Handbook of Pediatric Medical Emergencies

PEDIATRICS ◽  
1953 ◽  
Vol 11 (1) ◽  
pp. 88-88
Keyword(s):  
Diagnostic Criteria ◽  
Pediatric Emergency ◽  
Acute Illness ◽  
Comprehensive List ◽  
Medical Emergencies ◽  
Dehydration Therapy

This concise handbook is an enlargement of a therapeutic manual used for resident and postgraduate pediatric training. It is deliberately oriented to immediate treatment with only brief diagnostic criteria included. Any acute illness of infants or children is rightly considered a pediatric emergency by the authors. There are sections on cardiovascular, genitourinary, gastrointestinal (including dehydration therapy), neurologic, respiratory, poisoning, and premature emergencies. The section on poisoning is particularly noteworthy. Specific antidotes, general therapy and a comprehensive list of common sources of poisons are given.

Pediatric Medical Emergencies and Injury Prevention Practices in the Pediatric Emergency Unit of Kenyatta National Hospital, Nairobi, Kenya

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Justin G. Myers ◽  
Uzoma A. Nwakibu ◽  
Katherine M. Hunold ◽  
Ali Akida Wangara ◽  
Jason Kiruja ◽  
...  
Keyword(s):  
Injury Prevention ◽  
Pediatric Emergency ◽  
Emergency Unit ◽  
National Hospital ◽  
Kenyatta National Hospital ◽  
Medical Emergencies

scholarly journals Pediatric Emergency Medicine Residency Experience: Requirements Versus Reality

2010 ◽  
Vol 2 (4) ◽  
pp. 571-576 ◽  
Author(s):  
Matthew R. Mittiga ◽  
Hamilton P. Schwartz ◽  
Srikant B. Iyer ◽  
Javier A. Gonzalez del Rey
Keyword(s):  
Emergency Medicine ◽  
Cardiopulmonary Arrest ◽  
High Volume ◽  
Altered Mental Status ◽  
Pediatric Emergency ◽  
Acute Illness ◽  
Illness Experience ◽  
Direct Patient Care ◽  
Pediatric Residents ◽  
Number Of Patients

Abstract Background An important expectation of pediatric education is assessing, resuscitating, and stabilizing ill or injured children. Objective To determine whether the Accreditation Council for Graduate Medical Education (ACGME) minimum time requirement for emergency and acute illness experience is adequate to achieve the educational objectives set forth for categorical pediatric residents. We hypothesized that despite residents working five 1-month block rotations in a high-volume (95 000 pediatric visits per year) pediatric emergency department (ED), the comprehensive experience outlined by the ACGME would not be satisfied through clinical exposure. Study Design This was a retrospective, descriptive study comparing actual resident experience to the standard defined by the ACGME. The emergency medicine experience of 35 categorical pediatric residents was tracked including number of patients evaluated during training and patient discharge diagnoses. The achievability of the ACGME requirement was determined by reporting the percentage of pediatric residents that cared for at least 1 patient from each of the ACGME-required disorder categories. Results A total of 11.4% of residents met the ACGME requirement for emergency and acute illness experience in the ED. The median number of patients evaluated by residents during training in the ED was 941. Disorder categories evaluated least frequently included shock, sepsis, diabetic ketoacidosis, coma/altered mental status, cardiopulmonary arrest, burns, and bowel obstruction. Conclusion Pediatric residents working in one of the busiest pediatric EDs in the country and working 1 month more than the ACGME-recommended minimum did not achieve the ACGME requirement for emergency and acute illness experience through direct patient care.

scholarly journals Feasibility of measuring psychological resilience in hospitalized patients with acute illness: The Resilience After the Trauma of Acute Illness (RAFT) study

2019 ◽  
Vol 18 (2) ◽  
pp. 71-75
Author(s):  
Tanu Verma ◽  
◽  
Abduahad Taufik ◽  
Roshan Vindla ◽  
Sarah Rose Lloyd ◽  
...  
Keyword(s):  
Personality Traits ◽  
Coping Strategies ◽  
Depression Scale ◽  
Acute Illness ◽  
Control Group ◽  
Psychological Resilience ◽  
Resilience Scale ◽  
Medical Emergencies ◽  
Anxiety Depression ◽  
Chronic Disease Burden

Resilience is the ‘ability to bounce back’. We want to investigate whether measurement of resilience during an acute hospital admission is feasible. We conducted a feasibility study. Resilience was measured using the Brief Resilience Scale. Results were contextualized by measuring chronic disease burden, anxiety, depression, coping strategies and personality traits. 56 or 103 patients approached took part in the study. A group of 12 patients undergoing pulmonary rehabilitation served as a control group. We found evidence of low resilience in 4/44 (9%) patients admitted as medical emergencies. Low resilience was statistically related to the Hospital Anxiety and Depression Scale and a number of coping strategies and personality traits. We found no relation between measures of resilience and previous admissions to hospital. The concept of resilience might be applicable to unscheduled admissions to hospital. Larger studies are required to establish whether low resilience is common and amenable to intervention. REC number 17/WA/0024.

An adrenocortical oncocytoma with unusual mitochondrial inclusions and cytoplasmic crystals

1994 ◽  
Vol 52 ◽  
pp. 250-251
Author(s):  
W.T. Gunning ◽  
G.D. Haselhuhn ◽  
E.R. Phillips ◽  
S.H. Selman
Keyword(s):  
Adrenal Gland ◽  
Salivary Glands ◽  
Mitotic Activity ◽  
Diagnostic Criteria ◽  
Vascular Invasion ◽  
Benign Neoplasm ◽  
Benign Tumors ◽  
Nuclear Morphology ◽  
Case Presentation ◽  
Microscopic Evidence

Within the last few years, adrenal cortical tumors with features concordant with the diagnostic criteria attributed to oncocytomas have been reported. To date, only nine reported cases exist in the literature. This report is the tenth case presentation of a presumptively benign neoplasm of the adrenal gland with a rare differentiation. Oncocytomas are well recognized benign tumors of the thyroid, parathyroid, and salivary glands and of the kidney. Other organs also give rise to these types of tumors, however with less frequency than the former sites. The characteristics generally used to classify a tumor as an oncocytoma include the following criteria: the tumor is 1) usually a solitary circumscribed mass with no gross nor microscopic evidence of metastasis (no tissue nor vascular invasion), 2) fairly bland in terms of mitotic activity and nuclear morphology, and 3) composed of large eosinophillic cells in which the cytoplasm is packed full of mitochondria (Figure 1).

An Introductory Examination of Speech Disfluencies in Spanish–English Bilingual Children Who Do and Do Not Stutter During Narratives

2020 ◽  
Vol 5 (1) ◽  
pp. 131-141
Author(s):  
Cristina Rincon ◽  
Kia Noelle Johnson ◽  
Courtney Byrd
Keyword(s):  
Diagnostic Criteria ◽  
Preliminary Data ◽  
Diagnostic Information ◽  
English Speakers ◽  
Bilingual Children ◽  
English Bilingual ◽  
Developmental Stuttering ◽  
Mean Length Of Utterance

Purpose The purpose of this study is to examine the frequency and type of speech disfluencies (stuttering-like and nonstuttering-like) in bilingual Spanish–English (SE) children who stutter (CWS) to SE children who do not stutter (CWNS) during narrative samples elicited in Spanish and English to provide further diagnostic information for this population and preliminary data toward an expansion of this study. Method Participants included six bilingual SE children (three CWS, three CWNS) ranging in age from 5 years to 7;5 (years;months) and recruited from the surrounding Houston, Texas area. Participants provided a narrative sample in English and Spanish. The frequency of speech disfluencies was tabulated, and mean length of utterance was measured for each sample. Results Results indicate that both talker groups exceed the diagnostic criteria typically used for developmental stuttering. Regardless of the language being spoken, CWS participants had a frequency of stuttering-like speech disfluencies that met or exceeded the diagnostic criteria for developmental stuttering that is based on monolingual English speakers. The CWNS participants varied in meeting the criteria depending on the language being spoken, with one of the three CWNS exceeding the criteria in both languages and one exceeding the criteria for percentage of stuttering-like speech disfluencies in one language. Conclusion Findings from this study contribute to the development of more appropriate diagnostic criteria for bilingual SE-speaking children to aid in the reduction of misdiagnoses of stuttering in this population.

1278: The Role of Diagnostic Criteria of Obstruction in Patients with High Grade Cystocele: Correlation to Subjective Symptoms

2007 ◽  
Vol 177 (4S) ◽  
pp. 421-421
Author(s):  
Veronica Triaca ◽  
Christian O. Twiss ◽  
Ramdev Konijeti ◽  
Larissa V. Rodriguez ◽  
Shlomo Raz
Keyword(s):  
Diagnostic Criteria ◽  
High Grade ◽  
Subjective Symptoms
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