Use of Point-of-care Ultrasound for the Seizing Infant: An Adjunct for Detection of Abusive Head Trauma
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...
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Format: | Article |
Language: | English |
Published: |
eScholarship Publishing, University of California
2020-08-01
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Series: | Clinical Practice and Cases in Emergency Medicine |
Online Access: | https://escholarship.org/uc/item/1xx632kp |
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author | Jonathan Rowland Dean Fouchia Mark Favot |
author_facet | Jonathan Rowland Dean Fouchia Mark Favot |
author_sort | Jonathan Rowland |
collection | DOAJ |
description | 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. |
first_indexed | 2024-12-11T02:24:20Z |
format | Article |
id | doaj.art-714948b42cfe4540bc092cd791483ddf |
institution | Directory Open Access Journal |
issn | 2474-252X |
language | English |
last_indexed | 2024-12-11T02:24:20Z |
publishDate | 2020-08-01 |
publisher | eScholarship Publishing, University of California |
record_format | Article |
series | Clinical Practice and Cases in Emergency Medicine |
spelling | doaj.art-714948b42cfe4540bc092cd791483ddf2022-12-22T01:23:58ZengeScholarship Publishing, University of CaliforniaClinical Practice and Cases in Emergency Medicine2474-252X2020-08-014310.5811/cpcem.2020.6.48207cpcem-04-485Use of Point-of-care Ultrasound for the Seizing Infant: An Adjunct for Detection of Abusive Head TraumaJonathan RowlandDean FouchiaMark FavotCase 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.https://escholarship.org/uc/item/1xx632kp |
spellingShingle | Jonathan Rowland Dean Fouchia Mark Favot Use of Point-of-care Ultrasound for the Seizing Infant: An Adjunct for Detection of Abusive Head Trauma Clinical Practice and Cases in Emergency Medicine |
title | Use of Point-of-care Ultrasound for the Seizing Infant: An Adjunct for Detection of Abusive Head Trauma |
title_full | Use of Point-of-care Ultrasound for the Seizing Infant: An Adjunct for Detection of Abusive Head Trauma |
title_fullStr | Use of Point-of-care Ultrasound for the Seizing Infant: An Adjunct for Detection of Abusive Head Trauma |
title_full_unstemmed | Use of Point-of-care Ultrasound for the Seizing Infant: An Adjunct for Detection of Abusive Head Trauma |
title_short | Use of Point-of-care Ultrasound for the Seizing Infant: An Adjunct for Detection of Abusive Head Trauma |
title_sort | use of point of care ultrasound for the seizing infant an adjunct for detection of abusive head trauma |
url | https://escholarship.org/uc/item/1xx632kp |
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