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Pediatric Emergency Medicine Journal
ISSN 2383-4897 · Korean Society of Pediatric Emergency Medicine · 266 artikel di indeks
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Evaluation of the information fidelity of discharge instructions for pediatric patients with mild traumatic brain injury in emergency departments
We evaluated the content fidelity of written discharge instructions (WDIs) for pediatric patients with mild traumatic brain injury (mTBI). In May 2023, copies of WDIs were collected from 55 academic hospitals across South Korea. Each document was scored for the fidelity of medical advice based on…
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A young adult patient who needed extracorporeal membrane oxygenation after pericardiocentesis due to post-pericardiotomy syndrome
We report a 27-year-old woman who presented with orthopnea, which occurred after undergoing an open-heart surgery, atrial septal defect closure with mitral valve cleft repair. Pericardiocentesis was successfully performed; however, she subsequently developed circulatory collapse, necessitating the…
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Injury patterns and characteristics in pediatric emergency department visits in Korea: focusing on self-harm, suicide, violence, and assault
Purpose This study analyzed the characteristics of pediatric patients’ (≤ 18 years) intentional injury-related visits to the emergency department (ED) using National Emergency Department Information System data from January 1 through December 31, 2023, providing foundational evidence for prevention…
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Accidental amphetamine ingestion in an infant: expanding the differential for seizure-like activity
Amphetamine ingestion in infants is uncommon but can mimic serious neurologic conditions such as epileptic seizures or meningitis. We report a 4-month-old boy who presented with irritability, high blood pressure, and seizure-like activity. Against a possible infectious cause, he underwent…
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Bubbling up consequences: severe gastric injury in a child after hydrogen peroxide ingestion: a case report
We report a case of a previously healthy 9-year-old boy who presented to the emergency department following accidental ingestion of 35% hydrogen peroxide. He developed emesis and mild abdominal pain and was found to have extensive portal venous gas, severe gastric pneumatosis, and free…
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Toy gun-related ocular injuries in the United States children: an analysis of national emergency department data from 2005 to 2024
Purpose Toy guns are popular among children but can pose serious risks of eye injury. This study analyzed toy gun-related ocular injuries (TGOIs) in pediatric patients over 20 years using the United States national data. Methods A retrospective cross-sectional analysis was performed using the U.S…
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Emergency department outcomes of children with non-typhoidal Salmonella gastroenteritis: a single-center cohort study with adult comparators
Purpose This study was performed to compare clinical features and emergency department (ED) outcomes between children and adults with non‑typhoidal Salmonella (NTS) gastroenteritis in a single‑center cohort. Methods We retrospectively reviewed electronic medical records of ED patients with stool…
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Evolution in pediatric emergency airway management over a decade at a tertiary center in Pakistan
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Factors affecting worsening intracranial injuries in pediatric patients with mild traumatic brain injury
Purpose The clinical utility of routine repeat computed tomography (CT) in pediatric patients with mild traumatic brain injury (TBI) remains controversial. We aimed to identify factors associated with worsening intracranial injury (ICI) on repeat CT in pediatric patients with mild TBI. Methods This…
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A pediatric case of reversible dilated cardiomyopathy caused by autoimmune hypothyroidism
Dilated cardiomyopathy is the most common form of cardiomyopathy in children and often leads to irreversible myocardial dysfunction. To improve the prognosis, it is critical to identify rare but reversible causes. We report a 12-year-old girl referred to the emergency department for dyspnea on…
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Age group-related characteristics of pediatric drowning patients treated at an emergency medical center in northern Yeongseo, Gangwon Province
Purpose We aimed to analyze pediatric drowning cases to study age group-related clinical characteristics, such as causes, location, and outcomes, in an under-researched area in South Korea. Methods From January 1, 2020 through July 20, 2025, we retrospectively analyzed medical records of patients…
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Posttraumatic superior mesenteric artery syndrome following a chance fracture in a child: a case report
Superior mesenteric artery syndrome (SMAS) is a rare but important cause of acute upper gastrointestinal obstruction resulting from compression of the duodenal third portion between the superior mesenteric artery and aorta. While SMAS has been described after corrective spinal surgery, it is rarely…
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A pediatric case of cecal volvulus with literature review
Cecal volvulus is a rare condition, particularly in the pediatric population, and is associated with serious complications such as ischemia, gangrene, or perforation. Its clinical presentation is often vague and variable, which may delay diagnosis. We present a case of a 10-year-old female who…
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Sodium chlorite-induced pediatric methemoglobinemia requiring methylene blue drip: a case report
Acquired methemoglobinemia is a rare and potentially lethal complication of several oxidizing agents, with ingestions reported in patients of various demographics. Here, we present a 30-month-old patient with sodium chlorite-induced methemoglobinemia that was refractory to initial intermittent…
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Trends and clinical characteristics across the full spectrum of pediatric psychiatric emergency department visits
Purpose We analyzed annual trends and clinical characteristics across the full spectrum of pediatric psychiatric emergency department (ED) visits. Methods This retrospective study included patients aged 18 years or younger who underwent psychiatric interview at the ED of Gyeongsang National…
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Facility type as the primary determinant of hospitalization in pediatric foreign body ingestion: a nationwide emergency department-based analysis
Purpose We aimed to characterize pediatric emergency department (ED) visits for foreign body (FB) ingestion in Korea, and to identify clinical- and system-level determinants of hospitalization. Methods We analyzed 2,870 children aged 9 years or younger who visited EDs with FB ingestion from 2019…
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Agreement between caregivers’ assessment of their children’s urgency of illness and the Emergency Severity Index in an urban pediatric emergency department
Purpose We aimed to evaluate the agreement between caregivers’ assessment of their children’s urgency of illness and the Emergency Severity Index (ESI) assigned at triage, and to identify factors associated with the caregivers’ assessment. Methods This prospective questionnaire-based study was…
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Fatal warfarin-associated intracranial hemorrhage with intraventricular extension in a child with mechanical mitral valve presenting as persistent headache initially treated as acute sinusitis: a case report
Warfarin therapy in pediatric patients with mechanical heart valves carries a risk of life-threatening bleeding complications. We report a fatal case of warfarin-associated intracranial hemorrhage in a 7-year-old female with mechanical mitral valve replacement who presented with persistent headache…
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Incomplete Kawasaki disease with coronary artery aneurysms in an infant presenting with persistent fever despite pneumonia treatment
Incomplete Kawasaki disease (KD) in infants often presents without classic clinical features, increasing the risk of delayed diagnosis and coronary complications. We report a previously healthy 9-month-old male who presented to an emergency department with a 15-day history of fever and dry cough…