Management of Acute Agitation and Aggression in Children and Adolescents with Pro Re Nata Oral Immediate Release Antipsychotics in the Pediatric Emergency Department

2020 ◽  
Vol 30 (9) ◽  
pp. 534-541
Author(s):  
Lisa Yip ◽  
Elissa Aeng ◽  
Dean Elbe
Keyword(s):  
Emergency Department ◽  
Children And Adolescents ◽  
Immediate Release ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
Acute Agitation ◽  
Pro Re Nata

Left-handedness as a Risk Factor for Unintentional Injury in Children

PEDIATRICS ◽  
1993 ◽  
Vol 92 (6) ◽  
pp. 823-826
Author(s):  
Charles J. Graham ◽  
Rhonda Dick ◽  
Vaughn I. Rickert ◽  
Robert Glenn
Keyword(s):  
Emergency Department ◽  
Risk Factor ◽  
Confidence Interval ◽  
Children And Adolescents ◽  
Odds Ratio ◽  
Unintentional Injury ◽  
Pediatric Emergency ◽  
Control Group ◽  
Pediatric Emergency Department ◽  
Left Handedness

Objective. To determine whether left-handedness is a risk factor for unintentional injury among children and adolescents. Design. Case-control study. Setting. Pediatric emergency department of Arkansas Children's Hospital. Patients. 265 patients sustaining unintentional trauma aged 6 to 18 years and 494 control patients who did not have trauma were given a questionnaire to determine handedness, past unintentional injury, and parental perception of injury proneness. Results. The frequency of left-handedness in the trauma group (18.1%) was significantly greater than frequency of 10.5% in the control group (P < .003, odds ratio = 1.80, 95% confidence interval 1.20 to 2.72). Multivariate analysis revealed handedness as the only significant vanable between trauma and control (P < .04). The proportion of left-handers who had been hospitalized previously for injury treatment (20.0%) was larger than the proportion of right-handers, (12.0%) (P < .026, odds ratio = 1.84, 95% confidence interval 1.03 to 3.27). More parents of left-handens rated their child as "more clumsy than average' than parents of right-handens (26.0% vs 15.2%, P < .007). Conclusions. Left-handedness appears to be a risk factor for unintentional injury in children and adolescents in a pediatric emergency department population.

scholarly journals Low Rate of SARS-CoV-2 Infections in Symptomatic Patients Attending a Pediatric Emergency Department

2021 ◽  
Vol 9 ◽  
Author(s):  
Christoph Zurl ◽  
Ernst Eber ◽  
Anna Siegl ◽  
Sabine Loeffler ◽  
Evelyn Stelzl ◽  
...  
Keyword(s):  
Emergency Department ◽  
Nucleic Acid ◽  
Children And Adolescents ◽  
Clinical Symptoms ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
Measured Temperature ◽  
Nucleic Acid Testing ◽  
Case Definitions ◽  
Outpatient Visits

Children and adolescents seem to be at lower risk of developing clinical symptoms of COVID-19. We analyzed the rate of SARS-CoV-2 infections among 3,605 symptomatic children and adolescents at 4,402 outpatient visits presenting to a pediatric emergency department. In a total of 1,105 (32.6%) episodes, the patients fulfilled clinical case definitions for SARS-CoV-2 infection and were tested by nucleic acid testing. A SARS-CoV-2 infection was diagnosed in 10/1,100 episodes (0.3% of analyzed episodes, 0.91% of validly tested patients). Symptoms at presentation did not differ between patients with and without SARS-CoV-2 infection, apart from the frequency of measured temperature ≥37.5°C at presentation. Three percent of analyzed children reported disturbances of olfactory or gustatory senses, but none of them was infected with SARS-CoV-2. The rate of SARS-CoV-2 infections among symptomatic children and adolescents was low and SARS-CoV-2 infections could not reliably be differentiated from other infections without nucleic acid testing.

scholarly journals Pharmacologic Management of Agitation and Aggression in a Pediatric Emergency Department – A Retrospective Cohort Study

2018 ◽  
Vol 23 (6) ◽  
pp. 455-459 ◽  
Author(s):  
Jennifer G. Kendrick ◽  
Ran D. Goldman ◽  
Roxane R. Carr
Keyword(s):  
Emergency Department ◽  
Adverse Events ◽  
Single Agent ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
Inclusion Criteria ◽  
Medication Utilization ◽  
Pharmacologic Management ◽  
Acute Agitation ◽  
To Receive

BACKGROUND Benzodiazepine and antipsychotic use for acute management of agitation and aggression in the pediatric emergency department (ED) setting has not been well described. OBJECTIVES To describe medication utilization in the management of agitation and aggression in a pediatric ED and to assess the safety of their use. METHODS This was a retrospective observational study. Patients less than 20 years of age who presented to our pediatric ED and had agitation or aggression as part of their chief complaint were included if they received at least 1 dose of benzodiazepine or antipsychotic. Outcomes included frequency of benzodiazepine and antipsychotic use, dosing of medications, and reported adverse events. RESULTS During the 5-year study period, there were 128 visits of 120 patients who met the inclusion criteria. Lorazepam was most commonly given (70%), followed by chlorpromazine (20%). Most patients (82%) required a single dose of medication. Intoxication was associated with needing more than 1 dose of medication. Patients with autism or Asperger syndrome were more likely to receive an antipsychotic medication compared to not having these conditions (75% vs. 28%, respectively). Adverse events were documented in 6 visits: oxygen desaturation (n = 1), dizziness and nausea (n = 2), dizziness (n = 1), and paradoxical excitation (n = 2). The Naranjo Score indicated a probable adverse drug reaction for the cases of paradoxical excitation. CONCLUSIONS Benzodiazepine and antipsychotic drug therapy for acute agitation and aggression in children appears to be safe and well tolerated when used as a single agent and at the recommended doses in this setting.

Assessing Somatization and Psychosocial Impairment in the Pediatric Emergency Department

2010 ◽  
Author(s):  
Zorash Montano ◽  
Neda Safvati ◽  
Angela Li ◽  
Ilene Claudius ◽  
Jeffrey I. Gold
Keyword(s):  
Emergency Department ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
Psychosocial Impairment

Variation in Test Ordering for Low Acuity Patients By Pediatric Emergency Department Providers

PEDIATRICS ◽  
2016 ◽  
Vol 137 (Supplement 3) ◽  
pp. 276A-276A
Author(s):  
Kaynan Doctor ◽  
Kristen Breslin ◽  
Melissa M. Tavarez ◽  
Deena Berkowitz ◽  
James M. Chamberlain
Keyword(s):  
Emergency Department ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
Test Ordering
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