Pediatric emergency care
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Pediatric emergency care · May 2007
Meta Analysis Comparative StudyAbsorbable versus nonabsorbable sutures in the management of traumatic lacerations and surgical wounds: a meta-analysis.
To complete a systematic review of randomized controlled trials (RCTs) that compare the cosmetic outcomes and complications of traumatic lacerations and surgical incisions closed with absorbable sutures versus nonabsorbable sutures. ⋯ Our meta-analysis suggests a lack of large, methodologically sound RCTs evaluating the effectiveness of absorbable versus nonabsorbable sutures. Although our analysis demonstrates that nonabsorbable sutures seem to be no better than absorbable sutures in the management of wound repair, a large methodologically sound RCT is needed to adequately answer this question.
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Pediatric emergency care · May 2007
Clinical TrialUrine specific gravity and other urinary indices: inaccurate tests for dehydration.
Urine output, specific gravity, and ketones (urinary indices) are commonly used as an objective means to assess for dehydration and gastroenteritis severity; however, their utility has not been established. The study was designed to evaluate the accuracy of urinary indices as diagnostic tests to identify acute dehydration. ⋯ Urinary indices are not useful diagnostic tests to identify the presence of dehydration during the initial assessment of children with gastroenteritis.
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Pediatric emergency care · May 2007
Job market survey of recent pediatric emergency medicine fellowship graduates.
The American Academy of Pediatrics Section of Emergency Medicine's Subcommittee on Administration developed a survey tool targeting recent pediatric emergency medicine (PEM) fellowship graduates to assess the current PEM job market in a variety of areas including (1) the new positions accepted, (2) perspectives of fellowship training, and (3) the relationship between PEM and general emergency medicine practice. ⋯ Recent PEM fellowship graduates felt that job availability was good and were satisfied with their new positions. Respondents perceived better fellowship training in clinical and teaching aspects than in research and administration. New positions were heavily clinical and matched career goals.
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To determine the frequency of occult fractures in children with suspicious burns compared with children with other types of physical abuse. ⋯ Although young children with abusive burns have fewer occult fractures compared with those with other abusive injuries, the frequency of occult fractures is still high enough to warrant the consideration of skeletal surveys in these cases.
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Pediatric emergency care · May 2007
Screening for iron deficiency anemia in at risk children in the pediatric emergency department: a survey of Canadian pediatric emergency department physicians.
To determine the attitudes and reported practices of physicians regarding screening for iron deficiency anemia in at-risk children in pediatric emergency departments (PEDs) across Canada. ⋯ The results of this study indicate that Canadian PED physicians are not routinely screening for iron deficiency anemia, although they demonstrate knowledge of the risk factors for iron deficiency anemia and recognize the importance of diagnosis and treatment to prevent long-term morbidity.