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Biomedical subjects

S B Torrey

Publications and source records attributed to S B Torrey.

8 recordsLinked to original sources
PubMed1991

Fire hydrant play: injuries and their prevention.

A total of 86 children treated for injuries that occurred while playing in water from fire hydrants are described. Patients were urban (100%), minority (97%) children with few alternative means for keeping cool. Injuries occurred on extremely hot summer days (mean maximum temperature 36.3 degrees C [97.5 degrees F]). Laceration of the foot on broken glass was the most common injury and was prevented by wearing footwear (P less than .001). Motor vehicles caused all serious injuries. Sprinkler attachments on the hydrants were associated with significantly fewer motor vehicle-related injuries (P less than .001) and water pressure-related injuries (P = .02). Adults were present at more than 90% of injury scenes, but had no effect on the safety of fire hydrant play. Public policy should be directed toward increasing the availability of alternative means for keeping cool, increasing the number of hydrants equipped with sprinklers, and reducing the amount of broken glass in the streets. Public education targeting adults to remove glass from the street, insist that children wear footwear, and open only those hydrants that have sprinklers could further reduce injuries to urban children who play in water from fire hydrants.

Adolescent↗
PubMed1990

Clonidine poisoning in young children.

We reviewed 47 consecutive inpatient records to determine the clinical course, role of supportive measures, and response to naloxone in children with clonidine poisoning. Severity of illness was assigned by means of the "pediatric risk of mortality" (PRISM) score. The children's ages ranged from 9 to 84 months. Central nervous system effects were noted in 44 patients; bradycardia occurred in 25, and apnea or depressed respiration was seen in 18. Thirty-four patients had symptoms within 1 hour of presentation, but no patient had further clinical deterioration more than 4 hours after presentation. Six patients required endotracheal intubation and mechanical ventilation. There was no difference in PRISM score or duration of symptoms between those patients who received naloxone and those who did not. More patients receiving naloxone required intubation, and only three patients had definite improvement after naloxone administration. We conclude that (1) young children who ingest clonidine have a wide spectrum of serious findings, (2) delayed progression of symptoms after clonidine poisoning is unlikely in a young child with normal renal function, and (3) naloxone is an inconsistent antidote for clonidine poisoning.

Atropine↗
PubMed1985

Temperature response to antipyretic therapy in children: relationship to occult bacteremia.

The response of rectal temperature to antipyretic therapy was studied in an attempt to identify a clinical characteristic that would distinguish children with occult bacteremia from those with sterile cultures of blood. Children 3-24 months of age with initial temperature recordings of 38.9 degrees C or greater had a blood culture drawn and received a standard dose (10mg/kg) of either aspirin or acetaminophen. Temperature was again recorded 60-120 minutes later. During the period of investigation, 255 patients were studied; 16 had bacteremia, and 239 had sterile blood cultures. There was no difference in the response to antipyretic therapy between the two groups. The mean decrease in temperature for each was similar (1.3 versus 1.05 degrees C, P = 0.14). The authors conclude that response to antipyretic therapy does not distinguish children who are bacteremic from those who are not.

Acetaminophen↗
PubMed1985

Apnea.

Explore the source record for details and available documents.

Apnea↗
PubMed1983

The choking child--a life-threatening emergency. Evaluation of current recommendations.

Recently, there has been much controversy in the pediatric literature concerning the appropriate emergency treatment of the choking child. The current recommendations of the American Academy of Pediatrics suggest a series of back blows followed by several chest thrusts. The research literature supporting these recommendations is reviewed. In addition, the data of investigators who disagree with this approach are presented. It is concluded that, although there are inadequacies in all of the existing research, there are no contraindications to the AAP recommendations. It is suggested that our focus, as pediatricians, should be on educating the lay public in the performance of a series of routine maneuvers that may be life-saving.

Airway Obstruction↗
PubMed1975

Virulence of Rickettsia prowazeki for head lice.

Wild head lice were obtained by combing out adult and instar lice from the uncut hair of school children. Normal body lice were selected from a colony of rabbit-adapted body lice obtained from the United States Department of Agriculture and maintained in the Department of Microbiology for more than 10 yr. Thirty-nine head lice and 60 body lice were fed on a rabbit that had been injected intravenously with a 10% suspension of a yolk sac pool from eggs heavily infected with the Ankara strain of virulent R. prowazeki. Five days after infection, 33 body lice and 16 head lice had survived and were feeding on a volunteer. Between Days 5 and 9, 13 head lice were dead or moribund and all of them were positive by IF for R. prowazeki. The three surviving head lice were also positive. Tests on the 33 body lice showed that 22 were positive for R. prowazeki, including four of the five body lice that survived until Day 15. In summary, head lice can be readily infected with R. prowazeki and disseminate virulent R. prowazeki organisms in their feces. Thus, theoretically, head lice appear to be highly potential as transmitters of R. prowazeki under optimal epidemiologic circumstances.

Animals↗