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The International League Against Epilepsy (ILAE) task force on neonatal seizures has recently published draft guidelines and consensusbased recommendations on the treatment of neonatal seizures. This update provides a summary of the recommendations and the changes in management compared to the previous WHO ILAE guidelines, published in 2011, with emphasis on practical decision making requirements for a pediatrician.
RESUMO
Background: Recurrent facial palsy in a patient merits investigation for underlying etiology.Case characteristics: 8-year-old boy with erythematous itchy skin lesion and recurrentfacial palsy. Observation: He had a past history of aseptic meningitis andnephrocalcinosis. Raised angiotensin converting enzyme levels, interstitial lung disease onCT chest, and non caseating granulomas on skin biopsy clinched the diagnosis ofsarcoidosis. Message: Multisystem involvement and recurrent lower motor facial nervepalsy is a clinical clue for sarcoidosis.
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This prospective study was conducted in a teaching hospital to identify and analyze medical errors in pediatric practice. All admitted children underwent surveillance for medical errors. Of 457 errors identified in 1286 children, medication errors were 313 (68.5%), those related to treatment procedures were 62 (13.6%) and to clerical procedures 82 (17.9%). Physiological factors accounted for 125 (27.3%) of errors, equipment failures in 68 (14.9%), clerical mistakes 118 (25.8%), carelessness 98(21.4%) and lack of training for 48 (10.5%). Morbidity was nil in 375 (82%), mild in 49 (10.7%), moderate in 22 (4.8%) and severe in 11 (2.4%) errors.