Pediatric Patients Discharged from the Emergency Department with Abnormal Vital Signs.

Introduction: Children often present to the emergency department (ED) with minor conditions such as fever and have persistently abnormal vital signs. We hypothesized that a significant portion of children discharged from the ED would have abnormal vital signs and that those discharged with abnormal vital signs would experience very few adverse events.

Methods: We performed a retrospective chart review encompassing a 44-month period of all pediatric patients (aged two months to 17 years) who were discharged from the ED with an abnormal pulse rate, respiratory rate, temperature, or oxygen saturation.

Oropharyngeal Edema in an 8-Month-Old Girl after Woolly Bear Caterpillar Exposure.

Background: Lepidopterism refers to the manifestations of contact from any number of moths, butterflies, and caterpillars. Various symptoms have been described, ranging from localized skin irritation to systemic anaphylactic reactions.

Case Report: We present a case of airway edema in an 8-month-old child from oral exposure to Woolly Bear Caterpillar (Pyrrharctia Isabella).

Effort thrombosis (Paget-Schroetter syndrome) in a 16-year-old male.

Patient: Male, 16.

Final Diagnosis: Effort thrombosis (Paget-Schroetter Sydnrome).

Symptoms: Swollen arms.

Adverse events in pediatric ketamine sedations with or without morphine pretreatment.

Objective: To assess outcomes between 2 groups of patients receiving ketamine for procedural sedations in our pediatric emergency department. Our hypothesis is that there is no difference in the number of adverse events in ketamine sedations with and without morphine pretreatment.

Methods: This was a retrospective cohort study of all ketamine sedation records over 15 months.