Pediatric emergency care
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Pediatric emergency care · Apr 2003
Pediatricians' evaluations of their residency curriculum in emergency medicine.
To describe residency graduates' perceptions of their preparation for providing pediatric emergency medical care. ⋯ Despite limited access to rotations in a pediatric ED, our graduates were confident in their ability to manage pediatric emergencies. A pediatric emergency medicine curriculum composed of didactic teaching and clinical rotations in a pediatric intensive care unit and urgent care served as an effective way to supplement limited ED experience.
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Pediatric emergency care · Apr 2003
Review Multicenter Study Comparative StudyRole of oblique radiographs in blunt pediatric cervical spine injury.
To determine the usefulness of oblique cervical spine radiography (OCSR) in the management of children who have sustained blunt cervical spine injury, particularly if OCSR is abnormal when no acute abnormalities are shown on standard cervical spine radiography (SCSR). ⋯ In our series of 109 children who underwent acute radiographic evaluation of blunt cervical spine trauma, oblique views were unlikely to be abnormal if no acute abnormalities were evident on standard anteroposterior and lateral radiographs. Although few patients are likely to benefit from the addition of these views on a routine basis, a useful role for oblique cervical spine radiographs in detecting cervical spine injury in children cannot be excluded based on the results of this study.
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Pediatric emergency care · Apr 2003
Multicenter Study Comparative StudyPatterns in childhood sports injury.
The purpose of this epidemiologic study is twofold: first, to determine the relative frequency of sports-related injuries compared with all musculoskeletal injuries in patients 5 to 21 years of age presenting to the emergency department (ED), and second, to evaluate the sports-specific and anatomic site-specific nature of these injuries. ⋯ Sports injuries in children and adolescents were by far the most common cause of musculoskeletal injuries treated in the ED, accounting for 41% of all musculoskeletal injuries. This represents the highest percentage of sports-related musculoskeletal injuries per ED visit reported in children to date. As children and adolescents participate in sports in record numbers nationwide, sports injury research and prevention will become increasingly more important.
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The goals of this study were to identify the socioeconomic influences that may lead to newborn abandonment and the attributes common to individuals who abandon their infants, to develop an understanding of the legislative issues affecting the abandonment of newborns by state, and to describe an emergency care program designed to preserve newborn life. ⋯ There is still much to learn about infant abandonment. A national database to compile statistics about the incidence of abandonment is currently not available. Research is necessary to validate the findings collected in retrospective reviews. The choices parents make between the options of abandoning versus surrendering the infant to a safe haven require further study. Preventative programs and education of the public and particularly of the high-risk groups require a greater emphasis on improving child protection procedures. Programs in emergency departments must be developed to expedite care and to support and protect life.