Tag Archives: children’s health

MCRI experts developed the first guidelines on pediatric head injuries in Australia and New Zealand | Instant News

Australia and New Zealand’s first set of clinical guidelines for pediatric head injuries have been developed by a network of specialists based at the Murdoch Children’s Research Institute (MCRI).

The manual, developed by the Pediatric Research in Emergency Departments International Collaborative (PREDICT) and published in Australasia Emergency Medicine, will enable emergency physicians to diagnose and treat children’s head injuries while reducing unnecessary ones radiation exposure from a CT scan. They also treat head injuries in children with underlying problems, such as bleeding disorders.

Matthew Salter took his son Jakob, 15, to the emergency department of a large hospital late last year after he hit his head after a BMX accident.

Jakob tries to do a bike trick on one of our local BMX tracks but he missteps landing and crashes first. When my wife and I arrived at the scene, we found her helmet shield had been destroyed, she was depressed and I was worried she might have a concussion. When we arrived at the hospital he vomited several times so to confirm a head injury he received a CT scan and was observed overnight. “

Mr. Matthew Salter

Based on the new head injury guidelines, Jakob fulfills several risk factors for CT scan and observation.

Mr Salter said it was comforting to know these guidelines were in place to ensure all children receive the same treatment wherever they live in Australia.

Professor Franz Babl, Leader of the MCRI Emergency Research Group, said Australia and New Zealand do not yet have specific guidelines to help doctors decide how best to treat every child under 18 who comes to the emergency department with mild to moderate head injuries.

“Even though we need to rule out bleeding in the brain, we don’t want to order a CT scan unnecessarily, because it increases the lifetime radiation exposure of children,” he said.

“The lack of standardized guidelines means children receive different treatments depending on where they are seen. Broad adoption of these guidelines will change that.”

Following an extensive search and assessment of international guidelines such as those used in Canada, the US and the UK, the PREDICT working group developed 71 recommendations and imaging / observation algorithms relevant to the Australian and New Zealand setting. The new guidelines cover patient triage, imaging, observation versus admission, transfer, discharge and follow-up.

Head injuries are one of the most common reasons children come to the emergency department.

In Australia and New Zealand about 10 per cent of children who present with head injuries of all severity undergo CT scans. Although traumatic brain injury is rare, persistent post-concussion symptoms affect more than a third.

Professor Stuart Dalziel, Chair of Cure Kids Child Health Research at The University of Auckland and pediatric emergency doctor at Starship Children’s Hospital in New Zealand, said identifying traumatic brain injuries in children with seemingly minor injuries could be difficult and over the past 15 years has occurred. research focus in emergency departments around the world.

He said across Australia and New Zealand there had been variations in practice in the management of child head injuries.

The PREDICT working group that developed the guidelines includes emergency physicians, pediatricians, neurologists, neurosurgeons, radiologists, sports medicine doctors, neurologists, general practitioners, paramedics and nurses.

Guidelines can be found at predict.org.au


image source

10-year-old girl dies after Covid travel restrictions deprived her of treatment in US | Instant News

A ten-year-old girl has died after the pandemic prevented her from traveling to the United States for medical trials. Eva Williams was scheduled to fly to New York in April last year, but travel restrictions have been put in place. Her family managed to raise more than £ 300,000 in hopes of securing private treatment for Eva, but they announced that she died on Friday. Eva suffered from a rare high-grade diffuse pontine glioma brain tumor. She was diagnosed after complaining of dizziness and blurred vision in December 2019 and eventually a CT scan at Alder Hey Children’s Hospital in Liverpool revealed a lump on her brain. Eva lived with her parents in Wrexham, North Wales. Her father, Paul Slapa, 35, described her as the “most caring and loving daughter.” He said: “Over the past week, Eva had lost the ability to speak, eat and swallow fluids, and she suffered more than any child ever should have suffered.” Watching her fight every day was heartbreaking. “Eva is an inspiration to many, certainly to me, and I can’t begin to imagine how we’re going to move forward from here.” Every part of us is suffering and I don’t see how that can change, “Boris Johnson said. The government would” look into whatever we can do to support their travel arrangements “after Wreham MP Sarah Atherton raised the case during the Prime Minister’s Questions in July. However, her father and mother Carran Williams say her cancer had progressed too far this summer to be accepted for treatment in the trial.

image source

Texas Children’s Hospital treats several children with inflammatory diseases associated with COVID-19 | Instant News

HOUSTON, Texas (KTRK) – Texas Children’s Hospital confirmed that doctors treat patients suffering from a new phenomenon called Multisystem Inflammatory Syndrome in children, known as MIS-C.

CDC has officially linked MIS-C to COVID-19.

According to their website, this can be serious, even deadly, but doctors say the disease is still rare.

READ MORE: The CDC tells the doctor about multisystem inflammatory syndrome in children, COVID-related conditions in children

“MIS-C seems to be an extraordinary immune response to several triggers, which we think is COVID-19 at this time,” explained Dr. Michael Chang, Infectious Disease Specialist with Memorial Hermann and UT Health. “So basically, the immune system overreacts to something and then doesn’t know when to turn off.”

MIS-C is a disease in which various parts of the body are inflamed, including the heart, lungs, kidneys, and skin.

Doctors say it appears about four to six weeks after a child is exposed to the corona virus.

In many cases, children only suffer from minimal or mild coronavirus symptoms, but then a few weeks later, they develop MIS-C.

“We are not entirely sure about how contagious this disease is,” Dr. Lara Shekerdemian from Texas Children’s Hospital. “This is a delayed response to primary infection. In fact, many children who show, at least half of them, apparently, do not have positive swabs for COVID-19, which would indicate that they are very unlikely to be infected at the stage where they present with MIS -C. “


Memorial Hermann Children’s Hospital and Texas Children’s Hospital already know how to treat symptoms and have a team of specialists on standby.

Children’s Memorial Hermann does not currently treat patients with confirmed MIS-C.

Texas Children’s Hospital says about the patients they care for, only a few are critical cases.

READ ALSO: Mother sent a warning about a mysterious illness related to COVID-19

Follow Shelley Childers at Facebook and Indonesia.

Copyright © 2020 KTRK-TV. All rights reserved.


image source