Pediatric emergency care
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Pediatric emergency care · Feb 2008
Randomized Controlled TrialVeinlite transillumination in the pediatric emergency department: a therapeutic interventional trial.
We hypothesized that transillumination would increase peripheral intravenous (IV) insertion success rates in pediatric emergency department patients. Primary outcome was success in first attempt, and secondary outcome was success within 2 attempts. ⋯ After adjusting for multiple significant covariates and controlling for random effect of provider, our results indicated a benefit in the use of Veinlite transillumination for IV insertion in first attempt and within 2 attempts. This technique seemed to facilitate nonemergent IV placement in pediatric patients compared with standard practice.
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Pediatric emergency care · Feb 2008
Randomized Controlled TrialA randomized controlled trial of 2 methods of immobilizing torus fractures of the distal forearm.
Immobilization of torus fractures of the distal forearm, for 1 to 4 weeks in a slab, cast, or splint, produces good radiological and functional outcomes. This study assesses the pain associated with 2 forms of immobilization used for these injuries. ⋯ Use of a slab may increase the duration of pain, especially in patients who had more severe pain at presentation.