Emergency department use during COVID-19 as described by syndromic surveillance.

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On 12 March 2020 the UK entered the ‘delay phase’ of the COVID-19 pandemic response. The Public Health England Emergency Department Syndromic Surveillance System (EDSSS) carries out daily (near real-time) […]

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Long-term Cognitive, Psychological, and Health Outcomes Associated With Child Abuse and Neglect.

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Potential long-lasting adverse effects of child maltreatment have been widely reported, although little is known about the distinctive long-term impact of differing types of maltreatment. Our objective for this special […]

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Does implementation of the PECARN rules for minor head trauma improve patient-centered outcomes in a lower resource emergency department: a retrospective cohort study.

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Managing children with minor head trauma remains challenging for physicians who evaluate for the need for computed tomography (CT) imaging for clinically important traumatic brain injury (ciTBI) identification. The Pediatric […]

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Association of Antibiotic Choice With Hospital Length of Stay and Risk Factors for Readmission in Patients With Sickle Cell Disease and Acute Chest Syndrome: An Observational Cohort Study.

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We determine the association between use of specific cephalosporins and macrolides and hospital length of stay in patients with sickle cell disease (SCD) who are admitted with acute chest syndrome, […]

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Utility of Point-of-Care Lung Ultrasonography for Evaluating Acute Chest Syndrome in Young Patients With Sickle Cell Disease.

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Acute chest syndrome is a leading cause of mortality in patients with sickle cell disease (SCD). Because early detection of acute chest syndrome is directly tied to prognosis, young patients […]

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A Multiyear Cross-sectional Study of Guideline Adherence for the Timeliness of Opioid Administration in Children With Sickle Cell Pain Crisis.

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The National Heart, Lung, and Blood Institute evidence-based guidelines for timeliness of opioid administration for sickle cell disease (SCD) pain crises recommend an initial opioid within 1 hour of arrival, […]

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Emergency care provided to refugee children in Europe: RefuNET: a cross-sectional survey study.

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Refugee children and young people have complex healthcare needs. However, issues related to acute healthcare provision for refugee children across Europe remain unexplored. This study aimed to describe the urgent […]

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Nurse practitioner administered point-of-care ultrasound compared with X-ray for children with clinically non-angulated distal forearm fractures in the ED: a diagnostic study.

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Paediatric distal forearm fractures are a common ED presentation. They can be diagnosed with point-of-care ultrasound (POCUS) as an alternative to X-rays. Given that ED nurse practitioners (NPs) are relied […]

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Seven-step framework to enhance practitioner explanations and parental understandings of research without prior consent in paediatric emergency and critical care trials.

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Alternatives to prospective informed consent enable the conduct of paediatric emergency and critical care trials. Research without prior consent (RWPC) involves practitioners approaching parents after an intervention has been given […]

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Guns, scalpels, and sutures: The cost of gunshot wounds in children and adolescents.

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Firearm injuries are the second leading cause of death among US children. While injury prevention has been shown to be effective for blunt mechanisms of injury, the rising incidence of […]

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Understanding youths’ attitudes and practices regarding listening to music, video recording and terrain park use while skiing and snowboarding.

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Skiing and snowboarding are popular activities among Canadian youth and these sports have evolved to include certain risk behaviours such as listening to music, using terrain parks, and video recording […]

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Variation in CT use for paediatric head injuries across different types of emergency departments in Australia and New Zealand.

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CT of the brain (CTB) for paediatric head injury is used less frequently at tertiary paediatric emergency departments (EDs) in Australia and New Zealand than in North America. In preparation […]

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Home-based intervention for non-Hispanic black families finds no significant difference in infant size or growth: results from the Mothers & Others randomized controlled trial.

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Non-Hispanic black (NHB) infants are twice as likely as non-Hispanic white infants to experience rapid weight gain in the first 6 months, yet few trials have targeted this population. The […]

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Predictive value of indicators for identifying child maltreatment and intimate partner violence in coded electronic health records: a systematic review and meta-analysis.

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Electronic health records (EHRs) are routinely used to identify family violence, yet reliable evidence of their validity remains limited. We conducted a systematic review and meta-analysis to evaluate the positive […]

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Isolated Low-Grade Solid Organ Injuries in Children Following Blunt Abdominal Trauma: Is It Time to Consider Discharge from the Emergency Department?

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Acute intervention for solid organ injury (SOI) is rare in hemodynamically stable children. Pediatric guidelines recommend admission with follow-up labs, even for low-grade injuries.Datasets from two large multi-center prospective observational […]

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Head home: a prospective cohort study of a nurse-led paediatric head injury clinical decision tool at a district general hospital.

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To assess if a nurse-led application of a paediatric head injury clinical decision tool would be safe compared with current practice.All paediatric (<17 years) patients with head injuries presenting to […]

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Outcomes of civilian pediatric craniocerebral gunshot wounds: A systematic review.

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Pediatric craniocerebral gunshot injuries (CGI) occur both in the context of accidental and intentional trauma. The incidence and physiology of pediatric CGI merit re-examination of prognostic factors and treatment priorities. […]

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Trends in adult patients presenting to pediatric emergency departments.

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Adults presenting to pediatric emergency departments (PEDs) include those with complex chronic conditions (CCCs) often still followed by pediatric providers, and those without CCCs (non-CCCs). This paper describes recent trends […]

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Reliability of the visio-vestibular examination for concussion among providers in a pediatric emergency department.

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Visio-vestibular examination (VVE) deficits are common following pediatric concussion. Guidelines recommend assessing these deficits on all potentially concussed youth given their diagnostic and prognostic value, however test psychometrics of the […]

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Intranasal ketamine for acute pain management in children: A systematic review and meta-analysis.

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To assess the efficacy and safety of intranasal analgesic-dose ketamine as compared to intranasal fentanyl for pediatric acute pain.A systematic review and meta-analysis was performed following the PRISMA guidelines. We […]

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Critical procedure performance in pediatric patients: Results from a national emergency medicine group.

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We sought to examine the frequency of pediatric critical procedures performed in a national group of emergency physicians.We performed a retrospective analysis of an administrative billing and coding dataset for […]

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Disability and visual outcomes following suspected abusive head trauma in children under 2 years.

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To report disability and visual outcomes following suspected abusive head trauma (AHT) in children under 2 years.We present a retrospective case series (1995-2017) of children with suspected AHT aged ≤24 […]

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Comparison of postoperative complications between open and laparoscopic appendectomy: An umbrella review of systematic reviews and meta-analyses.

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Laparoscopic appendectomy (LA) has been popular for decades because of shorter hospitalisation and return to routine activity. However, complications (e.g. surgical site infection (SSI) and intra-abdominal abscess (IAA)) relative to […]

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