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Biomedical subjects

J Greensher

Publications and source records attributed to J Greensher.

At least 19 recordsLinked to original sources
PubMed1988

Non-automotive vehicle injuries in adolescents.

After reviewing the data associated with injuries and deaths to adolescents participating in the activities described above, the question repeatedly arises: Why does our society continue to accept and promote this toll of injuries and deaths? While waiting for answers from researchers, physicians must continue an advocacy role for measures of protection known to reduce the morbidity and years of life lost among the adolescent age group.

Accidents, Traffic↗
PubMed1985

Injuries at play.

The problem of toy-related injuries is a complicated one. The authors detail specific hazards related to toys, playgrounds, skateboards, and baby walkers. Guidelines are provided for toy suitability for children of all ages.

Child↗
PubMed1985

Management of the choking child.

There is controversy regarding the best maneuver to expel a completely obstructing foreign body from the upper airway of a patient. Further study and research are needed. However, we recommend that no change in the present recommendations be made until these studies are accomplished. We have attempted to outline the major aspects of the controversy and give the rationale for the present recommendations.

Airway Obstruction↗
PubMed1985

Gastrointestinal dialysis with activated charcoal and cathartic in the treatment of adolescent intoxications.

This article reports five patients who had taken a substantial medication overdose and presented in coma. Two had taken a salicylate overdose and three a phenobarbital overdose (one of these ingested a combination of phenobarbital and phenytoin). The cases were treated by our standard protocol of supportive therapy and alkaline diuresis plus repetitive oral doses of activated charcoal (gastrointestinal dialysis). All patients were alert and oriented within 24 hours. Toxicokinetic analysis of the blood levels is discussed. Gastrointestinal dialysis represents a relatively noninvasive method that may benefit certain intoxicated patients even after systemic absorption has occurred. The technique and recommendations for its use are discussed and described in detail.

Adolescent↗
PubMed1984

Ingestions considered nontoxic.

The authors have compiled a list of common household products and drugs that are frequently ingested by children and may be considered nontoxic unless taken deliberately or in large amounts. An understanding of the nontoxic ingestion should prevent overtreatment and decrease emergency room visits.

Child↗
PubMed1984

Ingestions considered nontoxic.

We have compiled a list of common household products and drugs that are frequently ingested by children and may be considered nontoxic unless taken deliberately or in large amounts. An understanding of the nontoxic ingestion should prevent overtreatment, decrease emergency room visits, and allow physicians and poison control centers the opportunity to practice poison prevention. The reporting of all ingestions is encouraged to obtain information on the human experiment that occurs when a non-edible material is ingested. Only as we accumulate this knowledge will we be able to advise with a degree of certainty what treatment is needed.

Adhesives↗
PubMed1984

Prevention of childhood injuries.

Accidents account for more deaths among children aged 1 to 14 years than the next five most common causes. Thinking about accidents as injuries that happen in a context comprising a host, an agent, and an environment may help prevent them. Until a profile of the family and child at risk of injuries is developed, causal factors must be identified and removed, and parents and children educated about injury prevention. Different problems occur at different stages of a child's development. The agents most commonly associated with injuries are automobiles, bicycles, swimming, and animals. The special vulnerability of infants was addressed by the American Academy of Pediatrics' "First Ride/A Safe Ride" program, which encouraged the use of safety seats. Design changes have reduced the number of bicycle injuries, but human factors continue to contribute significantly. Most drownings occur in fresh water, with many children within a few feet of safety; continuing education is essential. Inculcating respect for animals, learning safety rules for interaction, and advice on pet ownership help to reduce animal bite injuries.

Accident Prevention↗
PubMed1983

Ingestion of small flat disc batteries.

Management of ingestions of small flat disc batteries has been controversial. The Nassau County Medical Center's Long Island Regional Poison Control Center has had 30 calls concerning battery ingestions in the past 16 months. In 1976, the National Clearinghouse for Poison Control Centers reported 42 battery ingestions for the entire nation. Only one of our cases required surgery because the battery remained in the cecum for five days. The battery was removed intact. Management guidelines for ingestions of batteries containing alkali or toxic metals are suggested.

Cecum↗
PubMed1982

Emergency treatment of the choking child.

The Committee on Accident and Poison Prevention of the American Academy of Pediatrics concurs with the American Heart Association and the National Academy of Sciences-National Research Council recommendation that the relief of foreign body airway obstruction in infants and children should be achieved through a combination of back blows and chest thrusts. The four back blows are intended to produce an artificial cough resulting in increased pressure in the blocked respiratory passages. The four chest thrusts are added to give an additional sustained pressure increase to facilitate expulsion of a foreign body. The use of the abdominal thrust is not recommended and blind finger sweeps should be avoided. Infants should be held face down with the head lower than the trunk; older children can be placed across the thighs. The back blows are delivered with the heel of the hand. The chest thrusts are delivered as for external cardiac compression. Physicians and the general public should be familiar with recommended resuscitation techniques.

Airway Obstruction↗