Annals of emergency medicine
-
Clinical Trial
A prospective analysis of intramuscular meperidine, promethazine, and chlorpromazine in pediatric emergency department patients.
To examine physiologic responses and efficacy of 2, 1, and 1 mg/kg IM meperidine, promethazine, and chlorpromazine (MPC), respectively, in children. ⋯ IM MPC is a safe and generally effective agent for ED procedures in selected children.
-
Comparative Study Clinical Trial
High-dose epinephrine improves outcome from pediatric cardiac arrest.
Animal studies suggest that the standard dose of epinephrine (SDE) for treatment of cardiac arrest in human beings may be too low. We compared the outcome after SDE with that after high-dose epinephrine (HDE) in children with refractory cardiac arrest. ⋯ HDE provided a higher return of spontaneous circulation rate and a better long-term outcome than SDE in our series of pediatric cardiac arrest. HDE may warrant incorporation into standard resuscitation protocols at an early enough point to prevent irreversible brain injury.
-
Comparative Study
Comparison of rectal, axillary, and tympanic membrane temperatures in infants and young children.
To evaluate the reliability of a tympanic membrane thermometer in detecting fever in young children presenting to the emergency department. ⋯ Tympanic membrane and axillary temperatures should be viewed with caution in children less than 3 years old as neither can detect fever reliably.
-
A previously healthy 47-year-old woman presented to the emergency department with septic shock five days after a small dog bite on the dorsum of her hand. Capnocytophaga canimorsus was isolated from blood cultures. ⋯ Characteristics of Capnocytophaga (formerly CDC group Dysgonic Fermenter-2) infection are briefly discussed. This unusual outcome in a previously healthy patient and the need for careful management of dog bite wounds, even if initially very small, is emphasized.