Publications by authors named "N de Suremain"

Background: Paediatric sepsis is the leading cause of death in children under 5 years. No studies have evaluated the application of the Surviving Sepsis Campaign 2020 (SSC-2020) guidelines in paediatric emergency departments (PEDs).

Objective: To assess physician adherence to the SSC-2020 fluid resuscitation guidelines in children with suspected septic shock in PEDs.

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Article Synopsis
  • The study focused on managing children with Plasmodium falciparum hyperparasitemia (≥10%) in French hospitals, as per pediatric guidelines, aiming to understand their clinical course and treatment approaches.
  • Conducted over eight hospitals from 2007 to 2014, the research analyzed data from 61 non-immune children, comparing outcomes of those treated in pediatric intensive care units versus other settings.
  • Findings revealed that most children (77%) were treated outside intensive care, primarily with oral antimalarial medication, with no reported deaths, highlighting the importance of thorough clinical evaluation and hospital supervision for effective management.
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Background: Although simulation-based assessment (SBA) is being implemented in numerous medical education systems, it is still rarely used for undergraduate medical students in France. Objective structured clinical examinations (OSCEs) will be integrated into the national medical curriculum in 2021. In 2016 and 2017, we created a mannequin SBA to validate medical students' technical and psychometric skills during their emergency medicine and paediatric placements.

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Since the 2007 French guidelines on imported Falciparum malaria, the epidemiology, treatment, and prevention of malaria have changed considerably requiring guidelines for all Plasmodium species to be updated. Over the past decade, the incidence of imported malaria has decreased in all age groups, reflecting the decrease in the incidence of malaria in endemic areas. The rates of severe pediatric cases have increased as in adults, but fatalities are rare.

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