• Pediatric Esophageal Foreign Body: Possible Role for Digital Tomosynthesis

    1 month ago - By Pediatric Emergency Care

    Objectives
    Foreign body ingestion is a common reason for emergency department visits, affecting more than 80,000 children in the United States annually. Whereas most ingested FBs are coins or other radiopaque objects, some are radiolucent FBs such as food. Digital tomosynthesis is a radiographic technique that produces cross-sectional images with in-plane resolution similar to that of traditional radiographs. Our pilot study evaluated the sensitivity and specificity of DTS to detect FB in comparison to esophagram and clinical impression.
    Methods
    This was a retrospective review on patients...
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  • Initial Characteristics and Clinical Severity of Hemophagocytic Lymphohistiocytosis in Pediatric Patients Admitted in the Emergency Department

    Initial Characteristics and Clinical Severity of Hemophagocytic Lymphohistiocytosis in Pediatric Patients Admitted in the Emergency Department

    1 month ago - By Pediatric Emergency Care

    Objectives
    The diagnosis and management of children with hemophagocytic lymphohistiocytosis admitted in the emergency department are challenging. The present study aimed at describing the initial characteristics of pediatric patients with HLH upon admission in the ED. Moreover, the clinical severity of the condition was assessed.
    Methods
    We performed a retrospective study of patients who visited the pediatric ED and were newly diagnosed with HLH during hospitalization between February 2012 and January 2017. The patients were classified in the clinically unstable group if at least 1 of the...
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  • Missed Diagnosis of Anaphylaxis in Patients With Pediatric Urticaria in the Emergency Department

    Missed Diagnosis of Anaphylaxis in Patients With Pediatric Urticaria in the Emergency Department

    1 month ago - By Pediatric Emergency Care

    Objectives
    This study was to determine the characteristics of missed diagnosis of pediatric anaphylaxis that were registered as urticaria only at the emergency department by comparing those who had only urticaria symptoms with those who had both anaphylaxis and urticaria symptoms.
    Methods
    Subjects were classified into missed anaphylaxis and urticaria group according to whether satisfied anaphylaxis diagnostic criteria or not. Anaphylaxis group, those who were initially registered as anaphylaxis with urticaria and anaphylaxis symptoms simultaneously, were further investigated.
    Results
    The...
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  • Evaluation of a Focused Cardiac Ultrasound Protocol in a Pediatric Emergency Department

    Evaluation of a Focused Cardiac Ultrasound Protocol in a Pediatric Emergency Department

    1 month ago - By Pediatric Emergency Care

    Objectives
    The objective of this study was to evaluate the implementation of a focused cardiac ultrasound protocol in a pediatric emergency department .
    Methods
    We conducted a cross-sectional, observational, quality improvement project in a PED of an urban tertiary care children's hospital. A FoCUS protocol was collaboratively developed by pediatric cardiology and pediatric emergency medicine. This included a reference document with definitions, indications, image acquisition guidelines, and interpretation expectations. We measured physician-sonographer performance against pediatric...
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