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Pediatric Head Trauma

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Computed Tomography Scan Utilization in Pediatric Trauma: Impact on Length of Stay and Incidence of False Positive Findings.

Mary J Edwards, Timothy Jenkel, Brandon Weller, Alexis Weber, Karen Zhu, Raina Parikh, Ashar Ata, Carrie Danziger,

INTRODUCTION:Computerized tomography (CT) scans are the mainstay of diagnostic imaging in blunt trauma. Particularly in pediatric trauma, utilization of CT scans has increased exponentially in recent years. Concerns regarding radiation exposure to this vulnerable population have resulted in increased scrutiny of practice. What is not known is if liberal imaging ... Read more >>

Pediatr Emerg Care (Pediatric emergency care)
[2020, :]

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Differences in Facial Fracture Patterns in Pediatric Nonaccidental Trauma.

Philip J Wasicek, Selim G Gebran, Adekunle Elegbede, Ledibabari M Ngaage, Yvonne Rasko, Marcus Ottochian, Fan Liang, Michael P Grant, Arthur J Nam,

BACKGROUND:The purpose of this study was to characterize differences in facial fracture injury patterns among pediatric patients at highest risk of abusive head trauma/nonaccidental trauma (age ≤ 5 years). METHODS:Using the National Trauma Databank from 2007 to 2015, patients (age ≤ 5 years) suffering facial fractures were included. Demographics and injury characteristics were compared ... Read more >>

J Craniofac Surg (The Journal of craniofacial surgery)
[2020, :]

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Late diagnosis of Lesch-Nyhan disease complicated with end-stage renal disease and tophi burst: a case report.

Cahyani Gita Ambarsari, Daffodilone Cahyadi, Lenny Sari, Oryza Satria, Felly Sahli, Thyrza Laudamy Darmadi, Agustina Kadaristiana,

Background: Lesch-Nyhan disease (LND) is a rare X-linked recessive inborn error of purine metabolism. Late diagnosis of LND may cause significant morbidity. LND cases have never been reported in Indonesia.Case report: A 15-year-old male who had been diagnosed with cerebral palsy was referred to our hospital due to renal failure ... Read more >>

Ren Fail (Renal Failure)
[2020, 42(1):113-121]

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The Utility of Ultrasound in Detecting Skull Fractures After Pediatric Blunt Head Trauma: Systematic Review and Meta-Analysis.

Isaac Gordon, Richard Sinert, Jennifer Chao,

BACKGROUND:Head trauma is a common reason for evaluation in the emergency department. The evaluation for traumatic brain injury involves computed tomography, exposing children to ionizing radiation. Skull fractures are associated with intracranial bleed. Point-of-care ultrasound (POCUS) can diagnose skull fractures. OBJECTIVES:We performed a systematic review/meta-analysis to determine operating characteristics of ... Read more >>

Pediatr Emerg Care (Pediatric emergency care)
[2020, :]

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Correlation between optic nerve sheath diameter and Rotterdam computer tomography scoring in pediatric brain injury.

Yasemin Kayadibi, Nazan Ülgen Tekerek, Osman Yeşilbaş, Serhat Tekerek, Emel Üre, Turgut Kayadibi, Deniz Esin Tekcan Şanlı,

BACKGROUND:Pediatric head trauma is the most common presentation to emergency departments. Increased intracranial pressure (ICP) may lead to secondary brain damage in head trauma and early diagnosis of increased ICP is very important. Measurement of optic nerve sheath diameter (ONSD) is a method that can be used for determining increased ... Read more >>

Ulus Travma Acil Cerrahi Derg (Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES)
[2020, 26(2):212-221]

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Abusive Head Trauma in Infants and Children.

Sandeep K Narang, Amanda Fingarson, James Lukefahr, ,

Abusive head trauma (AHT) remains a significant cause of morbidity and mortality in the pediatric population, especially in young infants. In the past decade, advancements in research have refined medical understanding of the epidemiological, clinical, biomechanical, and pathologic factors comprising the diagnosis, thereby enhancing clinical detection of a challenging diagnostic ... Read more >>

Pediatrics (Pediatrics)
[2020, :]

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Occult head injuries in infants evaluated for physical abuse.

M Katherine Henry, Chris Feudtner, Kristine Fortin, Daniel M Lindberg, James D Anderst, Rachel P Berger, Joanne N Wood,

BACKGROUND:Abusive head injuries in infants may be occult but clinically or forensically important. Data conflict regarding yield of neuroimaging in detecting occult head injuries in infants evaluated for physical abuse, with prior studies identifying yields of 4.3-37.3 %. OBJECTIVES:(1) To quantify yield of computed tomography or magnetic resonance imaging in ... Read more >>

Child Abuse Negl (Child abuse & neglect)
[2020, 103:104431]

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Intent of health care providers to adopt a clinical decision support tool in the management of minor pediatric head injuries.

Tova B Zarchi,

BACKGROUND:Radiographic neuroimaging in minor pediatric head injuries contains risks of radiation-induced malignancy. The Pediatric Emergency Care Applied Research Network (PECARN) head injury protocol identifies head-injured children who are at very low risk of clinically important traumatic brain injuries and can safely not receive a head computed tomography (CT) scan. LOCAL ... Read more >>

J Am Assoc Nurse Pract (Journal of the American Association of Nurse Practitioners)
[2020, 32(2):168-175]

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Utilization of CT imaging in minor pediatric head, thoracic, and abdominal trauma in the United States.

Lauren Strait, Rebecca Sussman, Ashar Ata, Mary J Edwards,

BACKGROUND:Liberal use of CT scanning in children with blunt trauma risks unnecessary radiation exposure and cost. Recent literature questions the utility of whole-body CT in stable children without clinical evidence of significant injury, but this is often done based on injury mechanism. The purpose of this study is to quantify ... Read more >>

J. Pediatr. Surg. (Journal of pediatric surgery)
[2020, :]

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Pediatric Head Injuries in Summer Camps.

Kristen Kolberg, Noor Saleem, Michael Ambrose, Jim Cranford, Andrea Almeida, Ingrid Ichesco, Natalie Schellpfeffer, Andrew Hashikawa,

Summer camps have a unique supervisory environment that may lead to increased head injury risk for children. The epidemiology of head injuries in camps is unclear. We partnered with CampDoc.com to review head injury reports from camp nurses in 2016 from 197 camps in 36 states. A total of 4290 ... Read more >>

Clin Pediatr (Phila) (Clinical pediatrics)
[2020, :9922819901009]

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Pragmatic Language Comprehension After Pediatric Traumatic Brain Injury: A Scoping Review.

Stephanie Deighton, Narae Ju, Susan A Graham, Keith Owen Yeates,

OBJECTIVE:This scoping review aims to examine the literature pertaining to pragmatic language comprehension in pediatric traumatic brain injury (TBI), in order to summarize the current evidence and to identify areas for further research. METHODS:We searched MEDLINE Ovid and PsycINFO Ovid using search terms to identify all articles that examined pragmatic ... Read more >>

J Head Trauma Rehabil (The Journal of head trauma rehabilitation)
[2020, 35(2):E113-E126]

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Pediatric firearm mortality in the United States, 2010 to 2016: A National Trauma Data Bank analysis.

Justin S Hatchimonji, Robert A Swendiman, Matthew A Goldshore, Thane A Blinman, Michael L Nance, Myron Allukian, Gary W Nace,

BACKGROUND:Pediatric firearm injury is a leading cause of death for U.S. children. We sought to further characterize children who die from these injuries using a validated national database. METHODS:The National Trauma Data Bank 2010 to 2016 was queried for patients aged 0 to 19 years old. International Classification of Diseases ... Read more >>

J Trauma Acute Care Surg (The journal of trauma and acute care surgery)
[2020, 88(3):402-407]

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Subgaleal Hemorrhage Secondary to Child Physical Abuse in a 4-Year-Old Boy.

Joseph P Bowens, Kelly Liker,

Subgaleal hemorrhage is commonly described in the neonatal population but is a rare injury in young children and adolescents. Though infrequently seen, it can follow blunt head trauma or hair pulling. This case report details a 4-year-old African American boy with massive subgaleal hemorrhage and bilateral periorbital swelling and ecchymosis ... Read more >>

Pediatr Emerg Care (Pediatric emergency care)
[2020, :]

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[Pediatric spine trauma-Results of a German national multicenter study including 367 patients].

Jan-Sven Jarvers, Christian Herren, Matthias K Jung, Christian Blume, Holger Meinig, Michael Ruf, Alexander C Disch, Thomas Weiß, Hauke Rüther, Thomas Welk, Andreas Badke, Oliver Gonschorek, Christoph E Heyde, Frank Kandziora, Christian Knop, Philipp Kobbe, Matti Scholz, Holger Siekmann, Ulrich Spiegl, Peter Strohm, Christoph Strüwind, Stefan Matschke, Michael Kreinest, ,

In general, pediatric spinal injuries are rare. No reliable data on the epidemiology of spinal injuries in pediatric patients in Germany are available. Especially in pediatric patients, for whom the medical history, clinical examination and the performance of imaging diagnostics are difficult to obtain, all available information on a spinal injury ... Read more >>

Unfallchirurg (Der Unfallchirurg)
[2020, 123(4):280-288]

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Programmable valve breakage in shunt systems of children with posthemorrhagic hydrocephalus after minor head trauma-a case series.

Frank P Schwarm, Jasmin Nagl, Michael Bender, Marco Stein, Kerstin Giese, Andreas Hahn, Eberhard Uhl, Malgorzata A Kolodziej,

PURPOSE:We report five rare cases of programmable valve breakage (Codman Hakim-Medos valve) in shunt systems of children with posthemorrhagic hydrocephalus. Only four similar studies have been published in the current literature. METHODS:Between 2013 and 2018, five children with posthemorrhagic hydrocephalus were admitted to the pediatric department. All patients had a ... Read more >>

Childs Nerv Syst (Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery)
[2020, :]

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Severe Traumatic Brain Injury Cases among Children Younger than 24 Months.

Turgut Dolanbay, Hüseyin Fatih Gül, Abdullah Talha Şimşek, Murat Aras,

INTRODUCTION:Accidental head injuries are known to cause serious traumatic brain injury (TBI). Children younger than 2 years of age build a separate group that is more difficult to assess clinically. Investigations targeting TBIs in pediatric cases, particularly in those between 0 and 2 years of age, are limited. OBJECTIVE:In this ... Read more >>

Pediatr Neurosurg (Pediatric neurosurgery)
[2020, 55(1):12-16]

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A Pilot Randomized Controlled Trial of Cognitive-Behavioral Therapy for Insomnia in Adolescents With Persistent Postconcussion Symptoms.

Lianne Tomfohr-Madsen, Joshua W Madsen, Dominique Bonneville, Shane Virani, Vickie Plourde, Karen M Barlow, Keith Owen Yeates, Brian L Brooks,

OBJECTIVE:Cognitive-behavioral therapy for insomnia (CBT-I) is an effective insomnia treatment but has yet to be applied to adolescents with sleep disruption following concussion. This pilot study evaluated CBT-I to improve insomnia in adolescents with protracted concussion recovery. SETTING:Tertiary pediatric hospital. PARTICIPANTS:Participants (N = 24) were 12 to 18 years old ... Read more >>

J Head Trauma Rehabil (The Journal of head trauma rehabilitation)
[2020, 35(2):E103-E112]

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Screening of Pediatric Facial Fractures by Brain Computed Tomography: Diagnostic Performance Comparison With Facial Computed Tomography.

JongChan Ryu, Seong Jong Yun, Sun Hwa Lee, Yoon Hee Choi,

OBJECTIVES:Facial bone fractures secondary to head trauma are more common in children than in adults. Recently, multidetector row computed tomography (CT) has been considered superior to conventional radiography. Some studies have reported that facial soft tissue injuries require both facial and brain CT and that brain CT is helpful in ... Read more >>

Pediatr Emerg Care (Pediatric emergency care)
[2020, 36(3):125-129]

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The Use, Safety, and Efficacy of Olanzapine in a Level I Pediatric Trauma Center Emergency Department Over a 10-Year Period.

Jon B Cole, Lauren R Klein, Ashley M Strobel, Stephane R Blanchard, Rebecca Nahum, Marc L Martel,

OBJECTIVES:Olanzapine is a second-generation antipsychotic increasingly used in emergency medicine for many indications. Literature on its use in children is sparse. Our objectives were to describe the use, safety, and efficacy of olanzapine in pediatric emergency patients. METHODS:A structured chart review was performed of patients 18 years old or younger ... Read more >>

Pediatr Emerg Care (Pediatric emergency care)
[2020, 36(2):70-76]

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Presentation and Management of Displaced Lateral Condylar Mass Fractures With Ipsilateral Displaced Olecranon Fractures in Two Pediatric Cases.

Nicole Look, Mark Erickson, Sarah E Sibbel,

Cases:Two pediatric patients, aged 4 and 6-years-old, presented to a level one children's hospital with displaced lateral condylar mass (LCM) and ipsilateral displaced olecranon fractures after falling directly on to the affected extremity. Both patients underwent surgical fixation of the fractures, one of whom was found to have a laterally ... Read more >>

Trauma Case Rep (Trauma case reports)
[2020, 25:100278]

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Predisposing Conditions and Etiology of Pediatric Recurrent Bacterial Meningitis in Beijing Children's Hospital, 2006-2018

GANG LIU, Tian-ming Chen, He-ying Chen, Bing Hu, Hui-li Hu, Xin Guo, Ling-yun Guo, Shao-ying Li,

<title>Abstract</title> <p> Objective To investigate the predisposing conditions, etiology and clinical characteristics of recurrent bacterial meningitis (RBM) in children. Methods Seventy patients of RBM treated in Beijing Children's Hospital from January 2006 through December 2018 were retrospectively analyzed. Results Predisposing conditions of RBM include: inner ear malformations 24(34.3%), ... Read more >>

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Barely benign: The dangers of BB and other nonpowder guns.

Jonathan M Hyak, Hannah Todd, Daniel Rubalcava, Adam M Vogel, Sara Fallon, Bindi Naik-Mathuria,

OBJECTIVE:To characterize the risks of nonpowder guns commonly used by children for recreation. METHODS:We conducted a retrospective review of children ≤18 years of age treated for nonpowder gun injuries at a pediatric level I trauma center during 2013-2017. Demographics, injury characteristics, treatments, and outcomes were reviewed and analyzed using descriptive statistics. ... Read more >>

J. Pediatr. Surg. (Journal of pediatric surgery)
[2020, :]

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Cerebrovascular Complications of Pediatric Blunt Trauma.

Maria M Galardi, Jennifer M Strahle, Alex Skidmore, Akash P Kansagra, Kristin P Guilliams,

Ischemic and hemorrhagic stroke can occur in the setting of pediatric trauma, particularly those with head or neck injuries. The risk of stroke appears highest within the first two weeks after trauma. Stroke diagnosis may be challenging due to lack of awareness or concurrent injuries limiting detailed neurological assessment. Other ... Read more >>

Pediatr. Neurol. (Pediatric neurology)
[2020, :]

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Epidemiology of severe paediatric trauma following winter sport accidents.

Emilien Maisonneuve, Nadia Roumeliotis, Amélie Basso, Damien Venchiarutti, Cécile Vallot, Cécile Ricard, Pierre Bouzat, Guillaume Mortamet, ,

AIM:This study describes the epidemiology of severe injuries related to winter sports (skiing, snowboarding and sledding) in children and assesses potential preventive actions. METHODS:A single-centre retrospective study performed at Pediatric or Adult Intensive Care Unit in the French Alps. All patients less than 15 years old, admitted to the Intensive Care ... Read more >>

Acta Paediatr. (Acta paediatrica (Oslo, Norway : 1992))
[2020, :]

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Incidence and epidemiology of acute kidney injury in a pediatric Malawian trauma cohort: a prospective observational study.

Erica C Bjornstad, William Muronya, Zachary H Smith, Keisha Gibson, Amy K Mottl, Anthony Charles, Stephen W Marshall, Yvonne M Golightly, Charles K Munthali, Emily W Gower,

BACKGROUND:Acute kidney injury (AKI) is highly associated with mortality risk in children worldwide. Trauma can lead to AKI and is a leading cause of pediatric death in Africa. However, there is no information regarding the epidemiology of pediatric, trauma-associated AKI in Africa. METHODS:Prospective cohort study of pediatric trauma patients admitted ... Read more >>

BMC Nephrol (BMC nephrology)
[2020, 21(1):98]

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