Utility of a child abuse screening guideline in an urban pediatric emergency department.

Background: Previous studies have found racial and socioeconomic status bias in the way clinicians screen for and detect child abuse in patients presenting to the emergency department. We hypothesized that implementing a guideline for screening would attenuate this bias.

Methods: An algorithm for child abuse screening in patients younger than 1 year presenting with fractures was developed for a pediatric trauma center emergency department.

Defining the signs and symptoms of Chiari malformation type I with and without syringomyelia.

Objective: There is a lack of correlation between how Chiari malformations are defined and the plethora of signs and symptoms attributed to these malformations. The purpose of this review is to understand the signs and symptoms of Chiari malformations in relation to the newer descriptions that define these malformations.

Methods: We reviewed the literature to determine what are the pertinent signs and symptoms related to Chiari malformations, with special attention to Chiari type I malformations.

Hearing evaluation in pediatric patients treated at the hospital following head injury.

The purpose of this study was to assess the results of a hearing evaluation protocol among 130 pediatric patients with a head injury. Sixteen of these patients failed an audiology evaluation. Ten were thought to have failed based on congestion/middle ear dysfunction, while 6 patients had temporary or permanent hearing loss thought to be related to their injury.