Publications by authors named "C P Monteilh"
Introduction: Ketamine and propofol are commonly used agents for sedation in the pediatric emergency department (PED). While these medications routinely provide safe sedations, there are side effects providers should be able to recognize and manage. Currently, no pediatric sedation simulations exist in the literature.
View Article and Find Full Text PDFIntroduction: The incidence of urolithiasis in the pediatric population is rising and medical expulsive therapy (MET) using alpha-adrenergic antagonists has been found to be effective in aiding in the passage of ureteral stones in children. A prior review of patients presenting to our quaternary children's hospital with urolithiasis found only 54 % were prescribed MET and these patients had increased rates of spontaneous stone passage. Thus, an ED urolithiasis management protocol was created to standardize evaluation and care of children with suspected urolithiasis.
View Article and Find Full Text PDFArticle Synopsis
- Mass casualty incidents (MCI), especially those involving children, are rare but complex situations that require thorough preparation and specialized emergency protocols.
- Medical personnel must quickly and efficiently assess and prioritize patients based on their medical needs when responding to an MCI.
- The report introduces a new training program for pediatric emergency providers that emphasizes the JumpSTART triage algorithm to enhance their skills in managing secondary triage during these critical incidents.
Nebulized Tranexamic Acid for Pediatric Post-tonsillectomy Hemorrhage: A Report of Two Cases.
Clin Pract Cases Emerg Med
May 2021
Introduction: Tranexamic acid (TXA) use in pediatrics to control hemorrhage has gained interest in recent years, but there is limited literature on nebulized TXA especially regarding dosing and adverse effects. Tranexamic acid has anti-fibrinolytic properties via competitive inhibition of plasminogen activation making it a logical approach to promote hemostasis in cases of post-tonsillectomy hemorrhage.
Case Report: We describe two cases of post-tonsillectomy hemorrhage managed with nebulized TXA.
Background: Many studies investigating pubertal development use Tanner staging to assess maturation. Endocrine markers in urine and saliva may provide an objective, sensitive, and non-invasive method for assessing development.
Objective: Our objective was to examine whether changes in endocrine levels can indicate the onset of pubertal development prior to changes in self-rated Tanner stage.