were boys. All four were admitted with no history of head trauma, and among them 2 patients presented with an episode of seizure and respiratory arrest with no history of head trauma...
October 2020: Korean Journal of Neurotrauma
https://read.qxmd.com/read/32703058/pulmonary-embolism-complicated-the-course-of-anti-n-methyl-d-aspartate-receptor-encephalitis-in-a-pediatric-intensive-care-unit-setting-a-case-report
#11
JOURNAL ARTICLE
Faruk Ekinci, Dincer Yildizdas, Ozden Ozgur Horoz, Ahmet Yontem, Gulen Gul Mert
INTRODUCTION: Anti-N-methyl-D-aspartate receptor (NMDAR) encephalitis, an autoimmune neurological disorder resultant from the autoantibodies directed to the NR1 subunit of the NMDAR, is mainly characterized by neuropsychiatric symptoms, including behavior changes, paranoia, delusions, epileptic seizures, movement disorders, aphasia, insomnia, dysautonomia, and altered consciousness. Pulmonary embolism (PE) presents with pleuritic chest pain, hemoptysis, and respiratory distress by obstruction of the pulmonary circulation...
January 2021: Postgraduate Medicine
https://read.qxmd.com/read/31185789/clinical-characteristics-and-nonconvulsive-seizures-in-young-children-with-abusive-head-trauma
#12
JOURNAL ARTICLE
Ahyuda Oh, Larry D Olson, Joshua J Chern, Hyunmi Kim
AIM: We aimed to evaluate putative predictors of symptoms and signs at admission for nonconvulsive seizure and to examine the impact of nonconvulsive seizures on short-term outcomes. METHOD: We retrospectively collected consecutive abusive head trauma patients (<36 months of age) from the trauma registry at Children's Healthcare of Atlanta between 2009 and 2014. Multiple logistic regression was performed to assess the putative predictors for the occurrence of nonconvulsive seizures including clinical seizures, altered mental status, respiratory difficulty, and cardiac arrest at admission, while controlling for age, sex, and injury severity...
October 2019: Journal of Child Neurology
https://read.qxmd.com/read/29250697/two-girl-patients-with-medulloblastoma-case-reports
#13
JOURNAL ARTICLE
Laura Daniela Marinău, Cristina Elena Singer, Cristian Meşină, Elena Carmen Niculescu, Ileana Puiu, Ileana Octavia Petrescu, Cristiana Geormăneanu, Augustina Cornelia Enculescu, Daniela Elise Tache, Ştefana Oana Purcaru, Simona Răciulă, Cosmina Lucia Damian
In childhood, the most common type of brain tumors is medulloblastoma, a highly malignant primary brain tumor that is found in the cerebellum or posterior fossa. The tumor mass increases and generates obstructive hydrocephalus. Risk factors (that might be involved in some cases) include the genetic syndrome such as type 1 neurofibromatosis, exposure to ionizing radiation and Epstein-Barr virus. Medulloblastoma is associated with recessively inherited Turcot disease and with conditions as ataxia-telangiectasia syndrome in several cases...
2017: Romanian Journal of Morphology and Embryology
https://read.qxmd.com/read/28801782/common-pediatric-medical-emergencies-in-office-practice
#14
REVIEW
Bharat Mehra, Suresh Gupta
General Practitioners frequently see children with medical conditions that may evolve into an emergency if not promptly attended to. The most common emergencies encountered in pediatric office practice are respiratory distress, dehydration, anaphylaxis, seizures and trauma. Assessment of children is sometimes difficult as the signs and symptoms might be subtle and not markedly expressed. Also, normal value of vital signs vary with age, thus their interpretation requires discrete knowledge of age appropriate values...
January 2018: Indian Journal of Pediatrics
https://read.qxmd.com/read/28657816/retrospective-evaluation-of-risk-factors-for-pediatric-secondary-transport
#15
JOURNAL ARTICLE
Jennifer N Fishe, Kevin J Psoter, Bruce L Klein, Jennifer F Anders
OBJECTIVE: Emergency medical services (EMS) typically transports patients to the nearest emergency department (ED). After initial presentation, children who require specialized care must undergo secondary transport, exposing them to additional risks and delaying definitive treatment. EMS direct transport protocols exist for major trauma and certain adult medical conditions, however the same cannot be said for pediatric medical conditions or injuries that do not meet trauma center criteria ('minor trauma')...
January 2018: Prehospital Emergency Care
https://read.qxmd.com/read/27826208/sedation-with-a-remifentanil-infusion-to-facilitate-rapid-awakening-and-tracheal-extubation-in-an-infant-with-a-potentially-compromised-airway
#16
Jeffrey Naples, Mark W Hall, Joseph D Tobias
Sedation is generally required during endotracheal intubation and mechanical ventilation in infants and children. While there are many options for the provision of sedation, the most commonly used agents such as midazolam and fentanyl demonstrate a context-sensitive half-life, which may result in a prolonged effect when these agents are discontinued following a continuous infusion. We present a 20-month-old infant who required endotracheal intubation due to respiratory failure following seizures. At the referring hospital, multiple laryngoscopies were performed with the potential for airway trauma...
2016: Journal of Pain Research
https://read.qxmd.com/read/26808349/unnecessary-use-of-red-lights-and-sirens-in-pediatric-transport
#17
JOURNAL ARTICLE
Beech Burns, Matthew L Hansen, Stacy Valenzuela, Caitlin Summers, Joshua Van Otterloo, Barbara Skarica, Craig Warden, Jeanne-Marie Guise
INTRODUCTION: Approximately 25.5 million pediatric patients are treated in Emergency Departments around the United States annually. Roughly 7% of these patients are transported by ambulance; of these, approximately 7% arrive in ambulances running red lights and sirens (RLS). Compared to those transporting without RLS, emergency vehicles employing RLS are involved in more accidents and are associated with more fatalities. OBJECTIVE: To characterize the use of RLS in pediatric transports and identify factors associated with unnecessary use of RLS...
May 2016: Prehospital Emergency Care
https://read.qxmd.com/read/25658967/prehospital-pediatric-care-opportunities-for-training-treatment-and-research
#18
JOURNAL ARTICLE
Patrick C Drayna, Lorin R Browne, Clare E Guse, David C Brousseau, E Brooke Lerner
OBJECTIVE: Pediatric transports comprise approximately 10% of emergency medical services (EMS) requests for aid, but little is known about the clinical characteristics of pediatric EMS patients and the interventions they receive. Our objective was to describe the pediatric prehospital patient cohort in a large metropolitan EMS system. METHODS: This retrospective analysis of all pediatric (age <19 years) EMS patients transported from October 2011 to September 2013 was conducted by reviewing a system-wide National EMS Information System (NEMSIS)-compliant database of all EMS patient encounters...
2015: Prehospital Emergency Care
https://read.qxmd.com/read/25523319/-pediatric-emergencies-in-the-emergency-medical-service
#19
REVIEW
C Silbereisen, F Hoffmann
Out-of-hospital pediatric emergencies occur rarely but are feared among medical personnel. The particular characteristics of pediatric cases, especially the unaccustomed anatomy of the child as well as the necessity to adapt the drug doses to the little patient's body weight, produce high cognitive and emotional pressure. In an emergency standardized algorithms can facilitate a structured diagnostic and therapeutic approach. The aim of this article is to provide standardized procedures for the most common pediatric emergencies...
January 2015: Der Anaesthesist
https://read.qxmd.com/read/24391412/demographic-profile-and-outcome-analysis-of-pediatric-intensive-care-patients
#20
JOURNAL ARTICLE
E Volakli, M Sdougka, M Tamiolaki, C Tsonidis, M Reizoglou, M Giala
BACKGROUND: Demographic profile and outcome can vary in pediatric intensive care unit (PICU) patients. The aim of our study was to analyze demographic profile and outcome in a Greek PICU. METHODS: Prospective observational study. DATA COLLECTED: demographic profile; co morbidities; source and diagnosis at admission; Pediatric Risk of Mortality (PRISM III-24); Glasgow Coma Scale (GCS, pediatric); Injury Severity Score (ISS); procedures; treatment; mechanical ventilation (MV); MV days; length of stay (LOS) and the outcome at PICU discharge...
October 2011: Hippokratia
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