Variation in the Guidelines for the Acute Management of Anaphylaxis in Pediatric Patients: An International Narrative Review
Pediatric Emergency Care
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1M ago
Objectives Evidence-based guidelines have been created and disseminated by multiple organizations to standardize the care of pediatric patients with anaphylaxis. Differences across these guidelines can cause confusion and potentially errors in clinical practice leading to patient harm. The aim of this study was to describe and identify patterns of variation in the current guidelines. Methods A narrative review with 3 major components was designed. First, a narrative review of current, peer-reviewed, guidelines published by national and international allergy and immunology, pediatric, and emerg ..read more
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Evaluating Multiple Magnet Ingestion at 2 Large Canadian Pediatric Hospitals After Reintroduction to the US Marketplace
Pediatric Emergency Care
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1M ago
Objectives To determine the trend in incidence of pediatric magnet ingestions at 2 large Canadian tertiary pediatric hospitals after reintroduction of magnets to the US marketplace and to evaluate morbidity and mortality related to these ingestions. Methods This was a retrospective study performed in 2 tertiary care pediatric hospitals between 2004 and 2019. We reviewed the charts of all children who presented with a foreign body ingestion and included those with reported magnet ingestion. We characterized all events and compared the incidence rate before and after the US ban was overturned in ..read more
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Treatment of Acute COVID-19 and COVID-19 Exposures in Children and Adolescents
Pediatric Emergency Care
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1M ago
No abstract available ..read more
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Treatment of Acute COVID-19 and COVID-19 Exposures in Children and Adolescents
Pediatric Emergency Care
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1M ago
The landscape of acute COVID-19 therapeutics has dramatically evolved since the onset of the pandemic. The treatment of acute COVID-19 in children and adolescents requires knowledge of risk factors and clinical features to appropriately select antiviral and immunomodulatory therapies. This review article provides updated guidance for emergency physicians in the treatment of acute COVID-19 in children and adolescents ..read more
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Effects of Endotracheal Epinephrine on Pharmacokinetics and Survival in a Swine Pediatric Cardiac Arrest Model
Pediatric Emergency Care
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1M ago
Objectives The aim of this study was to compare the endotracheal tube (ET) and intravenous (IV) administration of epinephrine relative to concentration maximum, time to maximum concentration, mean concentration over time (MC), area under the curve, odds, and time to return of spontaneous circulation (ROSC) in a normovolemic pediatric cardiac arrest model. Methods Male swine weighing 24–37 kg were assigned to 4 groups: ET (n = 8), IV (n = 7), cardiopulmonary resuscitation (CPR) + defibrillation (CPR + Defib) (n = 5), and CPR only (n = 3). Swine were placed arrest for 2 minutes, and then CPR was ..read more
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A Descriptive Analysis: Infants Presenting to the Pediatric Emergency Department With a Brief Resolved Unexplained Event
Pediatric Emergency Care
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1M ago
Objectives Infants presenting to pediatric emergency departments (EDs) after a choking episode, cyanotic event, or irregular breathing pattern are often diagnosed with a brief, resolved, unexplained event (BRUE). Social determinants of health may affect these patients; therefore, we aimed to define population demographics and determine significant demographic predictors between 2 cohorts—infants presenting with BRUE, and those admitted to the intensive care unit. Methods Using data from the Pediatric Health Information System (Children's Hospital Association, Washington, DC, Lenexa, KS), this ..read more
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Qualitative Point-of-Care Ultrasound Enema Management for Constipation
Pediatric Emergency Care
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1M ago
We discuss 10 cases where the qualitative evaluation of hard stool in the rectum with point-of-care ultrasound helped guide enema administration in a pediatric emergency department. Point-of-care ultrasound findings were especially valuable in cases where the presenting symptoms were undifferentiated, a language barrier was present, or the guardian and child denied that constipation was an active problem. When sodium phosphate enema administration was done in the pediatric emergency department, evacuation of the rectal stool burden was observed in most cases before final disposition ..read more
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Clinical Outcomes of Children With COVID-19 by SARS-CoV-2 Strain: A Cohort Study
Pediatric Emergency Care
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1M ago
Objective We sought to investigate the disease outcomes and predictors of severe outcomes among children infected with the Delta variant of SARS-CoV-2 compared with pre-Delta strains. Methods Single-center retrospective cohort study in an emergency department located within an urban academic children's hospital. Patients included children (0–18 years) who tested positive for SARS-CoV-2. Main outcomes measured include need for hospital admission or COVID-directed therapies. Results There was a trend toward decreased hospital admission and no significant difference in the severity of outcomes in ..read more
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Risk Factors for Recurrence of Pediatric Ileocolic Intussusception
Pediatric Emergency Care
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1M ago
No abstract available ..read more
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Accuracy of the American College of Surgeons Minimum Criteria for Full Trauma Team Activation for Children
Pediatric Emergency Care
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1M ago
Objective Pediatric trauma centers use reports from emergency medical service providers to determine if a trauma team should be sent to the emergency department to prepare to care for the patient. Little scientific evidence supports the current American College of Surgeons (ACS) indicators for trauma team activation. The objective of this study was to determine the accuracy of the ACS Minimum Criteria for Full Trauma Team Activation for children as well as the accuracy of the modified criteria used at the local sites for trauma activation. Methods Emergency medical service providers who transp ..read more
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