Pediatric emergency care
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Pediatric emergency care · Jun 2007
ReviewVenous access in the critically ill child: when the peripheral intravenous fails!
Emergent venous access is now achievable by intraosseous needle in patients of all ages and sizes. The review outlines the limitations of other more "traditional" forms of emergent venous access in children (when the peripheral intravenous fails) and briefly discusses the intraosseous devices that have been recently marketed that allow for rapid and effective intraosseous access in older children and adults.
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Pediatric emergency care · Jun 2007
Randomized Controlled Trial Comparative StudyComparison of intravenous terbutaline versus normal saline in pediatric patients on continuous high-dose nebulized albuterol for status asthmaticus.
To determine if the addition of intravenous terbutaline provides any clinical benefit to children with acute severe asthma already on continuous high-dose nebulized albuterol. ⋯ No outcome measures demonstrated statistical significance. Outcome measures revealed a trend toward improvement in the terbutaline group. Before recommending routine use of intravenous terbutaline for acute severe asthma, further study to determine safety and efficacy is necessary.
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Pediatric emergency care · Jun 2007
Comparative Study Controlled Clinical TrialEthyl chloride as a cryoanalgesic in pediatrics for venipuncture.
Ethyl chloride can be used as a cryoanalgesic, but with the availability of alternative and relatively safer topical analgesics, its use has decreased. However, it still has the advantage of being quicker to apply compared with other topical analgesics, making it ideal for use in the outpatient departments. We wanted to compare the effectiveness of ethyl chloride as an analgesic during venipuncture in children. ⋯ The use of ethyl chloride was as effective as topical anesthetics in preventing distress to children in venipuncture. However, in the appropriate situations, the use of NO could also be comfortable to the child if venipuncture was done by specialist pediatric phlebotomists.
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Pediatric emergency care · Jun 2007
Pediatric emergency medicine physicians' current practices and beliefs regarding mental health screening.
Only 20% of children with mental health issues are identified and receiving appropriate treatment nationally. The emergency department (ED) may represent a significant opportunity to provide selective pediatric mental health screening to an at-risk population. ⋯ Routine PMI screening is conducted infrequently by most PEM physicians. Improved physician education/training and the development of a validated ED-specific mental health screening tool would assist PEM physicians in the early detection of PMI.