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Facial Artery Pseudoaneurysm in a Child Diagnosed With Point-of-Care Ultrasound

11 days ago   |   By Pediatric Emergency Care

This case describes a 3-year-old boy who was brought to the pediatric emergency department for evaluation of facial swelling. The patient's history was remarkable for a deep facial laceration 5 days prior that required surgical repair in the operating room. On the day of presentation, he was noted to have mild swelling and tenderness to palpation of the left jaw below the mandible, in the same location as his recent laceration repair. Point-of-care ultrasound revealed a pseudoaneurysm with an arterial feeding vessel. This was confirmed by radiology-performed ultrasound, and the patient...
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Ethanol Intoxication of Young Children

Ethanol Intoxication of Young Children

11 days ago   |   By Pediatric Emergency Care

Ethanol intoxication of infants and young children can be a challenging diagnosis in the pediatric emergency department, and features of the poisoning may differ in comparison with adolescents. The sources of ethanol exposures in this age are varied and include unintentional, malicious, and iatrogenic etiologies. Young children exposed to ethanol often present with mixed clinical signs and symptoms that may not fit the traditional ethanol or sedative-hypnotic toxidrome. Pediatric ethanol intoxications are often managed supportively, and recovery is usually rapid. The purpose of this review...
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Factors Associated With Length of Stay in Emergency Departments for Pediatric Patients With Psychiatric Problems

Factors Associated With Length of Stay in Emergency Departments for Pediatric Patients With Psychiatric Problems

11 days ago   |   By Pediatric Emergency Care

Objectives
Length of stay and boarding for pediatric psychiatric patients presenting in the emergency department have been understudied, despite evidence that children with psychiatric disorders experience longer LOS relative to those without. This investigation examined correlates of LOS and boarding among youth with psychiatric disorders presenting to the ED in a large, statewide database.
Methods
Using the 2010 to 2013 Florida ED discharge database, generalized linear mixed models were used to examine for associations between LOS and patient and hospital characteristics among pediatric...
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