Experience with guidelines for cardiac monitoring after electrical injury in children

The American Journal of Emergency Medicine
B BaileyR L Thivierge

Abstract

The objective of the study was to evaluate the use of guidelines to determine the need of cardiac monitoring in children who sustained an electrical injury. The prospective use of guidelines since implementation July 1994 to June 1998 in a tertiary care pediatric teaching hospital was reviewed. Guidelines were cardiac monitoring for 24 hours is done on children with past cardiac history, loss of consciousness, voltage >240 volt or abnormal electrocardiogram (ECG); an ECG was obtained only when theoretical risk factors were present (tetany, decreased skin resistance by water or burns) or an unwitnessed event. Cardiac monitoring was performed in 29/224 (13%) patients (all normal) for 421 hours since implementation of the guidelines. Reasons included abnormal ECG (n = 10), voltage >240 volts (n = 6), lost of consciousness (n = 3), past cardiac history (n = 2), and unjustified (n = 9). There was no morbidity (0/172 patients 95% CI 0 to 1.7%) or mortality (0/224 patients 95% CI 0 to 1.3%). The guidelines were helpful in determining the need of cardiac monitoring in children after an electrical injury without any apparent risk.

Citations

Apr 25, 2007·Emergency Medicine Journal : EMJ·Benoit BaileyRobert L Thivierge
Mar 2, 2010·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·I ClaudetS Salanne
May 15, 2010·The American Journal of Emergency Medicine·János TomcsányiArabadzisz Hrisula
Dec 5, 2006·Annals of Emergency Medicine·Esther H Chen, Amit Sareen
May 13, 2006·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·D PloinD Floret
Apr 27, 2017·European Heart Journal·Victor WaldmannEloi Marijon
Jul 5, 2006·Journal of Burn Care & Research : Official Publication of the American Burn Association·Brett ArnoldoNicole S Gibran
Nov 10, 2004·The Journal of Burn Care & Rehabilitation·Brett D ArnoldoJohn L Hunt
Jan 17, 2003·Critical Care Medicine·Anastassios C Koumbourlis
Feb 3, 2021·Journal of Burn Care & Research : Official Publication of the American Burn Association·Saira NisarLaura S Johnson

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Hereditary Sensory Autonomic Neuropathy

Hereditary Sensory Autonomic Neuropathies are a group of inherited neurodegenerative disorders characterized clinically by loss of sensation and autonomic dysfunction. Here is the latest research on these neuropathies.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Landau-Kleffner Syndrome

Landau Kleffner syndrome (LKS), also called infantile acquired aphasia, acquired epileptic aphasia, or aphasia with convulsive disorder, is a rare childhood neurological syndrome characterized by the sudden or gradual development of aphasia (the inability to understand or express language) and an abnormal electroencephalogram. Discover the latest research on LKS here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Regulation of Vocal-Motor Plasticity

Dopaminergic projections to the basal ganglia and nucleus accumbens shape the learning and plasticity of motivated behaviors across species including the regulation of vocal-motor plasticity and performance in songbirds. Discover the latest research on the regulation of vocal-motor plasticity here.

Related Papers

Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery
J P GuinardJ Freeman
Burns : Journal of the International Society for Burn Injuries
B H WallaceF T Caldwell
Forensic Science International : Synergy
B BaileyP Gaudreault
Burns : Journal of the International Society for Burn Injuries
M Zubair, G E Besner
© 2021 Meta ULC. All rights reserved