handheld-metal-detector-screening-for-metallic-foreign-body-ingestion

Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children

Coins are the most common ingested metallic foreign bodies among children. The goal of this protocol is to assess the accuracy and feasibility of using a ...

KK Women's and Children's Hospital

Non-Urgent Paediatric Emergency Department Visits: Why Are They So Common? A Singapore Perspective.

This project examines the presenting complaints of children with intussusception in the emergency department in an Asian population, with a focus on older children, which has not been well described in previous studies.

Intussusception in Children Presenting to the Emergency Department: An Asian Perspective.

Unscheduled reattendances at the paediatric emergency department may contribute to overcrowding, which may increase financial burdens. The objectives of this study were to determine the rate of reattendances and characterise factors influencing these reattendances and hospital admission during the return visits.

Unplanned reattendances at the paediatric emergency department within 72 hours: a one-year experience in KKH.

: Anaphylaxis is a predominantly childhood disease. Most of the literature on anaphylaxis has emerged from Western countries. This study aimed to describe the incidence, triggers and clinical presentation of anaphylaxis among children in Singapore, look for predictors for anaphylaxis with severe outcomes, and study the incidence of biphasic reactions. : We retrospectively reviewed records of children presenting with anaphylaxis to our paediatric emergency department from 1 January 2007 to 31 December 2014. : We identified 485 cases of anaphylaxis in 445 patients. Cutaneous symptoms (urticarial/angio-oedema) were the most common across all age groups (481 cases, 99%), followed by respiratory (412, 85%), gastrointestinal (118, 24%) and cardiovascular (35, 7.2%) symptoms. Central nervous system symptoms (drowsiness/ irritability) were rare across all age groups (11, 2.2%). Food was identified as the most common trigger across all age groups (45% to 63%). Seafood was the most common food trigger (57, 25%). A total of 420 (86.6%) children were treated with adrenaline, 451 (93%) received steroids and 411 (85%) received antihistamines. Sixty-three (13%) children fulfilled the criteria of severe anaphylaxis. There was no statistically significant association between severe anaphylaxis and the type of trigger ( = 0.851), nor an overall past history of atopy ( = 0.428). The only independent predictor for severe anaphylaxis was a previous drug allergy ( = 0.016). A very low prevalence of biphasic reactions (0.6% of study population) was noted in our study. : We described the presentation and management of anaphylaxis in the Singapore population. A history of drug allergy is associated with severe presentation. Biphasic reactions are rare in our population.

Anaphylaxis in Children: Experience of 485 Episodes in 1,272,482 Patient Attendances at a Tertiary Paediatric Emergency Department from 2007 to 2014.

We present the revised 2016 Singapore paediatric resuscitation guidelines. The International Liaison Committee on Resuscitation's Pediatric Taskforce Consensus Statements on Science and Treatment Recommendations, as well as the updated resuscitation guidelines from the American Heart Association and European Resuscitation Council released in October 2015, were debated and discussed by the workgroup. The final recommendations for the Singapore Paediatric Resuscitation Guidelines 2016 were derived after carefully reviewing the current available evidence in the literature and balancing it with local clinical practice.

Singapore Paediatric Resuscitation Guidelines 2016.

This study aimed to determine the usefulness and validity of the triaging scale used in our emergency department (ED) by analysing its association with surrogate clinical outcome measures of severity consisting of hospitalisation rate, intensive care unit (ICU) admission, length of ED stay, predictive value for admission and length of hospitalisation.

The Singapore Paediatric Triage Scale Validation Study.

Road traffic accidents (RTAs) in Singapore involving children were evaluated, with particular focus on the epidemiology, surrounding circumstances and outcomes of these accidents. Key factors associated with worse prognosis were identified. We proposed some measures that may be implemented to reduce the frequency and severity of such accidents.

Road traffic accidents in children: the 'what', 'how' and 'why'.

Paediatric poisoning accounts for 1% of daily emergency department presentations. The aim of this study was to review the characteristics and outcomes of paediatric patients who presented with drug overdose over a five-year period.

Article	Year
Non-Urgent Paediatric Emergency Department Visits: Why Are They So Common? A Singapore Perspective. Annals of the Academy of Medicine, Singapore\| PubMed ID: 26377062	2015
Intussusception in Children Presenting to the Emergency Department: An Asian Perspective. Pediatric emergency care\| PubMed ID: 26555309	2017
Unplanned reattendances at the paediatric emergency department within 72 hours: a one-year experience in KKH. Singapore medical journal\| PubMed ID: 27353384	2016
Anaphylaxis in Children: Experience of 485 Episodes in 1,272,482 Patient Attendances at a Tertiary Paediatric Emergency Department from 2007 to 2014. Annals of the Academy of Medicine, Singapore\| PubMed ID: 28062882	2016
Singapore Paediatric Resuscitation Guidelines 2016. Singapore medical journal\| PubMed ID: 28741003	2017
The Singapore Paediatric Triage Scale Validation Study. Singapore medical journal\| PubMed ID: 28983578	2018
Road traffic accidents in children: the 'what', 'how' and 'why'. Singapore medical journal\| PubMed ID: 29214322	2018
Epidemiology of paediatric poisoning presenting to a children's emergency department in Singapore over a five-year period. Singapore medical journal\| PubMed ID: 29796685	2018
Authors' reply. Singapore medical journal\| PubMed ID: 30175375	2018

Sashikumar Ganapathy

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