Closing the Gap in Care of Blunt Solid Organ Injury in Children.

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Cross-sectional data of pediatric blunt solid organ injury (SOI) demonstrates higher rates of non-operative management and shorter lengths of stay (LOS) in pediatric (PTC) vs adult (ATC) or dual (DTC) […]

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Burns and Scalds Assessment Template: standardising clinical assessment of childhood burns in the emergency department.

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The Burns and Scalds Assessment Template (BaSAT) is an evidence-based proforma coproduced by researchers and ED staff with the aim of (1) standardising the assessment of children attending ED with […]

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Risk assessment for intraabdominal injury following blunt trauma in children: Derivation and validation of a machine learning model.

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Computed tomography (CT) is the gold standard for diagnosing intra-abdominal injury (IAI) but is expensive and risks radiation exposure. The Pediatric Emergency Care Applied Research Network (PECARN) model identifies children […]

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Mometasone furoate for children with asthma: A meta-analysis.

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Mometasone furoate shows some potential in treating paediatric asthma. We conduct a systematic review and meta-analysis to explore the efficacy and safety of mometasone furoate for paediatric asthma.We have searched […]

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Timing and Volume of Crystalloid and Blood Products in Pediatric Trauma – An EAST Multicenter Prospective Observational Study.

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The purpose of this study was to determine the relationship between timing and volume of crystalloid prior to blood products and mortality, hypothesizing that earlier transfusion and decreased crystalloid prior […]

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Relationship between the number of pediatric patients with rotavirus and telephone triage for associated symptoms.

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Earlier syndromic surveillance may be effective in preventing the spread of infectious disease. However, there has been no research on syndromic surveillance for rotavirus. The study aimed to assess the […]

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Is ketamine sedation without local anesthesia sufficient for pediatric laceration repair? A double-blind randomized clinical trial.

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The objective of this study was to evaluate whether sedation with ketamine without local anesthesia was sufficient in children undergoing primary repair.Randomized, double-blind trial conducted between December 2013 and October […]

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Emergency physician performed ultrasound-assisted lumbar puncture in children: A randomized controlled trial.

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Lumbar puncture (LP) is one of the most common procedures performed in pediatric emergency departments but first-attempt success rates remain low and traumatic LP remains frequent. The aim of this […]

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Validation of Shock Index Pediatric-Adjusted (SIPA) for Children Injured in Warzones.

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Shock Index Pediatric-Adjusted (SIPA) has been used to predict injury severity and outcomes after civilian pediatric trauma. We hypothesize that SIPA can predict the need for blood transfusion and emergent […]

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Early versus delayed emergency department presentation following mild Traumatic Brain Injury and the presence of symptom at 1, 4 and 12 weeks in children.

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We evaluated the association between timing of presentation and postconcussive symptoms (PCS) at 1, 4 and 12 weeks after injury.This was a secondary analysis of a prospective cohort study conducted […]

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Sedatives used in children to obtain head CT in the emergency department.

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Children in the emergency department who require computerized tomography (CT) of the head often are given sedative medications to facilitate completion of the study with adequate imaging. A prior study […]

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Association of clinically important traumatic brain injury and Glasgow Coma Scale scores in children with head injury.

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Head injury (HI) is a common presentation to emergency departments (EDs). The risk of clinically important traumatic brain injury (ciTBI) is low. We describe the relationship between Glasgow Coma Scale […]

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Non-invasive techniques for stimulating urine production in non-toilet trained children: a systematic review.

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Urinary tract infection requires collection of a sterile urine specimen for diagnosis, which is difficult and time consuming in pre-continent children. This systematic review summarises evidence of the effectiveness of […]

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Nebulized tranexamic acid for post-tonsillectomy hemorrhage in children: a promising game changer.

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Click here to read the full article @ The American journal of emergency medicine Subscribe to ClinOwl email updates and receive the latest articles tailored to your specialty

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Decision rule to predict pneumonia in children presented with acute febrile respiratory illness.

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It is a frequent challenge for physicians to identify pneumonia in patients with acute febrile respiratory symptoms, particularly in stable pediatric patients without respiratory distress. A decision rule is required […]

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Prehospital epidemiology and management of injured children in Kigali, Rwanda.

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Paediatric injuries are a major cause of mortality and disability worldwide, yet little information exists regarding its epidemiology or prehospital management in low-income and middle-income countries. We aimed to describe […]

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Effectiveness of the Combat Application Tourniquet for Arterial Occlusion in Young Children.

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A convenience sample of pediatric patients, ages 1-8 years old, scheduled for elective orthopedic surgery at an academic hospital, were eligible for enrollment. Subject age, weight, height, blood pressure, arm […]

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Pediatric Extremity Vascular Trauma: It Matters Where it is Treated.

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Extremity vascular injuries in children are rare events that present unique therapeutic challenges. The absence of a pediatric-specific protocol for definitive care of these injuries risks variability in treatment practices […]

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High crystalloid volumes negate benefit of hemostatic resuscitation in pediatric wartime trauma casualties.

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Recent data for adult trauma patients suggests improved survival when using hemostatic resuscitation, which includes limiting crystalloids and using closer to 1:1 ratios for both fresh frozen plasma (FFP) and […]

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Factors associated with pediatric drowning admissions and outcomes at a trauma center, 2010-2017.

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Drowning is a leading cause of preventable mortality and morbidity in children. Its high fatality rate and frequent severe sequelae (e.g. brain damage and permanent loss of functioning) place a […]

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Clinical factors associated with intubation in the high flow nasal cannula era.

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Bronchiolitis is the most common cause for hospitalization in infants. While the use of high flow nasal cannula (HFNC) has increased, it has not uniformly reduced intubation rates.We identified factors […]

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Validation of the PredAHT-2 prediction tool for abusive head trauma.

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The validated Predicting Abusive Head Trauma (PredAHT) clinical prediction tool calculates the probability of abusive head trauma (AHT) in children <3 years of age who have sustained intracranial injuries (ICIs) […]

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What does the ideal urgent and emergency care system look like? A qualitative study of service user perspectives.

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Policies aimed at diverting care from EDs to alternative services have not been successful in reducing ED attendances and have contributed to confusion for service users when making care-seeking decisions. […]

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