Pediatric Myocarditis: The Great Masquerader! Clinical Presentations and Early Predictors for Poor Outcomes.

Pediatric myocarditis has a mortality of at least 25%. Identification of children with myocarditis in the early phases is essential in order to start monitoring and supportive treatment in a timely manner, but diagnosis in the ED is challenging due to the heterogeneous and unspecific clinical presentation. Most patients (59%) required two or more visits to the ED before the diagnosis of myocarditis. A previous diagnosis different from myocarditis was made in 52% of cases. 31% were categorized as respiratory infection (bronchiolitis, pneumonia, and upper respiratory tract infection), 17% as gastrointestinal infection, 2% as urinary tract infection, and 2% as infantile colic.

Link to read article.

What's New

PEP Course

The Steven Z. Miller Community Hospital Emergency Pediatrics Leadership Academy

LET US HELP YOU DEVELOP PEDIATRIC LEADERSHIP FOR YOUR ED!
Read More

Report

How Comfortable Are Community-Hospital Emergency Physicians And Nurses With Emergency Pediatrics?

Physicians surveyed frequently commented that “symptoms displayed by children are so subtle that sepsis and septic shock are often missed. Source: iMedPub Journals
Read More

Report

Cardiac Arrest Survival in Pediatric and General Emergency Departments

Analysis of the difference in survival rate of pediatric patients suffering from out of-hospital cardiac arrest (OHCA) reveals a higher survival rate for children suffering from nontraumatic OHCA at pediatric emergency departments than at general emergency departments. Source: AAP
Read More

Report

Pediatric Myocarditis: The Great Masquerader! Clinical Presentations and Early Predictors for Poor Outcomes.

Diagnosis different from myocarditis was made in 52% of cases. 31% were categorized as respiratory infection (bronchiolitis, pneumonia, and upper respiratory tract infection), 17% as gastrointestinal infection, 2%as urinary tract infection, and 2% as infantile colic. Source: WJCC
Read More

Report

Pediatric Sepsis: A Challenging Diagnosis for Community-Hospital Emergency Physicians!

Due to the physiological differences between children and adults, it is now evident that pediatric sepsis is an entity distinct from adult sepsis. This article describes the challenges community hospital emergency providers face with diagnosis.Source: HHS Public Access
Read More

Report

How Well Do Vital Signs Identify Children With Serious Infections In Pediatric Emergency Care?

This UK study demonstrates that pediatric vital signs can be used to help identify children with serious infections in pediatric emergency departments and offer similar diagnostic performance to more complicated triage tools. Source: BMJ Journals
Read More