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Critical Measures

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Diagnosing Rare Metabolic Diseases

Most people think of IEMs as occurring in neonates, however, only about half of patients with urea cycle disorders present in the first two years of life. An IEM is usually unmasked in adolescents and...

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Reference Tool: Preventing SIDS and Promoting Safe Sleeping Habits

SIDS continues to be the number one cause of death in infants from 1-month of age to 1- year of age in the United States. [...]

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Recognizing the Signs of Pediatric Stroke

It has been discovered that stroke in children occurs more frequently than once thought. A recent population-based study demonstrated an incidence of symptomatic childhood ischemic stroke of...

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Epidural Hematomas in the Pediatric Population

Epidural Hematomas, are hemorrhagic lesions that expand in the space between the dura and the skull as a result of head trauma. This is the most common cause of death or severe disability in children....

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Who’s the Coolest Baby?

Hypoxic Ischemic Encephalopathy (HIE) is a brain injury due to an acute perinatal asphyxial event. It affects approximately one to two per 1,000 term newborns. The mortality rate is high at 10 to 20...

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Diagnosing and Understanding Hypoxic Ischemic Encephalopathy

The miracle of child birth is frequently associated with complications that can impair blood flow to the fetus and result in metabolic changes that place the infant at risk of permanent and severe...

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Letter from the Editor

Accurately diagnosing and treating neurologic diseases is the focus of this issue of Critical Measures. We hope you will find the information the authors provided helpful, as first line, critical care...

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Stroke Case Study

While playing baseball, a 9-year-old boy developed sudden-onset weakness and clumsiness of the left hand and mild head and neck pain. The patient was admitted to the neurology\ hospital service for...

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Identifying and Treating Concussion

Annually, more than 600,000 children sustain brain injuries or concussion. [...]

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Ohio Better Birth Outcomes: Reducing the Risk of Preterm Births

Nationwide Children’s joined with three other health systems, and the Columbus Health Department to address preterm births. [...]

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Ounce of Prevention Program for Children in Central Ohio

Materials are designed to help physicians and parents prevent childhood obesity. [...]

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Identifying and Preventing Influenza and Pertussis

Hand hygiene is probably the most effective method to prevent the spread of germs. [...]

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Letter from the Editor

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