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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Effect of Implementing the Out-of-Hospital Traumatic Brain Injury Treatment Guidelines: The Excellence in Prehospital Injury Care for Children Study (EPIC4Kids).

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We evaluate the effect of implementing the out-of-hospital pediatric traumatic brain injury guidelines on outcomes in children with major traumatic brain injury.The Excellence in Prehospital Injury Care for Children study […]

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Assessment of ED triage of anaphylaxis patients based on the Emergency Severity Index.

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To describe the emergency department (ED) triage of anaphylaxis patients based on the Emergency Severity Index (ESI), assess the association between ESI triage level and ED epinephrine administration, and determine […]

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UK healthcare staff experiences and perceptions of a mass casualty terrorist incident response: a mixed-methods study.

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System learning from major incidents is a crucial element of improving preparedness for response to any future incidents. Sharing good practice and limitations stimulates further actions to improve preparedness and […]

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Technical factors associated with first-pass success during endotracheal intubation in children: analysis of videolaryngoscopy recordings.

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First-pass success (FPS) during intubation is associated with lower morbidity for paediatric patients. Using videolaryngoscopy (VL) recordings, we reviewed technical aspects of intubation, including factors associated with FPS in children.We […]

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Mean core to peripheral temperature difference and mean lactate levels in first 6 hours of hospitalisation as two indicators of prognosis: an observational cohort study.

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To study mean core to peripheral temperature difference (CPTD) and the mean lactate levels over the first 6 h of admission to hospital, as indicators of prognosis in critically ill children.A […]

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Prothrombin Time ratio can predict mortality in severe pediatric trauma: Study in a French trauma center level 1.

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Injury results in more deaths in children than all other causes combined, but there is little data regarding the association of early coagulopathy on outcomes in pediatric patients with traumatic […]

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Multisystem inflammatory syndrome in children associated with novel coronavirus SARS-CoV-2: Presentations to a pediatric emergency department in Michigan.

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The SARS-CoV-2 is a respiratory virus of the coronavirus family responsible for a global pandemic since December 2019. More than 35 million people have been affected with the novel coronavirus […]

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Feasibility and usefulness of rapid 2-channel-EEG-monitoring (point-of-care EEG) for acute CNS disorders in the paediatric emergency department: an observational study.

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The aim of this study was to determine the feasibility and clinical utility of point-of-care electroencephalogram (pocEEG) in the paediatric emergency department (ED) for children presenting with acute non-traumatic central […]

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Evaluation of a novel approach to recognising community-acquired paediatric sepsis at ED triage by combining an electronic screening algorithm with clinician assessment.

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We report the utilisation and impact of a novel triage-based electronic screening tool (eST) combined with clinical assessment to recognise sepsis in paediatric ED.An electronic sepsis screening tool was implemented […]

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Intracranial injuries on computed tomography head scans in infants investigated for suspected physical abuse: a retrospective review.

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UK national guidelines recommend that investigation of infants (aged <12 months) with suspected physical abuse should always include CT head scans. Such imaging carries small but recognised risks from radiation […]

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Classic Ehlers-Dalnos syndrome presenting as atypical chronic haematoma: a case report with novel frameshift mutation in COL5A1.

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Ehlers-Danlos syndrome (EDS) is a group of inherited connective tissue disorders characterized by skin hyperextensibility, joint hypermobility and soft tissue vulnerable to blunt injury. Early recognition and diagnosis are crucial […]

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Vaping-related injury and illness among Canadian children and adolescents: a one-time survey of paediatric providers.

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A one-time survey distributed to 2693 Canadian paediatricians enrolled in the Canadian Paediatric Surveillance Programme was conducted between October and December 2019. We identified a wide range of severe vaping-related […]

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External validation of the DIVA and DIVA3 clinical predictive rules to identify difficult intravenous access in paediatric patients.

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Intravenous (IV) peripheral access is often a difficult procedure in the paediatric ED, causing pain and significant distress. Clinical prediction tools including reproducible variables have been developed to help clinicians […]

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Surge activation by the emergency department for COVID-19.

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In March 2020, the American College of Emergency Physicians (ACEP) published a national strategic plan for COVID-19, which provides general guidelines yet leaves logistical details for institutions to determine. Key […]

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