Our initial attempts to "match" substance-abuse patients from an employee assistance program optimal setting or failed. Scientifically, we found no differential predictors of better outcomes by program. From a practical perspective, it was impossible place in the intended programs. This led second study, designed identify specific patient problems and match professional services those within each 4 programs.Ninety-four new admitted treatment programs were randomly assigned standard treated...

Abusive head injury is more common in younger children, with long lasting physical or neurologic impairments seen many survivors. There a close relationship between hyperglycemia and injury, associated worse outcomes. Our hypothesis that abusive patients are likely to have significant hyperglycemia. This study retrospective review of pediatric emergency department less than three years traumatic intracranial hemorrhage. Demographics, laboratory values, imaging results were recorded. In...

Abstract Background The diagnosis of pediatric pancreatitis has been increasing over the last 15 years but etiology this is uncertain. population pre-adolescent patients with in emergency department not specifically described. Our objective was to determine characteristics these illuminate and disease order better identify them avoid a delay treatment. Methods This retrospective descriptive study consecutive under age 13 between 2006 2016 who presented our atraumatic pancreatitis. Patient...

Rattlesnakes are pit vipers belonging to the Viperidae family and Crotalinae subfamily. They inject venom into their victims via bites from two long, hollow fangs. When disturbed, they can release a liquid musk cloacal scent glands air. This report describes rare case of non-penetrating rattlesnake ocular exposure with symptoms. We also discuss pathophysiology, evaluation, treatment recommendations. A 56-year-old male picked up was sprayed in both eyes emanating snake. He not bitten by had...

Introduction With the COVID-19 pandemic, multiple studies described a significant drop in common respiratory viruses children with lockdown and restrictions. lifting of pandemic precautions, we had ability to observe new patterns illnesses emergency department visits. Materials methods We studied all nucleic acid amplification test results patients from large metropolitan children's hospital years 2018 2023. The included adenovirus, coronaviruses HKU1, NL63, 229E, OC43, metapneumovirus,...

Introduction: Ovarian artery aneurysm is a rare diagnosis, primarily associated with late pregnancy and the postpartum period. It can cause life-threatening hemorrhage when ruptured. Even more are ovarian aneurysms in postmenopausal women.Case Report: We present case of female presenting to emergency department flank pain. Point-of-care ultrasound showed free fluid abdomen. She was diagnosed an on computed tomography angiography treated successfully embolization.Conclusion: Ruptured uncommon...

Supraventricular tachycardia is the most common dysrhythmia in children. Initial vagal maneuvers are successful less than half of time. Adenosine, a potent AV nodal blocker with short half-life, recommended as first line pharmacotherapy. Minor side effects from adenosine common, but report serious such sustained ventricular tachycardia, torsades de pointes, syncope or hypotension confined to small case series studies greater 20 years old. We aimed specifically identify incidence children...

To combat the spread of coronavirus disease 2019 (COVID-19), significant measures were enacted including school and business closures, social distancing, facial coverings. We hypothesized that this would have an impact on all respiratory infections in children. Using nasopharyngeal panel test results children emergency department, we evaluated cross-sectional data from February to May both 2020. Respiratory testing included 11 common viruses bacteria. After restrictions enacted, observed a...

<title>Abstract</title> Background Supraventricular tachycardia is the most common dysrhythmia in children. Initial vagal maneuvers are successful less than half of time. Adenosine, a potent AV nodal blocker with short half-life, recommended as first line pharmacotherapy. Minor side effects from adenosine common, but report serious such sustained ventricular tachycardia, torsades de pointes, syncope or hypotension confined to small case series studies greater 20 years old. We aimed...

Chest trauma is a major contributor to injury morbidity and mortality, understanding trends crucial part of addressing this burden in low- middle-income countries. This study reports the characteristics emergency department (ED) management chest patients presenting Rwanda's national teaching hospital Kigali.This descriptive analysis included convenience sample single tertiary ED with from June December 2017. Demographic data were collected as well mechanism, thoracic associated injuries,...

Immune thrombocytopenic purpura (ITP) is an autoimmune-mediated disorder in which the body produces antibodies that destroy platelets, causing increased risk of bleeding and bruising. Tranexamic acid (TXA) a medication prevents clot breakdown used to treat uncontrolled bleeding.We present case 11-year-old female with significant epistaxis hypotension emergency department. Traditional therapies were initiated; however, patient continued have remained hypotensive, so intravenous TXA was given....

At the start of COVID-19 pandemic, there was conflicting information about spread virus. Despite this, early and aggressive protective measures were implemented by a multidisciplinary team within Riverside County Department Corrections to mitigate potential impact pandemic on its five county jails. We believe this helped result in low incidence severe infections, rate spread, mortality these jails, even while local community much higher. With continued possibility future pandemics, we...

Disseminated coccidioidomycosis is a disease caused by Coccidioides species, fungi endemic to the southwestern United States. We present here an uncommon case of young child with erythema nodosum and fever unknown origin, found have infection. While more common in adults, should be considered all patients nodosum.

Abstract Background Pediatric pancreatitis is increasing, whether due to an increase in cholelithiasis or factors such as increased awareness and testing. This study was describe previously undescribed pre-adolescent children with illuminate this population clarify who should be screened for pancreatitis. Methods a descriptive retrospective of emergency department patients &lt;13 years old over 10 the diagnosis Demographics, laboratory values, imaging results final diagnoses/etiologies were...

On January 29, 2020, a total of 195 US citizens were evacuated from the coronavirus disease 2019 (COVID-19) epidemic in Wuhan, China, to March Air Reserve Base Riverside, California, and entered first federally mandated quarantine over 50 years. With less than 1-d notice, multi-disciplinary team Riverside County University Health System conjunction with local federal agencies established on-site 24-h medical care behavioral health support. This report details coordinated efforts by multiple...

Introduction It is not uncommon for patients with persistent neck pain after trauma despite negative cervical imaging to be discharged a rigid collar. Protocols these vary widely. Few studies have evaluated clinical outcomes discharge. No the patient's experience in collar Methods We adults blunt and spine who were Over 19-month period, 45 available analyses. The primary outcome was any identified missed injuries Secondary incidence of self-clearing from their collars complications related...

Introduction Sub-dissociative ketamine has been used increasingly for the treatment of acute pain in a wide variety settings. While there are studies evaluating its use geriatric population, no have described safety pre-hospital trauma patient. The objective this study was to define incidence dissociation with low-dose patients. Methods Using our county emergency medical services database, we identified all patients greater or equal 65 years age who received after implementation protocol. We...