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The diagnosis of Kawasaki disease in a 10-year-old girl presenting with cervical lymphadenopathy and fever suggesting retropharyngeal abscess

Hwang S, Choi JY

Given that Kawasaki disease (KD) can cause cardiac complications, it is crucial to diagnose and treat the disease in the emergency department. We report a case of a 10-year-old girl...
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Association between the Korean Triage and Acuity Scale level and hospitalization of children with abdominal pain in the emergency department

Kim S, Woo SH, Choi KH, Oh YM, Choi SM, Kyong YY

PURPOSE: The Korean Triage and Acuity Scale (KTAS) is a triage tool for patients in the emergency department (ED). We aimed to investigate the association between the KTAS level and...
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Comparison of sedation outcome according to the dose of chloral hydrate in children requiring laceration repair

Seo BK, Kim A, Jung HM, Kim AJ, Han SB

PURPOSE: To compare the sedation outcome according to the dose of per os chloral hydrate in children who underwent laceration repair in the emergency department (ED). METHODS: This retrospective study was...
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Appropriateness of transport of children via emergency medical service providers according to the decision-maker on referred hospitals

Jeong H, Cha MI, Jung SY, Suh J

PURPOSE: We aimed to investigate the appropriateness of transport of children via emergency medical service providers (EMSP) according to the decision-maker on referred hospitals (EMSP [EMSP group] vs. guardians [user...
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Establishment of peripheral intravenous catheter for pediatric patients in the emergency department: who and how?

Lee RK, Kim DH, Kim TY, Kang C, Lee SH, Jeong JH, Rhee DY, Kim MJ, Kim SC

PURPOSE: Peripheral intravenous cannulation (PIC) for children is technically difficult. We aimed to investigate factors associated with the primary success of PIC for children in the emergency department (ED). METHODS: This...
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Factors associated with administration of analgesics for children with forearm fracture

Seo KH, Kim DH, Lee WJ, Woo SH, Seol SH, Lee JY, Choi SP

PURPOSE: Analgesia is essential for the treatment of children's fracture. We aimed to investigate the factors associated with administration of analgesics in children with forearm fracture. METHODS: We retrospectively reviewed medical...
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Retrospective validation of the Step-by-Step approach for febrile infants younger than 90 days in the emergency department

Park JS, Kim JH, Kim WY

PURPOSE: To retrospectively validate the Step-by-Step approach, a sequential algorithm for prediction of serious bacterial infections (SBI) using the appearance, age, and inflammatory markers, in febrile infants younger than 90...
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Validation of the finger counting method using the Monte Carlo simulation

Kang H, Cho Y, Lee J, Cha H, Lee H, Choi D, Cho GC, Lee D, Ahn JY, Sohn Y

PURPOSE: The dose of drug and the size of instrument are determined based on children's weight. We aimed to validate the finger counting method (FCM) for weight estimation in Korean...
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High white blood cell count and erythrocyte sedimentation rate are associated with perforated appendicitis in children

Kim YH, Woo SH, Lee WJ, Seol SH, Kim DH, Lee JY, Choi SP

PURPOSE: To investigate the predictors of perforated appendicitis (PA) in pediatric patients with appendicitis seen in the emergency department. METHODS: We retrospectively reviewed 564 pediatric patients (< 16 years) who visited...
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A plan for strengthening pediatric emergency care: establishment of pediatric certified emergency center

Je S, Hong JS, Lee JS

Pediatric patients (younger than 19 years) account for approximately 25% of all emergency patients. Pediatric patients have large proportions of toddlers (aged 1–5 years), low severity, illness (rather than injury),...
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After-hours care models in leading countries

Kim MJ, Kwak YH

After-hours care (AHC) provides medical care after the regular weekday work hours of clinics. In Korea, data from the National Emergency Department Information System showed that approximately 40% of the...
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Prehospital transport of critically ill children via 119 emergency medical service providers: problems and improvement plan

Noh H

The number of critically ill children visiting the emergency department has increased. However, the rate of transporting critically ill children via 119 emergency medical service providers ranges from 4.5% to...
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Strengthening the role of pediatric emergency centers in Korea

Jung JH, Kwak YH, Noh H

Since 2016, the pediatric emergency centers (PECs) have been selected by the Korean Ministry of Health and Welfare, but there are still many problems in their designation and operation. The...
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