Use of Point-of-care Ultrasound for the Seizing Infant: An Adjunct for Detection of Abusive Head Trauma.

Autor: Rowland J; Wayne State University School of Medicine, Department of Emergency Medicine, Detroit, Michigan., Fouchia D; Wayne State University School of Medicine, Department of Emergency Medicine, Detroit, Michigan., Favot M; Wayne State University School of Medicine, Department of Emergency Medicine, Detroit, Michigan.
Jazyk: angličtina
Zdroj: Clinical practice and cases in emergency medicine [Clin Pract Cases Emerg Med] 2020 Aug; Vol. 4 (3), pp. 485-486.
DOI: 10.5811/cpcem.2020.6.48207
Abstrakt: Case Presentation: An eight-week-old infant presented to the emergency department in cardiac arrest. Return of spontaneous circulation was obtained and the patient subsequently began seizing. Point-of-care ultrasound of the anterior fontanelle revealed an extra-axial fluid collection consistent with subdural hematoma (SDH).
Discussion: Abusive head trauma is still frequently missed on initial presentation. In addition to validated screening clinical prediction rules, point-of-care cranial ultrasound can be used as a noninvasive adjunct for detection of SDH related to abusive head trauma in infants with an open fontanelle.
Databáze: MEDLINE