RESUMO
The charts of 370 children under the age of two years who presented to a pediatric emergency department between September 1988 and August 1989 were reviewed. Twenty-seven patients (7% of the total) had injuries associated with child safety seat (CSS) misuse. Thirteen were infants and toddlers injured as motor vehicle occupants when improperly restrained--CSS harness not properly connected (8), use of an improper device (3), and CSS not anchored to the car seat (2). Fourteen were infants under one year of age who were injured falling in their CSS. Injuries included minor head trauma (17), linear skull fracture (5), concussion (1), femoral fracture (1), depressed skull fracture with epidural hematoma (1), cervical vertebral fracture (1), and intraventricular hemorrhage (1). Nine patients were hospitalized. Injuries associated with CSS misuse may be more common than previously recognized and can result in significant injury. Educational efforts should focus on correct usage.
Assuntos
Equipamentos para Lactente/efeitos adversos , Ferimentos e Lesões/etiologia , Acidentes de Trânsito , Contusões/etiologia , Traumatismos Craniocerebrais/etiologia , Falha de Equipamento , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Estudos RetrospectivosRESUMO
Kawasaki's disease or mucocutaneous lymph node syndrome is being diagnosed with increasing freqency in this country. Although death is a rare complication coronary arteritis with associated myocardial changes is common. Echocardiography is proposed as a non-invasive study that may aid in the early detection of cardiac involvement.
