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Pediatric drowning

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https://www.readbyqxmd.com/read/27916443/extracorporeal-life-support-use-in-pediatric-trauma-a-review-of-the-national-trauma-data-bank
#1
Joshua A Watson, Brian R Englum, Jina Kim, Obinna O Adibe, Henry E Rice, Mark L Shapiro, Mani A Daneshmand, Elisabeth T Tracy
PURPOSE: As the role of extracorporeal life support (ECLS) continues to evolve in the adult and pediatric populations, smaller studies and case reports have described successful use of ECLS in specific groups of pediatric trauma patients. To further define the role of ECLS in pediatric trauma, we examined indications and outcomes for use of ECLS in injured children using a large national database. METHODS: All trauma patients ≤18years old were identified from the 2007 to 2011 National Trauma Data Bank...
October 28, 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27679965/pediatric-out-of-hospital-cardiac-arrest-characteristics-and-their-association-with-survival-and-neurobehavioral-outcome
#2
Kathleen L Meert, Russell Telford, Richard Holubkov, Beth S Slomine, James R Christensen, J Michael Dean, Frank W Moler
OBJECTIVE: To investigate relationships between cardiac arrest characteristics and survival and neurobehavioral outcome among children recruited to the Therapeutic Hypothermia after Pediatric Cardiac Arrest Out-of-Hospital trial. DESIGN: Secondary analysis of Therapeutic Hypothermia after Pediatric Cardiac Arrest Out-of-Hospital trial data. SETTING: Thirty-six PICUs in the United States and Canada. PATIENTS: All children (n = 295) had chest compressions for greater than or equal to 2 minutes, were comatose, and required mechanical ventilation after return of circulation...
December 2016: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/27389126/noninvasive-hemoglobin-measurement-in-pediatric-trauma-patients
#3
Mark L Ryan, Angela C Maxwell, Lisa Manning, Jonathan D Jacobs, Marielena Bachier-Rodriguez, Alexander Feliz, Regan F Williams
INTRODUCTION: Hemorrhage is a major cause of preventable death secondary to traumatic injury. Diagnosis often requires multiple blood draws, which are psychologically stressful in pediatric patients. The Pronto device is a pulse co-oximeter that measures the total hemoglobin level using multiple wavelengths of light. The purpose of this study was to evaluate the accuracy of the noninvasive hemoglobin measurements relative to current invasive and point of care testing methods in pediatric trauma patients...
July 6, 2016: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/27362855/targeted-temperature-management-after-pediatric-cardiac-arrest-due-to-drowning-outcomes-and-complications
#4
Frank W Moler, Jamie S Hutchison, Vinay M Nadkarni, Faye S Silverstein, Kathleen L Meert, Richard Holubkov, Kent Page, Beth S Slomine, James R Christensen, J Michael Dean
OBJECTIVE: To describe outcomes and complications in the drowning subgroup from the Therapeutic Hypothermia After Pediatric Cardiac Arrest Out-of-Hospital trial. DESIGN: Exploratory post hoc cohort analysis. SETTING: Twenty-four PICUs. PATIENTS: Pediatric drowning cases. INTERVENTIONS: Therapeutic hypothermia versus therapeutic normothermia. MEASUREMENTS AND MAIN RESULTS: An exploratory study of pediatric drowning from the Therapeutic Hypothermia After Pediatric Cardiac Arrest Out-of-Hospital trial was conducted...
August 2016: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/27261957/pre-trauma-center-management-of-intracranial-pressure-in-severe-pediatric-traumatic-brain-injury
#5
Gregory Hansen, Patrick J McDonald, Doug Martin, Jeff K Vallance
OBJECTIVES: Pre-trauma center care is a critical component in severe pediatric traumatic brain injury (TBI). For geographically large trauma catchment areas, optimizing increased intracranial pressure (ICP) management may potentially improve outcomes. This retrospective study examined ICP management in nontrauma centers and during interfacility transport to the trauma center. METHODS: Charts from a pediatric level I trauma center were reviewed for admissions between 2008 and 2013...
June 2, 2016: Pediatric Emergency Care
https://www.readbyqxmd.com/read/27184510/-cardiac-dysfunction-secondary-to-an-adrenergic-storm-or-cardiomyopathy-of-stress-among-child-victims-of-traumatism
#6
D D Batouche, K Elhalimi, N F Benatta
OBJECTIVE: To provide information specific to a catecholaminergic storm during a violent stress in children. PATIENTS AND METHODS: Two clinical observations in children who suffered violent trauma. RESULTS: HASH(0x4a97348) FIRST CASE: a boy aged 12 years victim of a drowning in Stage 3 admitted to the pediatric intensive care 02.08.2015. He was intubated, ventilated, sedated with benzodiazepines and morphine. Cardiac exploration revealed a global hypokinesis with septal dyskinesia, a 45% FES offset a slight excess of ST, a troponin I to 31...
June 2016: Annales de Cardiologie et D'angéiologie
https://www.readbyqxmd.com/read/27107689/extracorporeal-life-support-for-victims-of-drowning
#7
Christopher R Burke, Titus Chan, Thomas V Brogan, Laurance Lequier, Ravi R Thiagarajan, Peter T Rycus, D Michael McMullan
AIM: Unintentional drowning is a significant public health concern in the United States and represents a leading cause of death in the pediatric population. Extracorporeal life support (ECLS) may be used to support drowning victims, but outcomes have not been well defined. This study examined survival rates and risk factors for death in this population. METHODS: Retrospective data from the Extracorporeal Life Support Organization registry was examined to determine outcomes of ECLS and risk factors for death in drowning victims...
July 2016: Resuscitation
https://www.readbyqxmd.com/read/27021675/resuscitation-of-a-pediatric-drowning-in-hypothermic-cardiac-arrest
#8
Brendan N Dragann, Eric M Melnychuk, Christopher J Wilson, Richard L Lambert, Frank A Maffei
The prognosis of pediatric patients who require prolonged resuscitation after ice water drowning and hypothermic cardiac arrest remains guarded. We report a case of successful prolonged resuscitation of a pediatric patient in hypothermic cardiac arrest who showed severe metabolic derangements and went on to make a rapid and full neurologic recovery without the use of extracoproreal rewarming or mechanical cardiac support. Many ground and air medical emergency medical service programs have policies against interfacility transfer of patients in hypothermic cardiac arrest, calling into question the need to revise current protocols...
March 2016: Air Medical Journal
https://www.readbyqxmd.com/read/26937385/lenticulostriate-arterial-distribution-pathology-may-underlie-pediatric-anoxic-brain-injury-in-drowning
#9
Mariam Ishaque, Janessa H Manning, Mary D Woolsey, Crystal G Franklin, Elizabeth W Tullis, Peter T Fox
Drowning is a leading cause of neurological morbidity and mortality in young children. Anoxic brain injury (ABI) can result from nonfatal drowning and typically entails substantial neurological impairment. The neuropathology of drowning-induced pediatric ABI is not well established. Specifically, quantitative characterization of the spatial extent and tissue distribution of anoxic damage in pediatric nonfatal drowning has not previously been reported but could clarify the underlying pathophysiological processes and inform clinical management...
2016: NeuroImage: Clinical
https://www.readbyqxmd.com/read/26886449/the-combination-effects-of-bendamustine-with-antimetabolites-against-childhood-acute-lymphoblastic-leukemia-cells
#10
Shoko Goto, Hiroaki Goto, Tomoko Yokosuka
Bendamustine combined with other drugs is clinically efficacious for some adult lymphoid malignancies, but to date there are no reports of the use of such combinatorial approaches in pediatric patients. We investigated the in vitro activity of bendamustine combined with other antimetabolite drugs on B cell precursor acute lymphoblastic leukemia (BCP-ALL) cell lines established from pediatric patients with refractory or relapsed ALL. We also developed a mathematically drown improved isobologram method to assess the data objectively...
May 2016: International Journal of Hematology
https://www.readbyqxmd.com/read/26572880/ventilation-monitoring-for-severe-pediatric-traumatic-brain-injury-during-interfacility-transport
#11
Gregory Hansen, Jeff K Vallance
BACKGROUND: Ventilation monitoring practice for intubated pediatric patients with severe traumatic brain injury (TBI) during interfacility transport (IFT) has not been well documented. We describe the difference of practices in ventilation monitoring during IFT from the perspective of a level I pediatric trauma center with an enormous catchment area. METHODS: Patients admitted between July 2008 and September 2013 at Winnipeg Health Science Center, Canada, were examined in this retrospective chart review...
December 2015: International Journal of Emergency Medicine
https://www.readbyqxmd.com/read/26568689/evaluation-of-forensic-cases-admitted-to-pediatric-intensive-care-unit
#12
Burcu Bursal Duramaz, Hamdi Murat Yıldırım, Hasan Serdar Kıhtır, Osman Yeşilbaş, Esra Şevketoğlu
AIM: This study aimed to determine the epidemiological and clinical characteristics of pediatric forensic cases to contribute to the literature and to preventive health care services. MATERIAL AND METHODS: Pediatric forensic cases hospitalized in our pediatric intensive care unit below the age of 17 years were reviewed retrospectively (January 2009-June 2014) . The patients were evaluated in two groups as physical traumas (Group A) and poisonings (Group B). The patients' age, gender, complaints at presentation, time of presentation and referral (season, time) and, mortality rates were determined...
September 2015: Türk Pediatri Arşivi
https://www.readbyqxmd.com/read/26560959/-effects-of-long-term-treatment-with-levetiracetam-as-an-adjunctive-therapy-in-japanese-children-with-uncontrolled-partial-onset-seizures-a-multicenter-open-label-study
#13
MULTICENTER STUDY
Hidefumi Nakamura, Makiko Osawa, Terumichi Yokoyama, Katsumi Yoshida, Atsushi Suzuki
Following the first period of the multicenter, open-label, single-armed N01223 trial, the second period of the N01223 trial was conducted to evaluate long-term safety, along with the efficacy of adjunctive levetiracetam treatment (individualized dose range, 20-60 mg/kg/day or 1,000-3,000 mg/day) in Japanese pediatric patients with uncontrolled partial-onset seizures (POS). Of the 62 children who completed the first period, 55 children [age: 10.4 ± 3.4 years (mean ± standard deviation)] were elected to enter the second period for a maximum of 39 months...
November 2015: Brain and Nerve, Shinkei Kenkyū No Shinpo
https://www.readbyqxmd.com/read/26493071/cognitive-and-behavioral-risk-factors-for-unintentional-drowning-among-rural-chinese-children
#14
Jiabin Shen, Shulan Pang, David C Schwebel
BACKGROUND: Unintentional drowning is among the top causes of pediatric death worldwide and the leading cause of death for children under age 14 in China. Environmental factors such as abundant bodies of water and psychosocial factors such as lack of parental supervision contribute to heightened risk of pediatric drowning in rural China, but little is known about the role of individual characteristics such as knowledge and perceived vulnerability in the drowning risk of rural Chinese children...
April 2016: International Journal of Behavioral Medicine
https://www.readbyqxmd.com/read/26364424/perils-of-summer-how-to-treat-pediatric-summertime-emergencies
#15
Lauren Mutter, Mark Meredith
No abstract text is available yet for this article.
July 2015: JEMS: a Journal of Emergency Medical Services
https://www.readbyqxmd.com/read/26151835/pediatric-sand-aspiration-managed-using-bronchoscopy-and-extracorporeal-membrane-oxygenation
#16
Khaled Ali Baqais, Meagan Mahoney, Kathleen Tobler, Anita Hui, Mary Noseworthy
Sand aspiration is a rare but potentially fatal occurrence to consider in near-drownings, accidental burials or cave-ins. Optimal management is not well defined.
September 2015: Canadian Respiratory Journal: Journal of the Canadian Thoracic Society
https://www.readbyqxmd.com/read/26038014/child-drowning-deaths-in-aydin-province-western-turkey-2002-2012
#17
M Dirlik, B Bostancıoğlu
INTRODUCTION: Drowning, a major public health problem worldwide, occurs as an accident, suicide, or homicide. Deaths with an accidental origin are common in childhood in the 0-18 age group. In our study, pediatric drowning cases for whom a postmortem examination and an autopsy were conducted by Adnan Menderes University Department of Forensic Medicine were evaluated. The characteristics were determined and compared with domestic and foreign studies. MATERIALS AND METHODS: A total of 39 cases in the 0-18 age group in Aydın between 2002 and 2012 were analyzed regarding age, gender, cause of death, origin, the accident scene, and the month in which the death occurred...
December 2015: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/25706923/compliance-of-camps-in-the-united-states-with-guidelines-for-health-and-safety-practices
#18
MULTICENTER STUDY
Robert P Olympia, Kaylee Hollern, Caitlin Armstrong, Pelumi Adedayo, Jennifer Dunnick, Jessica Hartley, Bhavin Doshi
OBJECTIVE: To determine the compliance of US camps with guidelines for health and safety practices as set forth by the American Academy of Pediatrics and the US Department of Homeland Security. METHODS: An electronic questionnaire was distributed to US camps during the summer of 2012 as identified by 3 online summer camp directories. RESULTS: Analysis was performed on 433 completed questionnaires. Fourteen percent of camps were considered medically related...
March 2015: Pediatric Emergency Care
https://www.readbyqxmd.com/read/25703785/patterns-of-multiorgan-dysfunction-after-pediatric-drowning
#19
Haifa Mtaweh, Patrick M Kochanek, Joseph A Carcillo, Michael J Bell, Ericka L Fink
AIMS: To evaluate patterns of multiorgan dysfunction and neurologic outcome in children with respiratory and cardiac arrest after drowning. METHODS: Single center retrospective chart review of children aged 0-21 years admitted between January 2001 and January 2012 to the pediatric intensive care unit at Children's Hospital of Pittsburgh with a diagnosis of drowning/submersion/immersion. Organ dysfunction scores were calculated for first 24h of admission as defined by the Pediatric Logistic Organ Dysfunction Score-1 (PELOD-1) and Pediatric Multiple Organ Dysfunction Score (P-MODS)...
May 2015: Resuscitation
https://www.readbyqxmd.com/read/25701215/vomiting-is-not-associated-with-poor-outcomes-in-pediatric-victims-of-unintentional-submersions
#20
Kimberley M Farr, Elizabeth A Camp, Shabana Yusuf, Rohit P Shenoi
INTRODUCTION: The outcome of submersion victims depends on submersion duration and the availability of timely and effective resuscitation. The prognostic implication of vomiting during resuscitation of submersion victims is unclear. The study sought to determine whether vomiting during resuscitation in children treated for unintentional submersion injuries adversely impacts outcome. METHODS: This was a retrospective study of unintentional submersion victims under age 18 treated at an urban tertiary-care children's hospital from 2003-2009...
May 2015: American Journal of Emergency Medicine
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