Robert G Bolte

University of Utah, Salt Lake City, UT, United States

Are you Robert G Bolte?

Claim your profile

Publications (3)2.75 Total impact

  • [Show abstract] [Hide abstract]
    ABSTRACT: Amiodarone is a class 3 antiarrhythmic agent used for a broad range of arrhythmias including adenosine-resistant supraventricular tachycardia, junctional ectopic tachycardia, and ventricular tachycardia. Compared with adults, there are few data on its use in children with arrhythmias resistant to conventional therapy. National and international guidelines for cardiopulmonary resuscitation and emergency cardiovascular care recommend its use for a variety of arrhythmias based on case reports, cohort studies, and extrapolation from adult data. This article will review the historical development, chemical properties, metabolism, indications and contraindications, and adverse effects of amiodarone in infants and children. After completing this CME activity, the reader should be able to utilize amiodarone in the pediatric population for arrhythmias and identify complications associated with its use.
    Pediatric emergency care 05/2010; 26(5):382-9. · 0.92 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Our objective was to describe young children injured through the use of infant carrier car seats, comparing them with children injured through other fall mechanisms. We performed a retrospective chart review of children 18 months or younger with a fall mechanism of injury presenting to the emergency department of a tertiary care level 1 pediatric trauma center from August 2004 to December 2005. The primary outcome measure of the study was to determine the pattern of injuries sustained by infants falling from infant carrier seats. Eight hundred three children were identified. There were 62 patients (7.7%) with infant carrier falls with a mean age of 4.4 months. Of these patients, 87.1% were not buckled into their carriers. Infant carrier-related falls resulted in 22 hospitalizations (35.5%), including 6 pediatric intensive care unit admissions (9.7%). Thirteen patients in the group with infant carrier-related falls sustained intracranial injuries (ICIs; subdural hematoma, 8; epidural hematoma, 3; cerebral contusion, 1; and subarachnoid hemorrhage, 1); 1 patient required a craniotomy. Ten patients had isolated skull fractures, and 11 of the 13 patients with ICIs also had skull fractures. The 62 carrier patients were compared with 741 children with other fall mechanisms. The carrier group had more ICIs (P < 0.001) and hospitalizations (P < 0.001). When carrier injuries were compared with falls down stairs, there were more ICIs (13/62 vs. 2/68, P = 0.002) resulting from carrier injuries. Falls from infant carriers are common, often involve children unbuckled in their car seats, and represent a significant source of morbidity. Injury prevention measures such as education and manufacture labeling may be effective strategies.
    Pediatric emergency care 01/2009; 25(2):66-8. · 0.92 Impact Factor
  • Source
    Roni D Lane, Robert G Bolte
    Pediatric emergency care 02/2007; 23(1):49-56; quiz 57-60. · 0.92 Impact Factor