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Floyd S Ota

Publications and source records attributed to Floyd S Ota.

3 recordsLinked to original sources

Childhood injuries caused by falling televisions.

OBJECTIVES: To obtain a detailed description of the injury scene in an attempt to identify methods for prevention and to describe the morbidity and mortality of children who present to an urban pediatric emergency department (ED) with an injury caused by a falling television. METHODS: A retrospective descriptive study from a prospectively created database was conducted over one year. All adults accompanying a child younger than 13 years of age who was injured by a falling television were directly interviewed, and the patient medical charts were reviewed. RESULTS: Twenty-eight children were eligible, and 26 children were analyzed. The median age was 40 months (25th and 75th quartiles: 31, 51 months). None of the televisions, or the furniture that they were placed on, were secured. Most parents (85%) reported that they were unaware that injuries could occur by this mechanism. Fourteen children suffered head injuries, and nine children injured an extremity. Nine children were hospitalized, including two patients admitted to the intensive care unit (ICU). CONCLUSIONS: Children may present to the ED with injuries caused by falling televisions. These injuries are usually not severe; however, the potential for severe injury exists, and some children may require ICU monitoring. Our data indicate a lack of parental awareness and an absence of primary prevention as a root cause for this problem. Thus, more aggressive education to warn parents about the risk of injury must be implemented so that more families will take the time to place their televisions safely.

Accidents, Home↗

Ominous findings in toddlers with increasing abdominal girth: two unusual cases and a review of the clinical evaluation.

A preverbal toddler who presents with a distended abdomen can pose a difficult clinical problem. The differential diagnosis is extremely broad and consists of etiologies ranging from the benign to the life threatening. In this case report, we present 2 unusual life-threatening cases of abdominal distention in well-appearing toddlers and a review of the clinical evaluation for the emergency practitioner.

Abdomen↗

Which IO model best simulates the real thing?

OBJECTIVE: To determine which model best simulates the actual IO procedure in children. METHODS: Forty emergency and critical care physicians with significant IO experience (6 or more IO procedures) in real children were recruited at 4 academic centers. Study subjects were provided with a kit containing 15 gauge IO needles and 5 IO models; a plastic IO doll leg (PL), a turkey femur/thigh (TT), a turkey tibia/drumstick (TD), a chicken femur/thigh (CT), and a pork rib (PR). Study participants scored the similarity of the bone model to that of placing an IO in a child (0 = no experience, 1 = perfect simulation, 2 = excellent, but not perfect, 3 = good, 4 = moderate, 5 = poor) and the hardness of the bone (H = too hard, J = just right, S = too soft) for each age group (preterm, newborn, 1-4 months, 5-12 months, 12-36 months, 3-6 years, 6-12 years, and >12 years old) of whom they had previous experience. Mean scores were calculated and compared to determine which model provided the best simulation. RESULTS: After excluding zero scores, overall mean scores for the CT, TD, TT, PL, and PR models were 3.2, 3.3, 3.3, 3.3, and 4.4 (P < 0.001), respectively. The pork rib had the worst score in all age groups, while the other 4 models had roughly similar scores. All models had substantial percentages of the models classified as too hard or too soft, except for the pork rib, which was predominantly too hard. CONCLUSIONS: For IO research and teaching purposes, bone models should be age appropriate. This study suggests that there is great variability in preference with the chicken, turkey, and plastic models.

Academic Medical Centers↗