Pediatric emergency care
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Pediatric emergency care · Apr 1993
Comparative StudyTransport stabilization times for neonatal and pediatric patients prior to interfacility transfer.
The stabilization times for 2863 neonatal and pediatric interfacility transports are reported. Appropriate stabilization of the sick neonate and pediatric patients prior to transfer is considered essential to reduce the adverse events that may otherwise occur during the transfer process. ⋯ These times can be used by other transport systems to evaluate their services through quality assurance, as well as for staff and budgeting purposes. New interventions that reduce stabilization times can be evaluated with these times as a reference.
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Pediatric emergency care · Apr 1993
Comparative StudyCorrelating infectious outcome with clinical parameters of 1130 consecutive febrile infants aged zero to eight weeks.
The study objectives were to characterize the infectious outcomes and associated clinical parameters of a large group of febrile young infants who received outpatient sepsis evaluation. This retrospective review of consecutive cases during a seven-year period was set in an urban pediatric emergency department. Febrile infants, aged zero to eight weeks, were the participants. ⋯ The rate of positive cultures per patient age was doubled in those aged zero to four weeks (12%) compared with those aged four to eight weeks (6%). The 49 cases of invasive bacterial infections (bacterial meningitis/bacteremia) were most commonly associated with lower degrees of fever, as slightly over one half (25/49) had temperature < 39 degrees C. The most common pathogens of invasive bacterial infection were group B streptococcus and Escherichia coli, accounting for 33 of 49 cases (67%); the most common pathogens of invasive bacterial infection in older children (Haemophilus influenzae type b and Streptococcus pneumoniae) were relatively underrepresented, accounting for only five of these 49 (10%) cases.