Pediatric emergency care
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Pediatric emergency care · Feb 2004
Review Case ReportsAcute presentation of infected urachal cysts: case report and review of diagnosis and therapeutic interventions.
Urachal remnants, although relatively rare, masquerade as a large number of diverse disorders leading to a high rate of misdiagnosis. A typical case is reported in which a 10-year-old boy presented to the Emergency Department twice before being incorrectly diagnosed with a pelvic or lower abdominal periappendiceal abscess. Definitive diagnosis and treatment of an infected urachal cyst were made intraoperatively. A review and discussion of urachal remnants is presented, and a diagnostic algorithm and treatment plan is offered for this entity.
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Pediatric emergency care · Feb 2004
Randomized Controlled Trial Multicenter Study Comparative Study Clinical TrialA randomized, prospective, multisite comparison of pediatric prehospital training methods.
Results of prehospital pediatric continuing education using train-the-trainer and CD-ROM training methods were compared to each other and to a control group. The null hypothesis was that no differences would be found in pretraining and posttraining measurements of knowledge and performance by either training method. ⋯ In this small sample, interactive CD-ROM training shows promise for improving performance. The research design, with additional guards against sample size attrition, may provide a model for multisite EMS education research.