Severe Acute Neurologic Involvement in Children With Hemolytic-Uremic Syndrome.

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Acute severe neurologic involvement is the most threatening complication in children with hemolytic-uremic syndrome (HUS). Our primary study objectives were to describe the association between acute neurologic manifestations (ANMs) and […]

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Nonresection management of the pancreas for grade III and IV blunt pancreatic injuries in children: a single center’s experience.

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The treatment of high-grade (III/IV/V) blunt pancreatic injuries remains controversial. The study aims to summarize and evaluate nonresection management of the pancreas for grade III and IV blunt pancreatic injuries […]

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Clinical and genetic characteristics of concomitant Mucopolysaccharidosis type IVA and neurogenic bladder in children: two case reports and literature review.

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Mucopolysaccharidosis IVA (MPS IVA; Morquio A syndrome) is a rare autosomal recessive lysosomal storage disorder. Up to now, reports on the clinical characteristics of MPS IVA mainly focused on patients […]

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Tourniquet application by schoolchildren- a randomized crossover study of three commercially available models.

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Life threatening hemorrhage is a major cause of preventable mortality in trauma. Studies have demonstrated the effectiveness and safety of commercial tourniquets when used by adult civilians. However, there is […]

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Caught in the Crossfire: 37 Years of Firearm Violence Afflicting America’s Youth.

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Publicly available firearm data is difficult to access. Trauma registry data is excellent at documenting patterns of firearm-related injury. Law enforcement data excels at capturing national violence trends to include […]

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A reappraisal of childhood drowning in a pediatric emergency department.

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In the present study, we aimed to investigate the demographic and clinical features, laboratory and radiologic characteristics, management, and outcomes of pediatric drowning patients in order to identify predictors of […]

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Principles of Care for Young Adults With Co-Occurring Psychiatric and Substance Use Disorders.

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Over 50% of young adults (defined as individuals aged 18-25 years) with substance use disorders (SUDs) have at least 1 co-occurring psychiatric disorder, and the presence of co-occurring disorders worsens […]

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Utilization of the electrocardiogram in the pediatric emergency department.

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Review pediatric electrocardiogram (ECG) result severity classification and describe the utilization of ECG testing, and rate of clinically significant results, in the pediatric emergency department (PED).This was a review of […]

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Associations between initial serum pH value and outcomes of pediatric out-of-hospital cardiac arrest.

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Pediatric out-of-hospital cardiac arrest (OHCA) is one of the most critical conditions seen in the emergency department (ED). Although initial serum pH value is reported to be associated with outcome […]

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Paediatric emergencies and related mortality in Nicaragua: results from a multi-site paediatric emergency registry.

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We aim to describe the characteristics and outcomes of the severe spectrum of paediatric emergency visits using a multi-site registry developed as part of an international cooperation project.This observational registry-based […]

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Parental satisfaction with waiting time in a Swiss tertiary paediatric emergency department.

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Patient numbers in paediatric emergency departments (PED) are steadily increasing. Parental perception of waiting time and reasons for attending a PED with non-emergencies have been investigated in the UK, Australia, […]

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Lymphocyte-to-monocyte ratio predicts mortality in cirrhotic patients with septic shock.

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Patients with liver cirrhosis and septic shock have a significantly higher risk of mortality and morbidity compared with non-cirrhotic patients. The peripheral blood lymphocyte-to-monocyte ratio (LMR) can determine the prognosis […]

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Characteristics, clinical care, and disposition barriers for mental health patients boarding in the emergency department.

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Lack of mental health resources, such as inpatient psychiatric beds, has increased frequency and duration of boarding for mental health patients presenting to U.S. emergency departments (EDs). The purpose of […]

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Evidence base for point-of-care ultrasound (POCUS) for diagnosis of skull fractures in children: a systematic review and meta-analysis.

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Blunt head trauma is a common presentation to emergency departments (EDs). Identifying skull fractures in children is important as they are known factor of risk for traumatic brain injury (TBI). […]

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A Randomized Trial of Laryngeal Mask Airway in Neonatal Resuscitation.

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Face-mask ventilation is the most common resuscitation method for birth asphyxia. Ventilation with a cuffless laryngeal mask airway (LMA) has potential advantages over face-mask ventilation during neonatal resuscitation in low-income […]

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Fever response to ibuprofen in viral and bacterial childhood infections.

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to compare the antipyretic effects of ibuprofen in febrile children with serious bacterial infections (SBI), and children with a presumed viral infection.A prospective cross- sectional study was conducted in a […]

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Shock index is better than conventional vital signs for assessing higher level of care and mortality in severe sepsis or shock.

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Conventional vital signs alone have limitations in determining the physiological status. Age-adjusted shock-index (SIPA), a comprehensive physiological variable, defined as the ratio of heart rate (HR) and systolic blood pressure […]

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Duration of symptoms is the only predictor of testicular salvage following testicular torsion in children: A case-control study.

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Testicular torsion (TT) is an emergency requiring a prompt diagnosis and surgery to avoid irreversible changes and a complete loss of testis. The present study aimed to identify potential factors […]

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Bacteriology of pediatric breast abscesses beyond the neonatal period.

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Limited data exist regarding the presentation and bacteriology of nonneonatal pediatric breast abscess.To determine the bacteriology and characteristic presentation of pediatric breast abscesses in a tertiary care center.Cross-sectional study of […]

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Supporting children and adolescents following parental bereavement: guidance for health-care professionals.

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Death of a parent in childhood and adolescence is a distressing life event. Childhood grief reactions are distinct from those in adults, and are affected by developmental and contextual factors […]

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Characteristics of frequent paediatric users of emergency departments in England: an observational study using routine national data.

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Frequent attendances of the same users in emergency departments (ED) can intensify workload pressures and are common among children, yet little is known about the characteristics of paediatric frequent users […]

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Improving Quality of Care Through a Mandatory Provincial Audit Program: Ontario’s Emergency Department Return Visit Quality Program.

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The Emergency Department Return Visit Quality Program was launched in Ontario, Canada, to promote a culture of quality. It mandates the province’s largest-volume emergency departments (EDs) to audit charts of […]

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Association of air temperature with pediatric intussusception in northeastern China: A 10-year retrospective study.

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The aim of this study was to determine whether an association existed between intussusception and air temperature.A retrospective study was performed between March 2006 and February 2016 to determine the […]

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