An accurate understanding of the current status dog-bite injuries in Korea is essential for establishing preventive strategies. There have been no national reports about Korea. This study investigated that were registered nationwide injury surveillance database and analysed risk factors significant injury.A multicentre cross-sectional was conducted using emergency department (ED)-based Injury In-depth Surveillance (EDIIS) registry between 2011 2016. We defined as death, admission, surgery,...

We assessed the feasibility and potential efficacy of a virtual reality (VR) environment using dome screen as distraction method in young children during intravenous (IV) placement pediatric emergency department. This randomized controlled pilot study enrolled aged 2 to 6 years who underwent IV into either intervention group or control group. Children experienced VR placement. The child’s pain intensity was measured Face, Legs, Activity, Cry, Consolability (FLACC) scale at four time points...

Epinephrine is a key drug for treating anaphylaxis; however, its underuse still significant issue worldwide. The objective of this study was to compare epinephrine use between pediatric and adult patients who were treated with anaphylaxis in the emergency department (ED).The data retrieved from National Sample Cohort South Korea, which contains claim Health Insurance Service. We included visited ED discharge code 2004 2013. assessed prescription information epinephrine, antihistamine...

Successful intravenous catheter placement plays a vital role in the pediatric emergency department. We assessed department-related factors associated with difficult placement.We retrospectively reviewed electronic medical records of patients younger than 18 years who had an attempt during their department stay. Difficult access was defined as requiring more one attempt. The demographic-, clinical- and procedure-related were collected, logistic regression analysis used to evaluate access.In...

Introduction The purpose of this study was to construct a prediction model for endotracheal tube depth using neck CT images. Methods A retrospective image review conducted that included patients who had undergone CT. Using sagittal images, we calculated the length between upper incisor and mid-trachea then derived via regression analysis. validated externally chest radiographs intubation. We compared performance our with other methods (Broselow tape APLS formula) Bland-Altman analysis...

Distraction using virtual reality (VR) has been found to provide a clinically significant reduction in the experience of pain during various painful procedures. Commercially available VR systems usually require user wear head-mounted display helmet, which can be challenging for young children, and whether reduce intravenous (IV) placement children is currently unknown.To determine environment novel domed ceiling screen reduces distress among over course IV compared with standard care...

Abdominal pain, which is a common cause of children presenting to the paediatric emergency department (PED), often evaluated by ultrasonography (US). However, uncertainty in US reports may necessitate additional imaging.In this study, we factors contributing abdominal PED.This retrospective cohort study included younger than 18 years age who underwent PED hospital between January 2017 and December 2019. After exclusion, researchers manually reviewed classified all as 'certain' or...

Background Although the reporting rate of child abuse is increasing every year, detection 3.81% as 2019 in Korea, which significantly lower than that developed countries for rights. Objective We investigated associated factors with barriers emergency physicians face recognizing and cases abuse. Methods From May to July 2022, 240 working 15 department were asked participate survey via email. The questionnaire included respondent's basic information, treatment experience abuse, reasons or not...

Intussusception is common among children at the pediatric emergency department (ED) with acute abdomen. Diagnosis and treatment delay remain a challenge. This study aimed to evaluate impact of intussusception clinical pathways (CPs) implementation, including bedside point-of-care ultrasonography, on patient management in ED.In January 2017, an protocol was implemented for symptoms intussusception. We retrospectively examined charts patients diagnosed during preprotocol (January 2015 December...

Objective: We developed a novel compression assist device (palm presser) to perform chest compressions using palm in infant cardiopulmonary resuscitation (CPR). hypothesized that the presser will increase depth without increasing hands-off time and reduce rescuer fatigue compared with two-finger technique (TFT).Methods: In this randomized crossover manikin trial, participants performed two minutes of CPR 30:2 compression:ventilation ratio TFT sequence on an manikin. parameters, including...

We developed and validated a realistic simulation model for ultrasound-guided central venous catheter insertion in children that is easy to build inexpensive can automatically reproduce arterial blood flow.The was constructed with chicken breast, two DWP-385 water pumps, types of tubes controller. An elastic rubber tourniquet silicone tube were connected each pump, which generated different continuous flows mimicking those the pediatric internal carotid artery jugular vein, respectively....

Abstract Background Intravenous (IV) placement is a common procedure experienced by children visiting the pediatric emergency department (PED). However, uncontrolled anxiety and pain cause to interfere with procedure. In this pilot study, we sought evaluate effectiveness of tablet personal computers as distraction method during IV placement. Methods This single‐center study conducted at tertiary teaching hospital. Children PED were eligible if they aged 3–5 years required visit. After...

Abstract Foreign body (FB) injuries mainly occur in young children and may cause serious complications. The purpose of this study was to describe the epidemiological clinical characteristics FB among visiting emergency department (ED) South Korea compare incidence ED results injuries. Using data from National Emergency Department Information System, injury-related visits (<7 years) between January 2010 December 2014 were included. Epidemiological analyzed different age groups,...

Intussusception is one of the most common causes intestinal obstruction in young children. We report a retrospective, observational study epidemiology intussusception South Korea using National Health Insurance Service-National Sample Cohort (NHIS-NSC). A cohort newborns born between 2002 and 2008 was selected. The primary objective to assess incidence pediatric population Korea. secondary objectives were describe basic epidemiological characteristics identify risk factors. total 362...

Trampoline-related injuries have increased in South Korea. However, little research has been conducted on this topic. This study aimed to show the characteristics of pediatric trampoline-related Korea and investigate factors associated with admission.A retrospective, cross-sectional was using data from Korea's Emergency Department-based Injury In-depth Surveillance registry for dates between January 2011 December 2016. All patients under 18 years age were included. We divided into two groups...

The increasing use of electric personal mobility devices (ePMDs) has been accompanied by an incidence associated accidents. This study aimed to investigate the characteristics ePMD-related injuries and their factors.

N-terminal pro-brain natriuretic peptide (NT-proBNP) has been studied as a diagnostic screening tool for Kawasaki disease (KD). However, brain (BNP) less while variability among age groups. We aimed to find out if BNP can be used KD in Korea. This was retrospective cohort study performed single pediatric emergency department. Patients younger than 19 years of who presented with fever and underwent examination suspected included. The primary outcome the performance KD, secondary coronary...

The aim of this study was to investigate the effectiveness a quality improvement activity for pain management in patients with extremity injury emergency department (ED).This retrospective interventional study. patient group consisted those at least 19 years age who visited ED and were diagnosed International Classification Diseases codes S40-S99 (extremity injuries). three measures: survey regarding activities, education, triage nurse's assessment, including change documentation on...

Currently, 2-thumb encircling technique is recommended in 2-rescuer infant cardiopulmonary resuscitation (CPR). However, many complications can occur during CPR. Therefore, we developed a novel compression assist device (Reheart) that reduce chest area and determined whether using our provides better quality.A consists of 2 parts. The upper part was designed to put thumbs together the thumb sleeves, lower based on circular rubber plate with 2.0-cm diameter confine area. Infant manikin CPR...

Background: A kids café is a popular indoor playground in Korea that combines for young children and their caregivers.There have been no national reports about café-related injuries Korea.This study investigated registered multicenter injury surveillance database analyzed the risk factors significant injuries.Methods: cross-sectional was performed using Emergency Department-based Injury In-depth Surveillance registry between 2011 2016.Significant defined as an requiring hospitalization or...

Background Point-of-care ultrasound is one of useful diagnostic tools in emergency medicine practice and considerably depends on physician’s performance. This study was performed to evaluate performance improvements favorable attitudes through structured cardiac program for residents. Methods Retrospective observational using the point-of-care (PoCUS) database tertiary academic-teaching hospital department has been conducted. Cardiac education rotation implemented residency program....