An 8-year-old boy with altered mental status
Autor: | Jessica Van Meter, Kevin P. High |
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Rok vydání: | 2014 |
Předmět: |
Male
Patient Transfer Emergency Medical Services medicine.medical_treatment Encephalopathy Psychological intervention Disease Emergency Nursing Lorazepam Altered Mental Status Seizures Agency (sociology) Emergency medical services medicine Intubation Intratracheal Humans Child Patient transfer Brain Diseases Bartonella henselae business.industry Cat-Scratch Disease Air Ambulances medicine.disease Emergency Medicine Airway management Anticonvulsants Medical emergency business |
Zdroj: | Air medical journal. 34(3) |
ISSN: | 1532-6497 |
Popis: | Management of an acutely ill pediatric patient with undifferentiated altered mental status is a common challenge facing air medical crewmembers. The transport team is often the vital link between the referring agency and a tertiary care center; it is incumbent upon the team to be able to meet the challenges of patient management including airway management, providing hemodynamic support, and addressing presenting symptoms. This case presents a child with altered mental status and seizure activity requiring advanced interventions and support. His hospital course is described and reveals an encephalopathy caused by the Bartonella henselae bacterium also known as cat-scratch disease. This case shows the pathology, symptomology, and management along with the importance of proper management and interventions by air medical crewmembers to maximize outcomes. |
Databáze: | OpenAIRE |
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