Pediatric emergency care
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Pediatric emergency care · Feb 2000
Randomized Controlled Trial Multicenter Study Clinical TrialHistory and radiographic findings associated with clinically suspected radial head subluxations.
To determine: 1) physician practices regarding the use of radiographs for radial head subluxations (RHS), 2) the prevalence of missed fractures in children with a clinical diagnosis of RHS, 3) the relative risk of a fracture with a nonclassic history for mechanism of injury for RHS, and 4) radiographic findings associated with RHS that are difficult to reduce. ⋯ 1) Physicians tend to order radiographs for elbow injuries they initially perceive to be radial head subluxations when attempts at reduction fail. 2) In our study, fractures in children who presented with the classic flexed elbow/pronated wrist position were rare. 3) The relative risk of a fracture in children with a nonclassic history for mechanism of injury was not significant. 4) An isolated finding of a posterior fat pad in a child with RHS that is difficult to reduce was not associated with a fracture in our small sample of children with radiographic findings.
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Pediatric emergency care · Feb 2000
Randomized Controlled Trial Clinical TrialChloral hydrate versus midazolam for sedation of children for neuroimaging: a randomized clinical trial.
The comparative safety and efficacy of chloral hydrate and midazolam for sedation of children has not been adequately studied. ⋯ We conclude that, in these doses, oral chloral hydrate may provide more effective sedation than midazolam for brief neuroimaging studies in young children.