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1.
Pediatr Emerg Care ; 39(6): 371-373, 2023 Jun 01.
Article in English | MEDLINE | ID: mdl-35413043

ABSTRACT

ABSTRACT: Although spinal ligamentous injuries and extra-axial hemorrhages are known to commonly accompany abusive head trauma (AHT), symptomatic and radiological apparent cervical spinal cord injuries are rare. Of the 16 previously reported cases, 3 such cord injuries lacked the accompanying intracranial injuries of AHT. We report an additional child who developed symptomatic central cervical cord syndrome, with accompanying cervical imaging findings, but no intracranial AHT injuries. The mechanism of trauma for this child and the other children without intracranial injury remains unclear. However, 1 additional reported child sustained similar injuries when she was held by her head and shaken. It is likely that as cervical magnetic resonance imaging becomes more common in AHT, more cases will be recognized.


Subject(s)
Cervical Cord , Child Abuse , Craniocerebral Trauma , Neck Injuries , Soft Tissue Injuries , Spinal Cord Injuries , Spinal Injuries , Child , Female , Humans , Infant , Cervical Cord/diagnostic imaging , Craniocerebral Trauma/complications , Child Abuse/diagnosis , Spinal Cord Injuries/diagnostic imaging , Spinal Cord Injuries/etiology , Spinal Injuries/complications , Neck Injuries/complications , Retrospective Studies
2.
Paediatr Int Child Health ; 41(1): 3-11, 2021 02.
Article in English | MEDLINE | ID: mdl-33769218

ABSTRACT

Exponential growth of the world's population combined with increased travel has dramatically increased the spread of infectious diseases. Although there has been significant focus on migration, the major contributors to the transmission of communicable diseases are travel and tourism not migration. Given that children represent up to 10% of international travellers, it is critical to the health of all age groups to ensure that tailored guidance for children is considered in public health policy and guidelines, and pandemic responses. To further support pandemic preparedness, public health systems need to strengthen ties with communities and health systems. In addition, travel and migration issues need to be included as core competencies in medical education. Ensuring that clinicians who care for children have knowledge of travel and migration health will foster a better health outcome in an increasingly mobile population at risk of emerging infectious diseases.Abbreviations CDC: Centers for Disease Control and Prevention; DGMQ: CDC Division of Global Migration and Quarantine; EID: emerging infectious diseases; EU: European Union; VFR: visiting friends and relatives; IOM: United Nations International Organization for Migration; LPR: lawful permanent resident; US: United States of America; WHO: World Health Organization.


Subject(s)
Communicable Diseases , Public Health , Travel , Child , Child Health , Humans
3.
MedEdPORTAL ; 16: 10946, 2020 08 26.
Article in English | MEDLINE | ID: mdl-32875092

ABSTRACT

Introduction: Pediatric bacterial tracheitis is a rare but life-threatening upper airway infection with mortality rates estimated as high as 20%, typically affecting children between 6 months and 12 years old. Given such high mortality rates, we felt it was important to train medical personnel to evaluate and manage this condition. Methods: This simulation-based curriculum was developed for health care professionals involving the evaluation and management of an 8-year-old male with symptoms of fever, stridor, worsening barking cough, and increased work of breathing. Critical actions included identifying stridor and airway respiratory distress; monitoring and supporting airway, breathing, and circulation; administering racemic epinephrine and dexamethasone; and identifying and treating bacterial tracheitis as the underlying cause. Scenario-specific debriefing tools were put together to elicit scenario feedback and aid in formative learning. Results: The scenario was conducted with six fellows and 12 residents and medical students. Per the survey data, the case was rated as highly relevant (median = 5) and highly realistic (median = 5) by participants on a 5-point Likert scale. Discussion: Pediatric bacterial tracheitis is a low frequency, but high-risk scenario that was amenable to simulation as an educational modality and was well-received by participants. The debriefing tools were implemented as a means of helping instructors customize the scenario for learners based on respective educational backgrounds and learning styles.


Subject(s)
Pediatric Emergency Medicine , Tracheitis , Child , Curriculum , Humans , Learning , Male , Surveys and Questionnaires , Tracheitis/diagnosis , Tracheitis/therapy
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