Pediatric emergency care
-
Pediatric emergency care · Oct 2008
Randomized Controlled TrialParental factors influence teen alcohol use after an emergency department visit.
To determine if parental factors are significant predictors of short-term adolescent drinking after an alcohol-related emergency department (ED) visit. ⋯ Parental factors may significantly influence subsequent adolescent drinking after an ED visit. These factors should be assessed when treating alcohol-positive teens, and parents should be advised to closely monitor their teens.
-
Pediatric emergency care · Oct 2008
Randomized Controlled Trial Comparative StudyA prospective randomized controlled study of two fluid regimens in the initial management of septic shock in the emergency department.
To compare the impact of 40 mL/kg of fluid over 15 minutes followed by dopamine and further titration of therapy to achieve therapeutic goals (study protocol) versus 20 mL/kg over 20 minutes up to a maximum of 60 mL/kg over 1 hour followed by dopamine (control protocol) in septic shock. ⋯ There was no difference in the overall mortality, rapidity of shock resolution, or incidence of complications between the groups. The occurrence of hepatomegaly at 20 minutes following 40 mL/kg is of concern in settings with limited access to post-resuscitation ventilator care.