A prospective study of femoral catheter-related thrombosis in children

Article Abstract:

Hospitalized children who have catheters placed in the femoral vein of their leg may develop catheter-related blood clots which may be undetectable unless ultrasonography is used. A study of 20 critically ill children with femoral vein catheters in a pediatric intensive care unit found that 35% (7 children) developed blood clots in the femoral vein. Younger and smaller children were more likely to develop catheter-related blood clots. Leg swelling and the inability to aspirate blood from the catheter were significantly associated with ultrasound detection of blood clots. Leg swelling, however, was absent in six of seven patients with blood clots. Color Doppler ultrasonography may be a more desirable means of detecting hidden blood clots than contrast venography.

Causes of, Thrombosis, Intravenous catheterization

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Pediatric Acetaminophen Overdose

Article Abstract:

Many children who overdose on acetaminophen may develop liver damage from the drug. overdose and identify risk factors for hepatocellular injury. The medical records of 322 children who overdosed on acetaminophen show that 182 were unintentional and 140 were intentional. Eighteen percent of those who took the overdose intentionally developed liver damage, compared to 10% of those who overdosed accidentally. In addition, children who were not seen by a doctor until more than 24 hours after the ingestion were more likely to develop liver damage.

Health aspects, Drugs, Children, Liver, Child health, Acetaminophen, Overdose

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Bridging the Emergency Medical Services for Children Information Gap

Article Abstract:

Children in low-income communities are far more likely to use emergency medical transportation services than children in more affluent communities. Researchers evaluated 7,296 ambulance transports of children 15 years old or younger in a three-year study. Almost half of the children transported were younger than one year of age. Twenty-seven percent of patients did not have medical insurance. Children from poorer communities were almost six times as likely to use ambulance services than children in higher-income areas.

United States, Demographic aspects, Emergency medical services, Ambulance service, Ambulance services

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