RESUMEN
OBJECTIVES: We sought to quantify the knowledge base among parents and legal guardians presenting to our pediatric emergency department regarding radiation exposure during medical imaging and potential risks to children resulting from ionizing radiation. We sought to examine if a child's previous exposure to medical imaging changed caregiver knowledge base and discern caregivers' preference for future education on this topic. METHODS: A prospective convenience sample survey was performed of caregivers who presented with their child to our tertiary pediatric emergency department. Parents or legal guardians (18-89 years) who accompanied a child (0-17 years) were eligible for inclusion and approached for enrollment. A structured questionnaire was administered by trained interviewers, and a chart review was conducted to ascertain if their child had a history of previous imaging. RESULTS: Sixty percent of caregivers interviewed (n = 205 of 340) did not associate any long-term negative effects with medical imaging. Among participants who did express a perceived risk from medical imaging radiation exposure, only 50% could indicate a known negative effect from exposure. We found no significant association between a child having had documented imaging studies and awareness of long-term negative effects (P = 0.22). Participants preferred to learn more about this topic from an Internet-based resource (50%), informational pamphlet (38%), or via treating physician (33%). CONCLUSIONS: Parents and legal guardians are largely unaware that exposure to radiation during medical imaging carries an inherent risk for their child. Health care providers wishing to educate caregivers should utilize reliable Internet sources, educational pamphlets, and direct communication.
Asunto(s)
Cuidadores/psicología , Servicios de Salud del Niño/estadística & datos numéricos , Servicio de Urgencia en Hospital/estadística & datos numéricos , Alfabetización en Salud , Tutores Legales/psicología , Padres/psicología , Educación del Paciente como Asunto , Dosis de Radiación , Traumatismos por Radiación/etiología , Radiografía/efectos adversos , Adolescente , Adulto , Niño , Comportamiento del Consumidor , Escolaridad , Etnicidad/estadística & datos numéricos , Femenino , Humanos , Conducta en la Búsqueda de Información , Internet , Masculino , Recuerdo Mental , Folletos , Relaciones Médico-Paciente , Traumatismos por Radiación/psicología , Encuestas y Cuestionarios , Virginia , Adulto JovenRESUMEN
Hemoglobinopathies are an uncommon cause of cyanosis and low oxygen saturation on pulse oximetry. However, when they do occur, they can present a complex clinical scenario for the emergency physician. We report the index case of a previously undescribed hemoglobinopathy that presented to the pediatric emergency department. The evaluation and management of the cyanotic/hypoxic child and review of hemoglobinopathies are presented here.