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 […]» Read more
A shortcut review was carried out to establish whether topical lidocaine was effective at reducing pain and improving oral intake in children with painful oral lesions. 34 papers were found […]» Read more
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 […]» Read more
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 […]» Read more
Defining Inclusion Criteria for the Prehospital Administration of Lyophilized Plasma in Urban Civilian Pediatric Trauma.
Click here to read the full article @ The journal of trauma and acute care surgery» Read more
High crystalloid volumes negate benefit of hemostatic resuscitation in pediatric wartime trauma casualties.
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 […]» Read more
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 […]» Read more
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 […]» Read more
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) […]» Read more
Focused cardiac ultrasound to expedite diagnosis of pulmonary hypertension in children in the emergency department: A case series.
What does the ideal urgent and emergency care system look like? A qualitative study of service user perspectives.
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. […]» Read more
Discrete event simulation modelling to evaluate the impact of a quality improvement initiative on patient flow in a paediatric emergency department.
We developed a discrete event simulation model to evaluate the impact on system flow of a quality improvement (QI) initiative that included a time-specific protocol to decrease the time to […]» Read more
National trends in mental health-related emergency department visits by children and adults, 2009-2015.
Examine trends in mental health-related emergency department (ED) visits, changes in disposition and length of stay (LOS), describe disposition by age and estimate proportion of ED treatment hours dedicated to […]» Read more
Pediatric firearm injury is a leading cause of death for U.S. children. We sought to further characterize children who die from these injuries using a validated national database.The National Trauma […]» Read more
The impact of a pediatric emergency department discharge take-home antibiotic program on patient satisfaction.
Influenza is an illness that affects individuals of all ages but its severity varies immensely: from the symptoms of a common cold to the deadly outbreak of the pandemic H1N1 […]» Read more
The emergent evaluation of children with suspected traumatic cervical spine injuries (CSI) remains a challenge. Pediatric clinical pathways have been developed to stratify the risk of CSI and guide computed […]» Read more
Predictors of effective management of acute pain in children within a UK ambulance service: A cross-sectional study.
We aimed to identify predictors of effective management of acute pain in children in the pre-hospital setting.A retrospective cross-sectional study using electronic clinical records from one large UK ambulance service […]» Read more
Impact of viral symptoms on the performance of the modified centor score to predict pediatric group A streptococcal pharyngitis.
Clinicians use the Modified Centor Score (MCS) to estimate the risk of group A streptococcal (GAS) pharyngitis in children with sore throat. The Infectious Diseases Society of America (IDSA) recommends […]» Read more
Airway management is a common procedure performed in the Emergency Department with significant potential for complications. Many of the traditional physical examination maneuvers have limitations in the assessment and management […]» Read more
The clinical characteristics of situational syncope in children and adults undergoing head-up tilt testing.
Situational syncope is a subtype of neurally mediated syncope and associated with specific circumstances. This paper is to assess the clinical characteristics and underlying causes of situational syncope.This is a […]» Read more
Does intramuscular ondansetron have an effect on intramuscular ketamine-associated vomiting in children? A prospective, randomized, double blind, controlled study.
This study was conducted to determine the effect of intramuscular ondansetron on ketamine-associated vomiting in children undergoing procedural sedation.This randomized, double-blind, placebo-controlled, parallel-group clinical trial was conducted at the emergency […]» Read more
Droperidol is a dopamine receptor antagonist that functions as an analgesic, sedative, and antiemetic. In 2001, the U.S. Food and Drug Administration required a black box warning in response to […]» Read more
A Video-Based, Case-Control Study of Factors Associated With Intraosseous Catheterization During Pediatric Resuscitation.
Factors associated with intraosseous (IO) catheterization are not well described. Our objective is to identify factors associated with the attempt and timing of IO catheterization in a pediatric emergency department […]» Read more
Delayed adenosine therapy is associated with the refractory supraventricular tachycardia in children.
To study the association of time intervals on adenosine therapy with the occurrence of refractory supraventricular tachycardia (SVT) in children.We reviewed 334 episodes of presumed SVT requiring adenosine in children […]» Read more
Spontaneous brain arteriovenous malformation rupture with atrioventricular block in a pediatric patient.
This case reports 9 year-old-female with atrioventricular block and seizure. Careful evaluation, including electrocardiogram (ECG) and computerized tomography (CT) revealed a high-grade atrioventricular block and spontaneous brain arteriovenous malformation (AVM) rupture. […]» Read more
Visual disturbances are an uncommon pediatric chief complaint. Usually, after a complete ocular exam including visual acuity, most causes are benign and not life-threatening. Children with abnormal visual complaints who […]» Read more
Click here to read the full article @ Annals of Emergency Medicine» Read more
There is little published information on injuries from playing dodgeball. This investigation described dodgeball-related injuries among children and adults managed at emergency departments (EDs).Cases were dodgeball-related injuries reported to the […]» Read more