scholarly journals Management of Peritonsillar Abscess Within a Local Emergency Department: A Quality Analysis Study

Cureus ◽  
2021 ◽  
Author(s):  
Briana K Ortega ◽  
Spencer Short ◽  
Bryan G Kane ◽  
Robert Dedio
Keyword(s):  
Emergency Department ◽  
Peritonsillar Abscess ◽  
Quality Analysis ◽  
Analysis Study ◽  
Local Emergency Department

scholarly journals CO-aVoID: coronavirus outbreak affecting variability of presentations to a local emergency department

CJEM ◽  
2021 ◽  
Author(s):  
Valancy Cole ◽  
Paul Atkinson ◽  
Robert Hanlon ◽  
Daniel J. Dutton ◽  
Tong Liu ◽  
...  
Keyword(s):  
Emergency Department ◽  
Local Emergency Department

scholarly journals Clinical presentation of influenza a (H1N1) infection in a local emergency department in Greece

Retrovirology ◽  
2010 ◽  
Vol 7 (S1) ◽  
Author(s):  
Evangelos Voudoukis ◽  
Athanasios Panoutsopoulos ◽  
Pappas Apostolos ◽  
Stofa Efthimia ◽  
Leventogianni Vassiliki ◽  
...  
Keyword(s):  
Emergency Department ◽  
Influenza A ◽  
Clinical Presentation ◽  
H1n1 Infection ◽  
Influenza A H1n1 ◽  
Local Emergency Department

Conscious Sedation for Pediatric Peritonsillar Abscess: Comparison of Anesthetic Approaches

2019 ◽  
Vol 160 (4) ◽  
pp. 706-711 ◽  
Author(s):  
M. Elise Graham ◽  
Abigail K. Neal ◽  
Ian C. Newberry ◽  
Matthew A. Firpo ◽  
Albert H. Park
Keyword(s):  
Emergency Department ◽  
Chart Review ◽  
Pediatric Patients ◽  
Conscious Sedation ◽  
Case Series ◽  
Dental Trauma ◽  
Primary Outcome Measure ◽  
Peritonsillar Abscess ◽  
Incision And Drainage ◽  
Viable Treatment

Objective To compare the efficacy, safety, and cost of incision and drainage (I&D) for pediatric patients with peritonsillar abscesses (PTAs) under conscious sedation (CS) versus unsedated (awake) and general anesthesia (GA). Study Design Case series with chart review. Setting Tertiary pediatric hospital. Subjects and Methods Records for all pediatric patients (<18 years) treated for PTAs in the emergency department from 2005 to 2015 were reviewed and stratified into awake, CS, and GA groups for comparison. The primary outcome measure was procedure tolerance, with secondary measures including return to the emergency department within 15 days, complications, and facility costs associated with treatment. Results A total of 188 patients were identified. The median age was 14 years (interquartile range, 9-16). Awake drainage with injected local anesthetic was used in 115 children; 62 underwent CS; and 11 underwent GA. Over 92% of the children tolerated I&D regardless of anesthesia, with no difference among groups ( P = .60). None of those who underwent I&D via CS returned to the emergency department within 15 days of the procedure, as compared with 5.2% for the awake group and 9.1% for the GA group ( P = .06). None in the GA or awake group had a complication associated with the procedure, as opposed to 9.6% in the CS group ( P = .02). Complications included apnea and dental trauma (2 children each) and transient hypotension and desaturation (1 each). Cost was highest in the GA group and lowest for the awake group ( P < .0001). Conclusion CS for PTA I&D is a viable treatment option with tolerance and success similar to that of the awake and GA groups. Complications were observed for those who underwent CS, but they were manageable.

scholarly journals The Blood Alcohol Concentration Testing Emergency Room Investigation Analysis Study: A 1-Year Review of Blood Alcohol Concentration Testing in an Emergency Department

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Ayman Elgammal ◽  
Doireann Eves ◽  
Abbas Albaghli ◽  
Daniel Kane ◽  
Robert Durcan ◽  
...  
Keyword(s):  
Emergency Department ◽  
Blood Alcohol Concentration ◽  
Alcohol Concentration ◽  
Descriptive Statistics ◽  
Blood Alcohol ◽  
Analysis Model ◽  
Multifactorial Analysis ◽  
Analysis Study ◽  
Clinical Scenarios ◽  
Actual Use

Aim. To describe the actual use of blood alcohol concentration (BAC) testing in an emergency department. Method. This study was performed to examine in what circumstances emergency medicine doctors and nurses request blood alcohol concentrations and the outcome of patients so tested. A retrospective study was performed. A database of all the patients who presented to the emergency department and who were tested for BAC in 2012 was created. Descriptive statistics are used to present the findings. Results. During 2012, there were 1191 patients on whom BAC testing was performed. 37 patients had a BAC greater than the allegedly lethal concentration of 400 mg/100 mL. Using a multifactorial analysis model, a higher blood alcohol concentration was associated with a lower Glasgow Coma Score. Conclusion. BAC testing is most often performed in the context of alleged overdose. BAC was performed in other clinical scenarios albeit in less than 2% of all ED attendances.

scholarly journals Case Report: Pediatric POCUS: 4 month old infant with a timely diagnosis

POCUS Journal ◽  
2017 ◽  
Vol 2 (2) ◽  
pp. 13-14
Author(s):  
Victor Istasy MD, FRCPC ◽  
Tim Lynch MD, FRCPC ◽  
Rodrick Lim, MD, FRCPC
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Female Infant ◽  
Telephone Consultation ◽  
Timely Diagnosis ◽  
Bilious Vomiting ◽  
History Of ◽  
Local Emergency Department

A healthy, four month-old female infant presented to a local emergency department with a 12-hour history of decreased activity, non-bilious vomiting and one episode of dark red blood in the stools. There was no history of fever. Telephone consultation was completed and the patient was transferred to a tertiary, pediatric centre for further evaluation. On arrival, the infant appeared pale and was lethargic during the exam.

Hypovolemic Shock in a Child as a Consequence of Corporal Punishment

PEDIATRICS ◽  
1991 ◽  
Vol 87 (4) ◽  
pp. 570-571
Author(s):  
SCOTT P. EICHELBERGER ◽  
DOUGLAS W. BEAL ◽  
RONALD B. MAY
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Corporal Punishment ◽  
Hypovolemic Shock ◽  
Health Problems ◽  
Black Girl ◽  
Local Emergency Department ◽  
Home And School ◽  
Progressive Weakness ◽  
Accepted Form

Corporal punishment is an accepted form of discipline in the American home and school despite numerous publications in various fields reporting concerns.1-7 We describe a case of paddling associated with hypovolemic shock. CASE REPORT The patient, a 5-year-old black girl with no known underlying health problems, was seen at a local emergency department for complaints of progressive weakness. The previous day she had been paddled by her mother for disciplinary reasons. Her mother had used a wooden paddle, spanking her on the buttocks and upper thighs. Neither mother nor daughter could recall the number of blows administered. Shortly after being spanked, the child complained of generalized soreness over the area of injury.

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