Vertigo/dizziness in pediatric emergency department: Five years’ experience

Cephalalgia ◽  
2015 ◽  
Vol 36 (6) ◽  
pp. 593-598 ◽  
Author(s):  
Umberto Raucci ◽  
Nicola Vanacore ◽  
Maria Chiara Paolino ◽  
Romina Silenzi ◽  
Rosanna Mariani ◽  
...  
Keyword(s):  
Emergency Department ◽  
Clinical Characteristics ◽  
Signs And Symptoms ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
Nervous System Diseases ◽  
Central Nervous System Diseases ◽  
Cardiac Syncope ◽  
Life Threatening ◽  
Rule Out

Background Vertigo/Dizziness in childhood is not a rare cause of visits to the emergency department (ED). We analyzed a selected group with vertigo/dizziness to identify signs and symptoms that may help to guide the diagnostic approach and management. Methods A total of 616 children admitted for vertigo to the ED over a five-year period were retrospectively reviewed. Their medical history, clinical characteristics, laboratory and neuroimaging tests, final diagnoses and management were analyzed. Results Migraine and syncope were the most frequent causes. Two patients were affected by life-threatening cardiac syncope, while structural life-threatening central nervous system diseases were found in 15 patients, none of whom presented with vertigo as an isolated clinical finding. Conclusions Most cases of vertigo/dizziness in childhood that consist mainly of migraine and syncope are of benign origin. The prompt identification of neurological or cardiological signs or symptoms associated with vertigo in children is mandatory to rule out life-threatening conditions.

scholarly journals Community acquired pneumonia (CAP): Epidemiology, clinical presentation, management and outcomes in infants and children presenting to Al Wakra Pediatric Emergency Department (PED)

2021 ◽  
Vol 2021 (2) ◽  
Author(s):  
Ibtihal S Abdelgadir ◽  
Haider Almawashi ◽  
Fawzia M Elgharbawy ◽  
Abdo M Alghazali ◽  
Kryzl D Ponce ◽  
...  
Keyword(s):  
Emergency Department ◽  
Pediatric Intensive Care ◽  
Signs And Symptoms ◽  
Pediatric Emergency ◽  
Community Acquired Pneumonia ◽  
Infants And Children ◽  
Pediatric Emergency Department ◽  
Reactive Protein ◽  
Amoxicillin Clavulanic Acid ◽  
In Infants And Children

Background: Community acquired pneumonia (CAP) is defined clinically as the presence of signs and symptoms of pneumonia in a previously healthy child due to an infection that has been acquired outside the hospital. There is no previous data available from children in Qatar on CAP.Objectives: To evaluate the incidence, clinical features, management, outcomes and, complications in infants and children presenting to Al Wakra Hospital, Qatar with CAP. Methods: This is a prospective, observational, non-interventional study that assessed all children aged 3 months to 14 years, during a period of 12 months, from November 2017 to November 2018. Results: The incidence of CAP was found to be 2.8 per 1000 of all patients presenting to Al Wakra Pediatric Emergency Department Qatar (328 of 116,761patients). The majority of cases were children 1-5 years (58.2%). Fifty-one percent and 61.3% of children admitted to inpatient wards had dyspnoea and tachypnea respectively. This is to be compared to 88.5% and 96.2% of patients respectively admitted to the Pediatric Intensive Care Unit (PICU) with dyspnoea and with tachypnea. C-reactive protein (CRP) more than 50 mg/L was noted in 48.2% of patients admitted to inpatient wards and 26.7% of patients admitted to PICU. Oral amoxicillin was prescribed for 1.5% of patients, amoxicillin/clavulanic acid for 18% of patients, a further 18% had cefuroxime, and 29% had clarithromycin. Intravenous (IV) cefuroxime was the most used IV medication (29.6% of all patients). Nearly 50% of patients were admitted to inpatient wards, with 7.9% transferred to PICU, and only 39.3% discharged home without admission. Conclusion: Community acquired pneumonia represents 0.28% of all studied patients. More than 60% of the patients with CAP were admitted either to inpatient wards or to PICU.

Stairway Injuries in Children

PEDIATRICS ◽  
1988 ◽  
Vol 82 (3) ◽  
pp. 457-461 ◽  
Author(s):  
Mark Joffe ◽  
Stephen Ludwig
Keyword(s):  
Emergency Department ◽  
Body Part ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
Mechanism Of Injury ◽  
Neck Injuries ◽  
Severity Of Injury ◽  
Proximal Extremity ◽  
Life Threatening ◽  
Extremity Injuries

Children frequently injure themselves falling down stairways, but the characteristics of these injuries are not well described. A total of 363 consecutive patients seen in a pediatric emergency department were studied. The majority of patients had minor superficial injuries. Bony injuries occurred in 7% of patients. Head and neck injuries occurred in 73% of patients, extremity injuries, which were predominantly distal, in 28%, and truncal injuries in 2%. Children younger than 4 years of age were more likely to sustain head trauma than children older than 4 years of age (P < .005). Injury to more than one body part occurred in only 2.7% of patients. Children who fell down more than four steps had no greater number or severity of injury than those who fell down less than four steps (P = .67). Patients were admitted to hospitals in 3% of cases. No patient had life-threatening injuries and no patients required intensive care. When multiple, severe, truncal, or proximal extremity injuries are noted in a patient who reportedly fell down stairs, a different mechanism of injury should be suspected.

What’s This Pounding in My Head?

2020 ◽  
pp. 123-130
Author(s):  
Sakina Sojar ◽  
Lauren Allister
Keyword(s):  
Emergency Department ◽  
Severe Pain ◽  
Imaging Modality ◽  
Pediatric Population ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
Advantages And Disadvantages ◽  
Common Causes ◽  
Viral Illness ◽  
Life Threatening

Headaches are a common chief complaint within the pediatric emergency department. They can be a source of significant morbidity in the pediatric population causing severe pain, cognitive dysfunction, and missed school days. It is critical that the physician delineates between life-threatening versus non-life-threatening etiologies of headache and obtain imaging of the head when appropriate. Computed tomography and magnetic resonance imaging are the modalities of choice. Each imaging modality presents advantages and disadvantages. Common causes of headaches in the pediatric emergency department include migraine, tension headaches, and viral illness. Physicians must be aware of more serious etiologies (such as space occupying lesions) that may warrant further investigation.

Life-Threatening Rhabdomyolysis Induced by Streptococcus bovis Sepsis in a 6-Year-Old Girl Presented to the Pediatric Emergency Department

2012 ◽  
Vol 28 (5) ◽  
pp. 469-471 ◽  
Author(s):  
Hui-Hsien Pan ◽  
Hung-Ming Chang ◽  
Shan-Ming Chen ◽  
Tung-Wei Hung ◽  
Ko-Huang Lue ◽  
...  
Keyword(s):  
Emergency Department ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
Streptococcus Bovis ◽  
Life Threatening

scholarly journals Epidemiology and Trends over Time of Foreign Body Injuries in the Pediatric Emergency Department

Children ◽  
2021 ◽  
Vol 8 (10) ◽  
pp. 938
Author(s):  
Honoria Ocagli ◽  
Danila Azzolina ◽  
Silvia Bressan ◽  
Daniele Bottigliengo ◽  
Elisabetta Settin ◽  
...  
Keyword(s):  
Emergency Department ◽  
Foreign Body ◽  
Pediatric Emergency ◽  
Incidence Rates ◽  
Pediatric Emergency Department ◽  
Injury Incidence ◽  
Poisson Models ◽  
Life Threatening ◽  
Trends Over Time ◽  
Over Time

This paper presents the epidemiology of foreign body injuries in the Pediatric Emergency Department (PED) of Padova (Italy) along with its trends over an eleven-year period based on administrative data. Annual incidence rates (IRs) of PED presentations for foreign body (FB) injuries per 1000 person-years were calculated. Univariable and multivariable generalized linear (GLM) Poisson models were estimated to evaluate the relationship between FB injury incidence and year, triage priority, nationality, injury site, and FB type. During the study period, there were 217,900 presentations of pediatric residents in the province of Padova; of these, 3084 (1.5%) reported FB injuries involving the ears, nose, throat, gastrointestinal tract or eyes. The annual IR of FB injury episodes increased from 10.45 for 1000 residents in 2007 (95% CI, 9.24, 11.77) to 12.66 for 1000 residents in 2018 (95% CI, 11.35, 14.08). Nonfood items were the FBs that were most frequently reported. The intermediate urgent triage code was the most represented for FB injuries, with IRs ranging from 5.44 (95% CI: 4.59, 6.40) in 2008 to 8.56 in 2018 (95% CI: 7.50, 9.74). A total of 170 patients who presented for FB injuries were hospitalized (5.5%). The annual FB-related injury IR has increased over time, although most episodes are not life threatening. Educational and prevention programs on FB-related injuries should be promoted and dedicated to childcare providers.

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