Background: Unintentional injuries are one of the most important public health problems among children in developed and some developing countries.
Aim: Our purpose is to determine the prevalence of everyday life unintentional injuries among children admitted for at least 24 hours in the pediatric surgical emergencies (PSE) department, Children’s hospital of Rabat, Morocco.
Methods: A cross-sectional study of unintentional injuries in children was undertaken over 4 years (2016- 2019) in the pediatric surgical emergencies (PSE) department, Children’s hospital of Rabat, Morocco. The data were analysed by statistical software Jamovi 1.6.23. Drownings and foreign bodies were excluded.
Results: 1204 patients were screened, of which 545 files were studied. The median age was 8 years[4;12] with 36,5% were less than 6 years old, 70,4% were boys. The most injuries occurred mostly during winters and summers (41,6 vs 33,8%). The medical insurance plan was provided by compulsory medical insurance (AMO) and RAMED (Medical Assistance Scheme) (30,4% and 46.5% respectively). The main circumstances were accidents of everyday life (52%) with predominance of falls. For the public road accident, pedestrians were predominant. Hospital stay did not exceed 24 hours (73%) mainly in the surgical emergency department.
Neonatal testicular torsion (NTT) was first described by Taylor et al. in 1897 [1]. It can be unilateral or less frequently, bilateral. It’s a rare disease that occurs in neonate estimated at 1 in 7500 newborns [2]. Our case report is about a 9 days old male presented with a history of a swelling and irreducible inguinal hernia. Upon admission an ultrasonography was done and reported a right inguinoscrotal hernia. Surgical exploration was performed and the exploration found an extravaginally testicular torsion with a necrotic testicular associated with an inguinal hernia sac. Inside the sac we found a vermiform appendix non perforated known as amyand’s hernia.
Unintentional accidents are very common in children and are the main reason for consultation and hospitalization in paediatric surgery. Aim: To determine the factors associated with unintentional accidents resulting in hospitalization. Material and methods: This is a cross sectional study carried out in the Paediatric Surgical Emergency Department of the Children's Hospital of Rabat over a period of 4 years. We processed 1205 children's files; the data was collected and analysed by Jamovi. Results: for the 545 files selected, the median was 8 years [4; 12] and boys were predominant (70.4%). Sociodemographic factors were represented by low health insurance. In 95.1% of cases, the family lived in a house (50.1%) or an apartment (45%) compared to 4.9% who had insanitary house. For parents' level of education, fathers had a high school education (43.6%) or never attended school (16.9%), compared to 32.9% of mothers who did not attend school. No adult was present during the accident (54.6%). The accident occurred on weekdays (73.2%), especially on winter and summer (41.6% and 33.8%). The main lesions were fractures (53%). The lesions involved the limbs (52.5%) and the head (30.2%) and were multiple in 6.5% of cases. The outcome was simple in 96.1%.
Unintentional injuries (UI) correspond to “unplanned” events; they include everyday life injuries (EDL), road traffic accident (RTA) and work accidents. In our pediatric context, the latter are excluded. Aim: Draw up an epidemiological profile of UI in children hospitalized for at least 24 hours and make a comparison between EDL and RTA. Material and Methods: A cross-sectional study conducted during four years, about children hospitalized for UI, in the pediatric surgical emergency department (PSE) of the children's hospital of Rabat, Morocco. Sociodemographic and medical data were analyzed by statistical software (JAMOVI). Results: 545 files were retained. EDL represented 81.9 % with a male predominance (70.4%). The median age was 8 years [4; 12] with predominance of school children (63.5%). Infants predominated in EDL (15.1%). Spring has a predominance in RTA (33%), while there is a reversal of the trend for the other seasons (p<0.05). As regards the accident, the majority occurred on weekdays. The injured body parts were multiple for the RTA (39.1%) and affected the limbs (58.5%) for the EDL (p <0.05). Radiological abnormalities were found in 79.6% of cases in EDL. The 24-hour hospital stay was for EDL (66.7%) while RTA is hospitalized beyond 48 hours (53.7%).
Introduction: Foreign body ingestion in children is a common pediatric emergency that can result in serious complications if not managed promptly. Observation: it is a case report of an 18-month-old infant who ingested a knife while playing with his 3-year-old sister. The patient was stable but required a surgical approach due to the size of the object and the risk of esophageal injury during removal. Discussion: Children between 6 months to 3 years are at the highest risk for foreign body ingestion. The most common foreign bodies ingested by children are small objects such as coins, toys, magnets, button batteries, and small parts of other objects. Symptoms can vary depending on the type and location of the foreign body and can range from choking, difficulty breathing, and vomiting to blood in stool or vomit and fever. Sharp and elongated objects, as well as batteries and magnets, can cause life-threatening complications such as airway obstruction, esophageal perforation, or bowel obstruction. The approach to management depends on the type and location of the foreign body, and preventing foreign body ingestion in children is critical to avoiding the need for management. Various measures, such as keeping small objects out of reach, providing age-appropriate toys, and supervising young children during playtime, can be implemented to prevent foreign body ingestion in children. Conclusion: Foreign body ingestion is a common pediatric emergency that can lead to serious complications if not managed promptly. Prevention is key in reducing the incidence of foreign body ingestion in children.
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