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21 papers 0 to 25 followers
Francesco C Blumetti, Luke Gauthier, Paul J Moroz
The purpose of this study was to describe a series of patients presenting with medial malleolus Salter-Harris types III and IV fractures (MacFarland fractures) related to trampoline use. In total, 11 patients were reviewed retrospectively (mean age: 11.8 years; four boys and seven girls). Salter-Harris type III fractures were more commonly seen (n=7). Undisplaced fractures were more prevalent (n=6). Six children underwent surgical treatment. Average follow-up time was 17.8 months. A medial physeal bar with subsequent growth arrest and ankle deformity was observed in two patients...
March 2016: Journal of Pediatric Orthopedics. Part B
Nader Shaikh, Timothy R Shope, Alejandro Hoberman, Alyssa Vigliotti, Marcia Kurs-Lasky, Judith M Martin
OBJECTIVE: We sought to determine factors associated with the absence of pyuria in symptomatic children whose urine culture was positive for a known uropathogen. METHODS: We obtained data on children evaluated at the Children's Hospital of Pittsburgh emergency department between 2007 and 2013 with symptoms of urinary tract infection (UTI) who had paired urinalysis and urine cultures. We excluded children with an unknown or bag urine collection method, major genitourinary anomalies, immunocompromising conditions, or with multiple organisms on culture...
July 2016: Pediatrics
Borja Gomez, Santiago Mintegi, Silvia Bressan, Liviana Da Dalt, Alain Gervaix, Laurence Lacroix
BACKGROUND: A sequential approach to young febrile infants on the basis of clinical and laboratory parameters, including procalcitonin, was recently described as an accurate tool in identifying patients at risk for invasive bacterial infection (IBI). Our aim was to prospectively validate the Step-by-Step approach and compare it with the Rochester criteria and the Lab-score. METHODS: Prospective study including infants ≤90 days with fever without source presenting in 11 European pediatric emergency departments between September 2012 and August 2014...
August 2016: Pediatrics
Markus Pääkkönen, Markku J T Kallio, Pentti E Kallio, Heikki Peltola
UNLABELLED: In addition to the examination of clinical signs, several laboratory markers have been measured for diagnostics and monitoring of pediatric septic bone and joint infections. Traditionally erythrocyte sedimentation rate (ESR) and leukocyte cell count have been used, whereas C-reactive protein (CRP) has gained in popularity. We monitored 265 children at ages 3 months to 15 years with culture-positive osteoarticular infections with a predetermined series of ESR, CRP, and leukocyte count measurements...
March 2010: Clinical Orthopaedics and related Research
Sharon E Mace, Seth R Gemme, Jonathan H Valente, Barnet Eskin, Katherine Bakes, Deena Brecher, Michael D Brown
No abstract text is available yet for this article.
May 2016: Annals of Emergency Medicine
Terry Varshney, Elise Mok, Adam J Shapiro, Patricia Li, Alexander S Dubrovsky
OBJECTIVE: Characterise lung ultrasound (LUS) findings, diagnostic accuracy and agreement between novice and expert interpretations in young children with respiratory tract infections and wheeze. METHODS: Prospective cross-sectional study in a paediatric ED. Patients ≤2 years with a respiratory tract infection and wheeze at triage were recruited unless in severe respiratory distress. Prior to clinical management, a novice sonologist performed the LUS using a six-zone scanning protocol...
September 2016: Emergency Medicine Journal: EMJ
H Cody Meissner
No abstract text is available yet for this article.
January 7, 2016: New England Journal of Medicine
James G Adams
No abstract text is available yet for this article.
February 16, 2016: JAMA: the Journal of the American Medical Association
Sharon E Straus, Jacqueline M Tetroe, Ian D Graham
OBJECTIVE: To provide an overview of the science and practice of knowledge translation. STUDY DESIGN: Narrative review outlining what knowledge translation is and a framework for its use. RESULTS: Knowledge translation is defined as the use of knowledge in practice and decision making by the public, patients, health care professionals, managers, and policy makers. Failures to use research evidence to inform decision making are apparent across all these key decision maker groups...
January 2011: Journal of Clinical Epidemiology
Marc H Gorelick, Robert Schremmer, Holly Ruch-Ross, Carrie Radabaugh, Steven Selbst
OBJECTIVES: Changes in health care delivery and graduate medical education have important consequences for the workforce in pediatric emergency medicine (PEM). This study compared career preparation and potential attrition of the PEM workforce with the prior assessment from 1998. METHODS: An e-mail survey was sent to members of the American Academy of Pediatrics (AAP) Section on EM and to non-AAP members board certified in PEM. Information on demographics, practice characteristics and professional activities, career preparation, future plans, and burnout (using two validated screening questions) was analyzed using standard descriptive statistics...
January 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Sean Patrick Nordt, Lisa E Vivero, F Lee Cantrell
Oxymetazoline is an over-the-counter nasal decongestant with potent alpha agonist properties. In overdoses as small as 1-2 mL, toxicity can be seen including bradycardia and respiratory depression. We demonstrated that inverting the container increased the volume delivered 20- to 30-fold compared with holding it upright in an in vitro model.
January 2016: Journal of Pediatrics
Arun Singh Danewa, Dheeraj Shah, Prerna Batra, Swapan Kumar Bhattacharya, Piyush Gupta
OBJECTIVES: To evaluate the role of oral ondansetron in facilitating successful rehydration of under-5-year-old children suffering from acute diarrhea with vomiting and some dehydration. STUDY DESIGN: Children (n = 170) aged 3 months to 5 years with acute diarrhea with vomiting and some dehydration were enrolled in this double blind, randomized, placebo-controlled trial. The participants were randomized to receive either single dose of oral ondansetron (n = 85) or placebo (n = 85) in addition to standard management of dehydration according to World Health Organization guidelines...
February 2016: Journal of Pediatrics
Te-Lu Yap, Yong Chen, Wilson Wei Xin Low, Caroline Choo Phaik Ong, Shireen Anne Nah, Anette S Jacobsen, Liang Shen, Yee Low
AIM: The aim of this study was to develop a new Children's Appendicitis Score (CAS) by combining 3 inflammatory markers and a set of predictors for suspected appendicitis in children. METHODS: 374 children aged 4-16years with suspicion of appendicitis were prospectively enrolled for the derivation cohort. Demographic characteristics, clinical features, laboratory, and histology data were collected. The outcome measure was the histological presence or absence of appendicitis...
December 2015: Journal of Pediatric Surgery
Amanda L Sherman, Julia Anderson, Colin D Rudolph, Lynn S Walker
OBJECTIVES: The aim of the study was to test the hypothesis that caregiver-reported difficulties in infant behavior and caregivers' distress will significantly improve on lactose-free (LF) milk-based or LF soy-based formulas compared with a milk-based, lactose-containing formula. METHODS: In this double-blind randomized controlled trial, infants (mean age: 4.97 weeks) with caregiver-reported feeding problems on a milk-based lactose-containing formula were randomized to receive either LF milk-based (n = 96), LF soy-based (n = 97), or milk-based, lactose-containing (n = 103) formula...
July 2015: Journal of Pediatric Gastroenterology and Nutrition
Astha Singhal, Daniel J Caplan, Michael P Jones, Raymond A Kuthy, Elizabeth T Momany, Christopher T Buresh, Peter C Damiano
OBJECTIVES: To identify the factors associated with paediatric emergency department (ED) visits and parental perceptions of the avoidability of their child's ED visit. DESIGN: Cross-sectional study by performing secondary analysis of 2010-2011 Iowa Child and Family Household Health Survey data. SETTING: State-wide representative population-based sample of families with at least one child in the state of Iowa in the USA. PATIENTS/PARTICIPANTS: Among the eligible households, 2386 families completed the survey, yielding a cooperation rate of 80%...
May 2016: Emergency Medicine Journal: EMJ
Robert S Green, Michael B Butler, Nelofar Kureshi, Mete Erdogan
OBJECTIVES: A small proportion of pediatric sport- and recreation-related injuries are serious enough to be considered "major trauma." However, the immediate and long-term consequences in cases of pediatric major trauma are significant and potentially life-threatening. The objective of this study was to describe the incidence and outcomes of pediatric major traumas related to sport and recreational activities in Nova Scotia. METHODS: This study was a retrospective case series...
March 2016: CJEM
Robin Slover, Sheryl Kent
Pediatric headaches are common, and many may never require intervention by a health care provider. However, migraines can become more difficult to treat, especially if they become chronic daily headaches. Pediatric headache is a subjective and unique experience that requires attention to both psychological and physiologic components in diagnosis and treatment. A biopsychosocial, multidisciplinary approach, including both medication management and psychological treatment, is considered essential for effective management...
August 2015: Advances in Pediatrics
Shiro Gonai, Yoshito Kamio, Tomoyuki Matsuoka, Manabu Harunari, Yutaka Saito, Kiyotsugu Takuma
Although techniques for autoreduction of anterior shoulder dislocation have been developed, no reports have detailed an autoreduction method using the zero position and traction on the affected arm. Therefore, we developed a new autoreduction technique using the zero position and gentle autotraction. The objective of this study is to present our experience with a new method for autoreduction of anterior shoulder dislocation called the GONAIS (a backronym for “Grasp a waist-high object, Opposite arm assists, Nonsedated, Autoreduction/autotraction, Immobilize the grasped object, and Squatting and stooping”) method...
January 2016: American Journal of Emergency Medicine
Maria E Moreira, Caleb Hernandez, Allen D Stevens, Seth Jones, Margaret Sande, Jason R Blumen, Emily Hopkins, Katherine Bakes, Jason S Haukoos
STUDY OBJECTIVE: The Institute of Medicine has called on the US health care system to identify and reduce medical errors. Unfortunately, medication dosing errors remain commonplace and may result in potentially life-threatening outcomes, particularly for pediatric patients when dosing requires weight-based calculations. Novel medication delivery systems that may reduce dosing errors resonate with national health care priorities. Our goal was to evaluate novel, prefilled medication syringes labeled with color-coded volumes corresponding to the weight-based dosing of the Broselow Tape, compared with conventional medication administration, in simulated pediatric emergency department (ED) resuscitation scenarios...
August 2015: Annals of Emergency Medicine
Seen Chung, Angelo Mikrogianakis, Paul W Wales, Peter Dirks, Manohar Shroff, Ash Singhal, Vincent Grant, B J Hancock, David Creery, Jeff Atkinson, Dickens St-Vil, Louis Crevier, Natalie Yanchar, Allen Hayashi, Vivek Mehta, Timothy Carey, Sonny Dhanani, Ron Siemens, Sheila Singh, Dave Price
BACKGROUND: The Institute of Medicine calls for the use of clinical guidelines and practice parameters to promote "best practices" and improve patient outcomes. In 2006, The Trauma Association of Canada Pediatric Committee set out to create an evidence-based, national pediatric cervical spine (c-spine) clearance guideline based on the literature, existing algorithms from each pediatric trauma center and from expert opinion from across Canada. METHODS: A review of the literature took place in September 2006 using the PubMed database...
April 2011: Journal of Trauma
2015-09-29 11:33:46
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