Abstract Objectives: Prospectively identifying children with significant dehydration from gastroenteritis is difficult in acute care settings. Previous work by our group has shown that bedside ultrasound (US) measurement of the inferior vena cava (IVC) and aorta (Ao) diameter ratio correlated intravascular volume. This study was designed to validate use this method prospective identification investigating whether IVC/Ao gastroenteritis. Another objective investigate interrater reliability...

Background: Forearm fractures are common injuries in children. Displaced and angulated usually require reduction. Ultrasound diagnosis guided reduction offer several potential advantages: (1) the procedure does not involve ionizing radiation; (2) compared with fluoroscopy units, newer ultrasound units more portable; (3) repeated studies can be obtained easily quickly. Objective: The primary objective was to investigate accuracy of emergency department (ED) physician-performed forearm...

Numerous researchers have investigated fever in infants <2 months of age. However, the etiology and usefulness screening tests older (2-6 months) is not well studied.This was a prospective study febrile 57-180 days old. Evaluation included blood urine direct fluorescent antibody (DFA) nasal swabs for respiratory viruses. Additional studies were performed at discretion managing clinicians.Serious bacterial illness (SBI) diagnosed 44 (10.3%) 429 infants: 41 with bacteruria 4 bacteremia (1...

The importance of point-of-care emergency ultrasound (EUS) to the practice medicine (EM) is well established, and mounting research continues demonstrate how EUS can benefit pediatric department (ED) patients. As members EM community, (PEM) physicians should understand potential value seek opportunities incorporate into their daily practice. Currently, education training at an early developmental stage for PEM fellows varies greatly between programs. goal this article provide consensus...

Proficiency in airway management children is difficult to acquire and maintain for prehospital providers. The laryngeal mask a relatively new device. Its ease of use makes it an attractive potential alternative endotracheal tubes pediatrics. objective this study was investigate whether, simulated cardiopulmonary arrests children, the airway, compared with tubes, results shorter time effective ventilation when performed by providers.A randomized, crossover conducted local paramedic training...

The objective of this study was to investigate feasibility and evaluate test characteristics bedside ultrasound for the detection skull fractures in children with closed head injury (CHI).This a prospective, observational conducted pediatric emergency department an urban tertiary care children's hospital. A convenience sample younger than 18 years were enrolled if they presented acute CHI, computed tomography (CT) scan performed. Ultrasound performed by medicine physicians at least 1 month...

End-tidal carbon dioxide (ETCO2) monitoring has numerous clinical applications in the emergency setting. This study was designed to explore current availability and utilization patterns for continuous ETCO2 pediatric departments.A Web-based survey distributed directors of all accredited medicine fellowship programs United States Canada.Eighty-one percent completed this survey. Eighty-eight had access intubated patients 53% nonintubated patients. Seventy-nine respondents used "always" or...

The purpose of this study was to evaluate the angle for performing lumbar punctures in children aged 0 12 years. We hypothesized that changes different stages development.Children years who presented Yale-New Haven Children's Hospital at a low-acuity triage level, need puncture, their accompanying siblings and authors' were eligible study. Subjects 3 age groups recruited grouped as follows: group 1, months; 2, 36 3, Ultrasound images L3-L4 L4-L5 space taken with subjects lateral recumbent...

ACADEMIC EMERGENCY MEDICINE 2011; 18:590–596 © 2011 by the Society for Academic Emergency Medicine Objectives: Unrecognized dislodgement of an endotracheal tube (ETT) during transport intubated patient can have life-threatening consequences. Standard methods to monitor these patients, such as pulse oximetry and physical examination, are both subject inaccuracies with movement ambient noise. Capnography provides a continuous objective measure ventilation that alert provider immediately airway...

The study aimed to assess the impact of a modified paediatric basic life support (BLS) training on nurses' knowledge and skills in main tertiary level public hospital Rwanda.A prospective, before-and-after educational intervention was performed. Nurses working department at Centre Hospitalier Universitaire de Kigali (CHUK) were enrolled after consenting study. A BLS administered using didactic lectures, videos, case discussions, simulations. Knowledge assessed before, immediately six months...

We report an enantioselective synthesis of anhydrogukulenin A C2-acetate (31), a potential precursor to the antiproliferative bis(tropolone) metabolites known as gukulenins. Key steps in synthetic sequence include directed C–H arylation exo-2-norbornyl picolinamide using hindered, electron-rich arene coupling partner, tandem Grob fragmentation–diastereoselective α-methylation establish highly-substituted cyclopentane rings target, novel one-carbon ring expansion α-iodo-ortho-benzoquinone...

The use of bedside emergency ultrasound in pediatric abdominal emergencies is becoming more widespread and can be a useful adjunct the assessment children who present with pain. Our case describes an infant presented to department vomiting, whom evaluation led timely diagnosis intervention unanticipated condition.

(−)-Lomaiviticin A is a cytotoxic, tetraglycosylated, <italic>C</italic>₂-symmetric bacterial metabolite. synthesis of the dimeric core lomaiviticin containing two carbohydrate residues reported

Resuscitation guidelines emphasize minimal interruption of compressions during cardiopulmonary resuscitation. Point-of-care ultrasound (POCUS) enables the clinician to visualize cardiac contractility and central artery pulsatility. The apical 4-chamber (A4), subxiphoid (SX), femoral views may be used when defibrillator pads or active preclude parasternal views. We hypothesized that clinicians can rapidly obtain interpretable POCUS in healthy children from A4, SX, positions.A prospective...

Objectives Automated external defibrillators (AEDs) have demonstrated increased survival in out-of-hospital cardiac arrest, and their prevalence continues to rise. In 2009, Connecticut passed a legislation requiring all schools an AED, barring financial barriers. The objectives of this study were (1) determine if was associated with increase high school AEDs (2) detect disparities the availability based on type, student demographics, size. Study Design A single researcher conducted scripted...

The past decade saw the establishment of pediatric intensive care units (PICU) across China. This occurred in context increasing private shares medical costs. Payment schemes have not kept pace with increased availability and demand. As a result substantial number parents, face financial constraints, choose to withdraw children even when recovery is expected.We set out describe experience one PICU Changsha, an industrialized city near center country population 7.3 million.During two-year...

s: American Academy of Pediatrics, Section on Emergency Medicine, Abstract Presentations, 2006 AAP National Conference and Exhibition: POSTER PRESENTATIONS

Neonatal seizures are a potentially life-threatening pediatric problem with variety of causes, such as birth trauma, asphyxia, congenital anomalies, metabolic disturbances, infections, and drug withdrawal or intoxication. Thorough timely evaluations patients necessary to identify treat the underlying etiology, therefore reducing potential morbidity mortality. We review neonatal hypocalcemia present case 6-day-old male infant who presented tertiary emergency department seizure-like episodes....